Cognitive Recovery During Inpatient Rehabilitation Following Pediatric Traumatic Brain Injury: A Pediatric Brain Injury Consortium Study

被引：14

作者：

Watson, William D. ^{[1
,2
]}

Suskauer, Stacy J. ^{[3
,4
,5
]}

Askin, Gulce ^{[6
]}

Nowak, Sophie ^{[2
]}

Baum, Katherine T. ^{[8
]}

Gerber, Linda M. ^{[6
]}

Blackwell, Laura S. ^{[9
]}

Koterba, Christine H. ^{[10
]}

Hoskinson, Kristen R. ^{[10
,11
]}

Kurowski, Brad G. ^{[12
,13
,14
]}

Mclaughlin, Matthew J. ^{[15
,16
]}

Tlustos, Sarah J. ^{[17
,18
]}

Zimmerman, Kanecia O. ^{[19
]}

Shah, Sudhin A. ^{[2
,7
]}

机构：

[1] Columbia Univ, Vagelos Coll Phys & Surg, Dept Rehabil & Regenerat Med, New York, NY USA

[2] Blythedale Childrens Hosp, 95 Bradhurst Ave, Valhalla, NY 10595 USA

[3] Johns Hopkins Univ, Sch Med, Kennedy Krieger Inst, Baltimore, MD USA

[4] Johns Hopkins Univ, Sch Med, Dept Phys Med & Rehabil, Baltimore, MD USA

[5] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD USA

[6] Weill Cornell Med, Dept Populat Hlth Sci, New York, NY USA

[7] Weill Cornell Med, Dept Rehabil Med, New York, NY USA

[8] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA

[9] Childrens Hosp Atlanta, Dept Neuropsychol, Atlanta, GA USA

[10] Nationwide Childrens Hosp, Abigail Wexner Res Inst, Ctr Biobehav Hlth, Columbus, OH USA

[11] Ohio State Univ, Coll Med, Dept Pediat, Columbus, OH 43210 USA

[12] Cincinnati Childrens Hosp Med Ctr, Div Pediat Rehabil Med, Cincinnati, OH 45229 USA

[13] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH 45221 USA

[14] Univ Cincinnati, Coll Med, Dept Neurol & Rehabil Med, Cincinnati, OH 45221 USA

[15] Childrens Mercy Kansas City, Div Pediat Rehabil Med, Kansas City, MO USA

[16] Univ Missouri Kansas City, Sch Med, Dept Pediat, Kansas City, MO USA

[17] Univ Colorado, Childrens Hosp Colorado, Dept Rehabil, Anshutz Med Campus, Aurora, CO USA

[18] Univ Colorado, Dept Phys Med & Rehabil, Anshutz Med Campus, Aurora, CO USA

[19] Duke Univ, Med Ctr, Dept Pediat, Duke Clin Res Inst,Div Crit Care Med, Durham, NC 27710 USA

来源：

JOURNAL OF HEAD TRAUMA REHABILITATION | 2021年 / 36卷 / 04期

关键词：

adolescent; children; cognitive impairments; cognitive recovery; inpatient rehabilitation; minimally conscious state; posttraumatic amnesia; traumatic brain injury; unresponsive wakefulness; FUNCTIONAL INDEPENDENCE; LINGUISTIC SCALE; SOCIAL OUTCOMES; HEAD-INJURY; CHILDREN; CHILDHOOD; SEVERITY; WEEFIM; PREDICTORS; DISORDERS;

D O I：

10.1097/HTR.0000000000000650

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objectives: To characterize the demographics, clinical course, and predictors of cognitive recovery among children and young adults receiving inpatient rehabilitation following pediatric traumatic brain injury (TBI). Design: Retrospective observational, multicenter study. Setting: Eight acute pediatric inpatient rehabilitation facilities in the United States with specialized programs for treating patients with TBI. Participants: Children and young adults (0-21 years) with TBI (n = 234) receiving inpatient rehabilitation. Interventions: Not applicable. Main Outcome Measures: Admission and discharge status assessed by the WeeFIM Cognitive Developmental Functional Quotient (DFQ) and Cognitive and Linguistic Scale (CALS). Results: Patients admitted to pediatric inpatient rehabilitation are diverse in cognitive functioning. While the majority of patients make improvements, cognitive recovery is constrained for those admitted with the most severe cognitive impairments. Age, time since injury to rehabilitation admission, and admission WeeFIM Cognitive DFQ are significant predictors of cognitive functioning at discharge from inpatient rehabilitation. Conclusions: This work establishes a multicenter Pediatric Brain Injury Consortium and characterized the demographics and clinical course of cognitive recovery during inpatient rehabilitation of pediatric patients with TBI to aid in prospective study design.

引用

页码：253 / 263

页数：11

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