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Titolo:
Predictors of acute child and family outcome following traumatic brain injury in children
Autore:
Anderson, VA; Catroppa, C; Haritou, F; Morse, S; Pentland, L; Rosenfeld, J; Stargatt, R;
Indirizzi:
Univ Melbourne, Dept Psychol, Melbourne, Vic 3010, Australia Univ Melbourne Melbourne Vic Australia 3010 elbourne, Vic 3010, Australia Royal Childrens Hosp, Melbourne, Vic, Australia Royal Childrens Hosp Melbourne Vic Australia , Melbourne, Vic, Australia Nurdoch Childrens Res Inst, Melbourne, Vic, Australia Nurdoch Childrens Res Inst Melbourne Vic Australia ourne, Vic, Australia
Titolo Testata:
PEDIATRIC NEUROSURGERY
fascicolo: 3, volume: 34, anno: 2001,
pagine: 138 - 148
SICI:
1016-2291(200103)34:3<138:POACAF>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
PEDIATRIC HEAD-INJURY; RECOVERY; SEQUELAE;
Keywords:
traumatic brain injury; childhood; functional outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
46
Recensione:
Indirizzi per estratti:
Indirizzo: Anderson, VA Univ Melbourne, Dept Psychol, Melbourne, Vic 3010, Australia Univ Melbourne Melbourne Vic Australia 3010 3010, Australia
Citazione:
V.A. Anderson et al., "Predictors of acute child and family outcome following traumatic brain injury in children", PED NEUROS, 34(3), 2001, pp. 138-148

Abstract

Objective: To examine the relative contributions of injury severity, levelof physical and cognitive disability, child behavior and family function to short-term outcome 6 months following traumatic brain injury (TBI) in children. Design: Prospective, longitudinal, between-group design, comparing preinjury and postinjury measures of functional outcome across three levels of injury severity. Subjects: One hundred and twelve children, aged 2-12 years admitted to the Royal Children's Hospital, Melbourne, with a diagnosis of TBI. The sample was divided into three groups, according to injury severity: mild TBI (n = 31), moderate TBI (n = 52) and severe TBI (n = 29). Children with a history of neurologic, developmental and psychiatric disorder were excluded from participation. Main Outcome Measures: Levels of postinjury functioning in the following domains: physical function, cognitive ability (incorporating intellect, memory and attention), behavioral and family functioning, and level of family burden. Results: A clear dose-response relation ship for physical and cognitive outcomes was found, with severe TBI associated with greater impairment of physical, intellectual, memory and attentional function. For psychosocial outcome, results were less clearly linkedto injury severity. Preinjury behavioral and family functioning were closely related to postinjury function in these domains, with an interaction identified between family function and child behavior at 6 months postinjury. Family functioning remained unchanged postinjury, although level of burden was high, and predicted by injury severity, functional impairment and postinjury behavioral disturbance. Conclusions: These results suggest ongoing functional problems for the child and significant family burden 6 months following TBI. The nature and severity of physical and cognitive problems are most closely related to injury severity, with family functioning and child behavior better predicted by psychosocial and premorbid factors. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 12:35:43