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Titre : | Functional status 1 year after severe childhood traumatic brain injury predicts 7-year outcome: Results of the TGE study (2022) |
Auteurs : | Sara Neumane ; Hugo Câmara-Costa ; Leila Francillette ; Hanna Toure ; Dominique Brugel ; Anne Laurent-Vannier ; Philippe Meyer ; Laurence Watier ; Georges Dellatolas ; Mathilde Chevignard |
Type de document : | Article |
Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 65, n° 5, September 2022) |
Article en page(s) : | 101627 |
Note générale : | https://doi.org/10.1016/j.rehab.2021.101627 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Continuité des soins ; Enfant (6-12 ans) ; Études de cohortes ; Personnes handicapées ; Traumatismes cranioencéphaliques |
Mots-clés: | Invalidité acquise de longue durée ; Déficit fonctionnel persistant |
Résumé : |
Background
Childhood severe traumatic brain injury (TBI) is a leading cause of long-lasting acquired disability, but predicting long-term functional outcome remains difficult. Objectives This study aimed to 1) describe the functional outcome at 1 and 7 years post-TBI; 2) determine the initial and concurrent factors associated with long-term outcome; and 3) evaluate the predictive value of functional status, overall disability level and intellectual ability measured at 1 year post-injury to determine 7-year clinically meaningful outcomes. Methods Among the children ( Results Mean (SD) age of the 39 survivors at injury was 7.6 (4.6) years, and long-term evaluation was conducted at a mean of 7.8 years post-injury (range 5.9?9.3); 36% of participants were adults (?18 years old). Most of the neurological impairments remained stable beyond 1 year after TBI, whereas overall disability level improved significantly from 1 to 7 years but remained highly variable, with almost half of participants presenting significant disability levels (moderate: 26%, or severe: 21%). Almost half of participants had significant cognitive, behavior and/or academic difficulties at 7 years post-TBI. On multivariate regression analysis, functional impairment at 1 year was the best predictor of severe disability at 7 years (F(3,31)=13.18, p Conclusions Our results confirm the significant long-term impact of childhood severe TBI. All children with TBI should benefit from systematic follow-up, especially those with persistent functional deficits at 1 year post-injury, because the severity of functional impairment at 1 year seems the best predictor of long-term significant disability up to 7 years post-TBI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1877065721001445 |