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Titre : | Functional Recovery During Inpatient Rehabilitation in Children With Anoxic or Hypoxic Brain Injury (2023) |
Auteurs : | Jackson M. Gray ; Megan E. Kramer ; Stacy J. Suskauer ; Beth S. Slomine |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 6, 2023) |
Article en page(s) : | p. 918-924 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.01.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adolescent ; Enfant (6-12 ans) ; Hypoxie ; Hypoxie-ischémie du cerveau ; Lésions encéphaliques ; Réadaptation |
Résumé : | Objectives To (1) describe characteristics of children with anoxic or hypoxic brain injuries (AnHBI) who presented to an inpatient rehabilitation unit, (2) explore functional outcomes of children with AnHBI at discharge, and (3) examine differences between children with AnHBI associated with cardiac arrest (CA) vs those with respiratory arrest (RA) only. Design Retrospective cohort study. Setting Pediatric inpatient rehabilitation hospital in the Northeast United States. Participants A total of 46 children and adolescents ages 11 months to 18 years admitted to an inpatient rehabilitation brain injury unit (1994-2018) for a first inpatient admission after AnHBI. Interventions Not applicable. Main Outcome Measures Pediatric Cerebral Performance Category Scale (PCPC), Pediatric Overall Performance Category, and Functional Independence Measure for Children developmental functional quotients (WeeFIM DFQs) total and subscale scores. Results Most children had no disability before injury (PCPC=normal, n=37/46) and displayed significant functional impairments at admission to inpatient rehabilitation (PCPC=normal/mild, n=1/46). WeeFIM and PCPC scores improved significantly during inpatient rehabilitation (WeeFIM DFQ Total, P=.003; PCPC, P<.001 although many children continued to demonstrate significant impairments at discharge n="5/46)." functioning was better for the ra-only group relative ca admission dfq total p=".006)" and ongoing gains in were noted months after compared with cognitive conclusions this of anhbi who received inpatient rehabilitation functional status improves significantly between discharge. by display a minority had favorable neurologic outcomes have worse than those ra-only. given small sample size future research should examine recovery during larger multisite cohort include longer-term follow-up patterns over time.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323000941 |