Understanding the Five-Year Outcomes of Abusive Head Trauma in Children: A Retrospective Cohort Study.
Understanding the long-term medical and developmental outcomes for children who survive abusive head trauma (AHT) is important to ensure necessary supports and services are available. This study examined the retrospective global and specific medical and developmental outcomes of 55 children with AHT...
| Publicado en: | Developmental Neurorehabilitation Vol. 24; no. 6; pp. 361 - 368 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151214433&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151214433 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17518423 2Y75 jtl: Developmental Neurorehabilitation issn: 17518423 maglogo: Y pubinfo: dt: Aug2021 vid: 24 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 151214433 148223987 151214433 151214433 10.1080/17518423.2020.1869340 151214433 ppf: 361 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Understanding the Five-Year Outcomes of Abusive Head Trauma in Children: A Retrospective Cohort Study. aug: au: Manfield, Jaimi Oakley, Karen Macey, Julie-Anne Waugh, Mary-Clare affil: The University of Notre Dame Australia, Darlinghurst, NSW, Australia sug: subj: Child Abuse Prognosis Head Injuries Prognosis Shaken Baby Syndrome Prognosis Brain Injuries Prognosis Child Abuse Survivors Psychosocial Factors Child Development Evaluation Outcomes (Health Care) Evaluation Human Prospective Studies Retrospective Design Record Review New South Wales Scales Recovery Descriptive Statistics Severity of Disability Vision Disorders Communicative Disorders Motor Skills Disorders Child Behavior Disorders Seizures Spearman's Rank Correlation Coefficient Child Trauma Centers Hospitals, Pediatric Child: 6-12 years ab: Understanding the long-term medical and developmental outcomes for children who survive abusive head trauma (AHT) is important to ensure necessary supports and services are available. This study examined the retrospective global and specific medical and developmental outcomes of 55 children with AHT who were treated at The Children's Hospital at Westmead. Global outcomes were assessed using the Kings Outcome Scale of Childhood Head Injury (KOSCHI). Five years post-injury, one child had died and two had made a complete recovery. Forty-five children (81.8%) had a moderate or severe disability, an increase from 64.5% at acute discharge. At follow-up, the main impairments were behavioral problems (53%), vision impairment (44%), fine motor difficulties (26%), gross motor problems (26%), communication problems (24%) and 16% had seizures. A Spearman's Rank correlation revealed that only 41% of variance in KOSCHI scores five years post-injury could be accounted for KOSCHI scores at the time of acute discharge (rs(55) = 0.638, p <.001), and many children's presentation was worse at follow-up. Therefore, all children presenting with AHT need long term follow up regardless of early indications of good recovery. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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