Very Long-Term Outcomes in Children Admitted in a Disorder of Consciousness After Severe Traumatic Brain Injury
To investigate functional outcomes and state of consciousness at 1 year and ≥2 years postinjury in children who sustained a traumatic brain injury and were in a disorder of consciousness (DOC), either vegetative state (VS) or minimally conscious state (MCS), upon admission to inpatient rehabilitatio...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2021-08, Vol.102 (8), p.1507-1513 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Rodgin, Sandra Suskauer, Stacy J. Chen, Julia Katz, Elana Davis, Kimberly C. Slomine, Beth S. |
| description | To investigate functional outcomes and state of consciousness at 1 year and ≥2 years postinjury in children who sustained a traumatic brain injury and were in a disorder of consciousness (DOC), either vegetative state (VS) or minimally conscious state (MCS), upon admission to inpatient rehabilitation.
Retrospective chart review.
Pediatric inpatient rehabilitation unit.
Children aged 2-18 years (N=37) who were admitted to inpatient rehabilitation with admission scores |
| doi_str_mv | 10.1016/j.apmr.2021.01.084 |
| format | Article |
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Retrospective chart review.
Pediatric inpatient rehabilitation unit.
Children aged 2-18 years (N=37) who were admitted to inpatient rehabilitation with admission scores <30 on the Cognitive and Linguistic Scale (CALS).
Not applicable.
Glasgow Outcome Scale- Extended, Pediatric Revision (GOS-E Peds), and state of consciousness based on previously established guidelines.
At admission, 16 children were in VS (43.2%) and 21 (56.8%) were in MCS. Children admitted in VS had a significantly longer time from injury to inpatient rehabilitation admission, lower CALS admission scores, were more likely to be in a DOC ≥28 days, and had greater disability at both follow-up time points. At the 1-year follow-up, 3 patients were in VS, 7 were in MCS, and 27 had emerged from MCS. By the time of the most recent follow-up (≥2y), 2 more patients had emerged from MCS. Across the cohort, GOS-E Peds scores at 1 year ranged from VS (GOS-E Peds, 7) to upper moderate disability (GOS-E Peds, 3). Most patients were functioning in the lower severe disability category (GOS-E Peds, 6) at 1 year (43.2%) and at the time of the most recent follow-up (43.2%). Twenty-seven patients (73.0%) showed stable GOS-E Peds scores between the 2 time points, 6 (16.2%) improved, and 4 (10.8%) were deceased.
Although a majority of patients emerged from a DOC by 1 year postinjury, most continued to demonstrate notable functional impairment at the 1-year follow-up that persisted to the most recent follow-up. A small subset demonstrated important improvements between 1 year and the most recent follow-up (2 patients emerged, 6 patients showed improvement in GOS-E Peds scores).</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2021.01.084</identifier><identifier>PMID: 33609500</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Brain Injuries ; Child ; Consciousness disorders ; Rehabilitation</subject><ispartof>Archives of physical medicine and rehabilitation, 2021-08, Vol.102 (8), p.1507-1513</ispartof><rights>2021 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2021 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-9211a07ac4e1408efdb1a44d58f7720a5364f5c92f842e462ecac3eaf87d62c13</citedby><cites>FETCH-LOGICAL-c455t-9211a07ac4e1408efdb1a44d58f7720a5364f5c92f842e462ecac3eaf87d62c13</cites><orcidid>0000-0002-2349-3149</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999321001544$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33609500$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodgin, Sandra</creatorcontrib><creatorcontrib>Suskauer, Stacy J.</creatorcontrib><creatorcontrib>Chen, Julia</creatorcontrib><creatorcontrib>Katz, Elana</creatorcontrib><creatorcontrib>Davis, Kimberly C.</creatorcontrib><creatorcontrib>Slomine, Beth S.</creatorcontrib><title>Very Long-Term Outcomes in Children Admitted in a Disorder of Consciousness After Severe Traumatic Brain Injury</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>To investigate functional outcomes and state of consciousness at 1 year and ≥2 years postinjury in children who sustained a traumatic brain injury and were in a disorder of consciousness (DOC), either vegetative state (VS) or minimally conscious state (MCS), upon admission to inpatient rehabilitation.
Retrospective chart review.
Pediatric inpatient rehabilitation unit.
Children aged 2-18 years (N=37) who were admitted to inpatient rehabilitation with admission scores <30 on the Cognitive and Linguistic Scale (CALS).
Not applicable.
Glasgow Outcome Scale- Extended, Pediatric Revision (GOS-E Peds), and state of consciousness based on previously established guidelines.
At admission, 16 children were in VS (43.2%) and 21 (56.8%) were in MCS. Children admitted in VS had a significantly longer time from injury to inpatient rehabilitation admission, lower CALS admission scores, were more likely to be in a DOC ≥28 days, and had greater disability at both follow-up time points. At the 1-year follow-up, 3 patients were in VS, 7 were in MCS, and 27 had emerged from MCS. By the time of the most recent follow-up (≥2y), 2 more patients had emerged from MCS. Across the cohort, GOS-E Peds scores at 1 year ranged from VS (GOS-E Peds, 7) to upper moderate disability (GOS-E Peds, 3). Most patients were functioning in the lower severe disability category (GOS-E Peds, 6) at 1 year (43.2%) and at the time of the most recent follow-up (43.2%). Twenty-seven patients (73.0%) showed stable GOS-E Peds scores between the 2 time points, 6 (16.2%) improved, and 4 (10.8%) were deceased.
Although a majority of patients emerged from a DOC by 1 year postinjury, most continued to demonstrate notable functional impairment at the 1-year follow-up that persisted to the most recent follow-up. A small subset demonstrated important improvements between 1 year and the most recent follow-up (2 patients emerged, 6 patients showed improvement in GOS-E Peds scores).</description><subject>Brain Injuries</subject><subject>Child</subject><subject>Consciousness disorders</subject><subject>Rehabilitation</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9UU1rGzEUFKWlcZP-gR6Kjr2sq8_1CkrBcb8ChhzqlN6EIr1NZHYlV9Ia_O8r4zQ0l8ADodHMvKc3CL2jZE4JbT9u52Y3pjkjjM5JrU68QDMqOWs6Rn-_RDNCCG-UUvwMvcl5W6-t5PQ1OuO8JUoSMkPxF6QDXsdw12wgjfh6KjaOkLEPeHXvB5cg4KUbfSngjqDBX3yOyUHCscerGLL1ccoBcsbLvlT4J-whAd4kM42meIsvk6nCq7Cd0uECverNkOHtw3mObr593ax-NOvr71er5bqxQsrSKEapIQtjBVBBOujdLTVCONn1iwUjRvJW9NIq1neCgWgZWGM5mL5buJZZys_R55PvbrodwVkIJZlB75IfTTroaLx--hL8vb6Le91xoTouq8GHB4MU_0yQix59tjAMJkD9r2ZCUSUEVbxS2YlqU8w5Qf_YhhJ9TEpv9TEpfUxKk1qdqKL3_w_4KPkXTSV8OhGgrmnvIem6aQgWnE9gi3bRP-f_F6PFpvM</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Rodgin, Sandra</creator><creator>Suskauer, Stacy J.</creator><creator>Chen, Julia</creator><creator>Katz, Elana</creator><creator>Davis, Kimberly C.</creator><creator>Slomine, Beth S.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2349-3149</orcidid></search><sort><creationdate>20210801</creationdate><title>Very Long-Term Outcomes in Children Admitted in a Disorder of Consciousness After Severe Traumatic Brain Injury</title><author>Rodgin, Sandra ; Suskauer, Stacy J. ; Chen, Julia ; Katz, Elana ; Davis, Kimberly C. ; Slomine, Beth S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-9211a07ac4e1408efdb1a44d58f7720a5364f5c92f842e462ecac3eaf87d62c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Brain Injuries</topic><topic>Child</topic><topic>Consciousness disorders</topic><topic>Rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodgin, Sandra</creatorcontrib><creatorcontrib>Suskauer, Stacy J.</creatorcontrib><creatorcontrib>Chen, Julia</creatorcontrib><creatorcontrib>Katz, Elana</creatorcontrib><creatorcontrib>Davis, Kimberly C.</creatorcontrib><creatorcontrib>Slomine, Beth S.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodgin, Sandra</au><au>Suskauer, Stacy J.</au><au>Chen, Julia</au><au>Katz, Elana</au><au>Davis, Kimberly C.</au><au>Slomine, Beth S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Very Long-Term Outcomes in Children Admitted in a Disorder of Consciousness After Severe Traumatic Brain Injury</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>102</volume><issue>8</issue><spage>1507</spage><epage>1513</epage><pages>1507-1513</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>To investigate functional outcomes and state of consciousness at 1 year and ≥2 years postinjury in children who sustained a traumatic brain injury and were in a disorder of consciousness (DOC), either vegetative state (VS) or minimally conscious state (MCS), upon admission to inpatient rehabilitation.
Retrospective chart review.
Pediatric inpatient rehabilitation unit.
Children aged 2-18 years (N=37) who were admitted to inpatient rehabilitation with admission scores <30 on the Cognitive and Linguistic Scale (CALS).
Not applicable.
Glasgow Outcome Scale- Extended, Pediatric Revision (GOS-E Peds), and state of consciousness based on previously established guidelines.
At admission, 16 children were in VS (43.2%) and 21 (56.8%) were in MCS. Children admitted in VS had a significantly longer time from injury to inpatient rehabilitation admission, lower CALS admission scores, were more likely to be in a DOC ≥28 days, and had greater disability at both follow-up time points. At the 1-year follow-up, 3 patients were in VS, 7 were in MCS, and 27 had emerged from MCS. By the time of the most recent follow-up (≥2y), 2 more patients had emerged from MCS. Across the cohort, GOS-E Peds scores at 1 year ranged from VS (GOS-E Peds, 7) to upper moderate disability (GOS-E Peds, 3). Most patients were functioning in the lower severe disability category (GOS-E Peds, 6) at 1 year (43.2%) and at the time of the most recent follow-up (43.2%). Twenty-seven patients (73.0%) showed stable GOS-E Peds scores between the 2 time points, 6 (16.2%) improved, and 4 (10.8%) were deceased.
Although a majority of patients emerged from a DOC by 1 year postinjury, most continued to demonstrate notable functional impairment at the 1-year follow-up that persisted to the most recent follow-up. A small subset demonstrated important improvements between 1 year and the most recent follow-up (2 patients emerged, 6 patients showed improvement in GOS-E Peds scores).</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33609500</pmid><doi>10.1016/j.apmr.2021.01.084</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2349-3149</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Brain Injuries Child Consciousness disorders Rehabilitation |
| title | Very Long-Term Outcomes in Children Admitted in a Disorder of Consciousness After Severe Traumatic Brain Injury |
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