PMID: 8607735Feb 1, 1996Paper

Association between injury indices and outcome after severe traumatic brain injury in children

Archives of Physical Medicine and Rehabilitation
T L MassagliF P Rivara

Abstract

(1) To determine whether indices of traumatic brain injury (TBI) in children are associated with outcome at hospital discharge and 5 to 7 years later; (2) to describe persisting disabilities. Retrospective, uncontrolled study of a cohort of children with severe, nonpenetrating TBI. Consecutive admissions to a level 1 trauma center over 2 years. Seventy-five children younger than 17 years old were previously studied to identify predictors of disability at acute care discharge. Thirty-three of the 50 survivors (66%) were enrolled. A database of variables abstracted from medical records was available from the previous study. Subjects were surveyed about premorbid problems, school, employment, and current function, and school records were reviewed. Using all information, a Glasgow Outcome Scale (GOS) score was assigned 5 to 7 years after TBI. Associations between database variables and GOS score at discharge and follow-up were examined using nonparametric analyses. The odds ratio for good recovery was calculated for all significant associations. Late GOS was good recovery for 27%, moderate disability for 55%, and severe disability for 18%. Discharge GOS scores were related (p < or = .01) to the head Abbreviated Injury Scale score, ...Continue Reading

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