Neurological rehabilitation in children and adolescents
| Autor: | E Berger, K Vavrik, A Oppolzer, J Kessler, G Wörgötter, S Fiala |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent media_common.quotation_subject Poison control Social Environment Occupational safety and health Injury prevention medicine Humans Glasgow Coma Scale Child Acquired brain injury Neurorehabilitation media_common business.industry Incidence Rehabilitation Infant Length of Stay medicine.disease Patient Discharge Hospitalization Treatment Outcome Brain Injuries Child Preschool Education Special Pediatrics Perinatology and Child Health Etiology Female Family Relations Arousal business Follow-Up Studies Vigilance (psychology) |
| Zdroj: | Pediatric Rehabilitation. 1:229-233 |
| ISSN: | 1363-8491 |
| DOI: | 10.3109/17518429709167363 |
| Popis: | We report about 38 patients aged between 1 and 19 years (36.8% female, 63.2% male; mean age 7.8 years) admitted as inpatients for further neurorehabilitation mostly 4 weeks after severe acquired brain injury (ABI) of different aetiology. Of the patients, 73.7% were in a state of minimal responsiveness (vigilance score7 WVS) on admission. We evaluate the course of rehabilitation and the outcome 6 months after the end of the inpatient-period. The average stay of 15.5 weeks is strikingly low. The average intensity of therapy comes to about 16 units per week including strategies of rehabilitative education. The incidence of good rehabilitation was 21%, whereas almost 45% of patients displayed severe impairment. Although further improvements were found in almost 40% of patients 6 months later, these only slightly changed the overall picture of the GOS values. More than 3/4 returned to their families after rehabilitation, often despite great functional impairment. A return to the former environment outside the family (kindergarten, school) was, however, possible in 2/3 of the subjects. The proportion of minimally responsive patients fell from 73.7% to 18.4% during the stationary rehabilitation phase. After a further 6 months (follow up), 36.4% of the originally minimally responsive patients achieved a GOS value of5. |
| Databáze: | OpenAIRE |
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