All body region injuries are not equal: Differences in pediatric discharge functional status based on Abbreviated Injury Scale (AIS) body regions and severity scores
| Autor: | Lauren L. Evans, Aaron R. Jensen, Kathleen L. Meert, John M. VanBuren, Rachel Richards, Jessica S. Alvey, Joseph A. Carcillo, Patrick S. McQuillen, Peter M Mourani, Michael L. Nance, Richard Holubkov, Murray M. Pollack, Randall S. Burd |
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| Rok vydání: | 2022 |
| Předmět: |
Quality of life
medicine.medical_specialty Physical Injury - Accidents and Adverse Effects Injuries and wounds macromolecular substances Pediatrics Article Paediatrics and Reproductive Medicine Injury Severity Score Clinical Research Epidemiology Medicine Humans Glasgow Coma Scale Prospective Studies Prospective cohort study Child Pediatric Abbreviated Injury Scale business.industry Outcomes assessment Head injury Rehabilitation Activities of daily living General Medicine Injuries and accidents medicine.disease Patient Discharge Trauma severity indices Functional Status Pediatrics Perinatology and Child Health Physical therapy Wounds and Injuries Surgery Functional status Body region business Pediatric trauma |
| Zdroj: | Journal of pediatric surgery, vol 57, iss 4 J Pediatr Surg |
| Popis: | PurposeFunctional outcomes have been proposed for assessing quality of pediatric trauma care. Outcomes assessments often rely on Abbreviated Injury Scale (AIS) severity scores to adjust for injury characteristics, but the relationship between AIS severity and functional impairment is unknown. This study's primary aim was to quantify functional impairment associated with increasing AIS severity scores within body regions. The secondary aim was to assess differences in impairment between body regions based on AIS severity.MethodsChildren with serious (AIS≥3) isolated body region injuries enrolled in a multicenter prospective study were analyzed. The primary outcome was functional status at discharge measured using the Functional Status Scale (FSS). Discharge FSS was compared (1) within each body region across increasing AIS severity scores, and (2) between body regions for injuries with matching AIS scores.ResultsThe study included 266 children, with 16% having abnormal FSS at discharge. Worse FSS was associated with increasing AIS severity only for spine injuries. Abnormal FSS was observed in a greater proportion of head injury patients with a severely impaired initial Glasgow Coma Scale (GCS) (GCS |
| Databáze: | OpenAIRE |
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