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Journal Article

Citation

Bedell GM. Brain Inj. 2008; 22(4): 313-324.

Affiliation

Tufts University, Boston School of Occupational Therapy, Medford, MA, USA.

Copyright

(Copyright © 2008, Informa - Taylor and Francis Group)

DOI

10.1080/02699050801978948

PMID

18365845

Abstract

Objective: To examine functional outcomes of school-age children with acquired brain injuries (ABI) at discharge from one inpatient rehabilitation programme in the Northeast, USA. Methods: A cross-sectional design was used to examine admission and discharge data on 176 children with ABI, aged 5-18 years. Functional outcomes included discharge Pediatric Evaluation of Disability Inventory (PEDI) self-care, mobility, social function scores and length of stay. General patterns of change in PEDI scores were analysed using paired t-tests and effect sizes. Correlation analyses were used to determine associations among continuous variables. Differences in outcomes related to independent variables were examined using independent t-tests and analysis of variance and covariance. Results: PEDI scores improved significantly at discharge. Less improvement was found in social function scores than mobility and self-care scores. Higher scores were associated with shorter LOS. Differences in most outcomes were found related to family's primary language, race/ethnicity and primary insurance. Younger children had significantly lower social function scores than older children. Conclusions: Findings provided insights about potential effects of selected variables on functional outcomes and suggest where future inquiry and efforts might be needed (e.g. social function and socio-cultural variables). Information not recorded in the programme's database could offer additional insights to assist with team decision-making.


Language: en

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