TY - JOUR PY - 2013// TI - Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI JO - Brain injury A1 - Austin, Cynthia A. A1 - Slomine, Beth S. A1 - Dematt, Ellen J. A1 - Salorio, Cynthia F. A1 - Suskauer, Stacy J. SP - 1056 EP - 1062 VL - 27 IS - 9 N2 - Abstract Objective: To investigate the relationship between injury severity variables, particularly time to follow commands (TFC) and long-term functional outcomes in paediatric traumatic brain injury (TBI). Methods and procedure: Participants included 40 children with moderate-to-severe TBI discharged from inpatient rehabilitation. Measures of severity were initial Glasgow Coma Scale score, TFC, duration of Post Traumatic Amnesia (PTA) and total duration of impaired consciousness (TFC + PTA). Functional outcome was measured by age-corrected Functional Independence Measure for Children (WeeFIM®) scores at 1-year after discharge. Results: Correlations indicated that injury severity variables (TFC, PTA and TFC + PTA) were all associated with functional outcome. Regression analyses revealed that TFC and TFC + PTA similarly accounted for 49% or 47% of the variance, respectively, in total WeeFIM® score. Thirty-seven of 40 children had good outcome; of the three children with TFC >26 days, two had poor outcome. Conclusion: PTA and TFC + PTA do not provide a benefit over TFC alone for prediction of long-term outcome and TFC is identified earlier in the recovery course. TFC remains an important predictor of functional outcome 1-year after discharge from inpatient rehabilitation after paediatric TBI.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/10.3109/02699052.2013.794964 ID - ref1 ER -