TY  - JOUR
PY  - 2020//
TI  - Short term outcomes of children with abusive head trauma two years post injury: a retrospective study
JO  - Journal of pediatric rehabilitation medicine
A1  - Badger, Sarah
A1  - Waugh, Mary-Clare
A1  - Hancock, Jan
A1  - Marks, Susan
A1  - Oakley, Karen
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: Abusive head trauma (AHT) can have debilitating sequelae for children who survive. A retrospective medical record review was used to describe short-term developmental outcomes of children with AHT and identify predictors of poorer outcomes.     METHOD: Children with AHT who received follow up by the hospital's rehabilitation department for 12 to 24 months post-injury were included in this review. Data for 85 children were collected on hearing, vision, gross motor, fine motor, speech and language, cognition, play, adaptive functioning, behaviour and personal-social skills.     RESULTS: Global assessment found 42% of children had a good recovery, 34% had a moderate disability and 24% had a severe disability. For whom there was data, more than half had abnormal cognition, behaviour and personal-social skills, whilst more than a third had abnormal speech and language, neurological signs on last assessment, vision, play skills, and gross and fine motor skills. Factors that predicted poorer prognosis across all developmental domains included paediatric intensive care unit admission, longer length of hospital stay, breathing difficulty and lower Glasgow Coma Scale on presentation.     CONCLUSION: This study highlights the substantial number of children who have abnormal development in the short-term post-AHT and assists in identifying those who require extensive long-term follow up.<p />  <p>Language: en</p>
LA  - en
SN  - 1874-5393
UR  - http://dx.doi.org/10.3233/PRM-190624
ID  - ref1
ER  -