Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI

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 dischar...

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Bibliographic Details
Published in:Brain injury 2013-08, Vol.27 (9), p.1056-1062
Main Authors: Austin, Cynthia A., Slomine, Beth S., DeMatt, Ellen J., Salorio, Cynthia F., Suskauer, Stacy J.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Age of Onset
Brain Injuries - epidemiology
Brain Injuries - physiopathology
Brain Injuries - rehabilitation
Child
Child, Preschool
coma
Disability Evaluation
Female
Glasgow Coma Scale
Humans
Male
outcome
Predictive Value of Tests
Prognosis
PTA
Rehabilitation Centers - statistics & numerical data
Severity of Illness Index
Time Factors
traumatic brain injury
United States - epidemiology
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Summary: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.
ISSN:0269-9052
1362-301X
DOI:10.3109/02699052.2013.794964