TY - JOUR PY - 1989// TI - Functional outcome in pediatric trauma JO - Journal of trauma A1 - Wesson, D. E. A1 - Williams, J. I. A1 - Spence, L. J. A1 - Filler, R. M. A1 - Armstrong, P. F. A1 - Pearl, R. H. SP - 589 EP - 592 VL - 29 IS - 5 N2 - Two hundred fifty consecutive children hospitalized with severe injuries (at least one injury with an Abbreviated Injury Score [AIS] greater than or equal to 4 or two or more injuries with AIS scores greater than or equal to 2) were studied to determine their functional status at discharge and 6 months later using questions from the RAND Health Insurance Study (HIS) and the Glasgow Outcome Scale (GOS). Of the 217 surviving patients, 190 (88%) had one or more functional limitations by the HIS scale at discharge. Ten (5%) were in a vegetative state, 40 (18%) severely disabled, 97 (45%) moderately disabled, and 70 (32%) healthy by the GOS. Six-month followup was complete for 156 patients. Of these, 84 (54%) had one or more functional limitations by the HIS scale. Seven (4%) were in a vegetative state, 17 (11%) severely disabled, 50 (32%) moderately disabled, and 82 (53%) healthy by the GOS. A substantial proportion of the whole group of children hospitalized for the treatment of severe injuries had ongoing physical disabilities that limited their participation in normal activities 6 months after they were discharged. This suggests a need for greater emphasis on the rehabilitation of pediatric trauma patients.
Language: en
LA - en SN - 0022-5282 UR - http://dx.doi.org/ ID - ref1 ER -