Functional outcomes of school-age children with acquired brain injuries at discharge from inpatient rehabilitation

Brain Inj. 2008 Apr;22(4):313-24. doi: 10.1080/02699050801978948.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Activities of Daily Living
  • Adolescent
  • Analysis of Variance
  • Brain Injuries / rehabilitation*
  • Child
  • Cross-Sectional Studies
  • Disability Evaluation*
  • Female
  • Glasgow Coma Scale
  • Humans
  • Interpersonal Relations
  • Length of Stay
  • Male
  • Massachusetts
  • Neuropsychological Tests
  • Patient Discharge*
  • Recovery of Function