Met and unmet rehabilitative needs among pediatric patients with moderate to severe TBI.
Brain Inj
; 35(10): 1162-1167, 2021 08 24.
Article
en En
| MEDLINE
| ID: mdl-34554040
ABSTRACT
OBJECTIVE:
Estimate the probability of met and unmet post-acute rehabilitative needs among pediatric patients with moderate to severe traumatic brain injury (TBI).PARTICIPANTS:
One hundred and thirty children who received acute and post-acute rehabilitative services at a hospital for children.METHODS:
Prospective, observational study. Recommended service needs (1. Medical, 2. Psychological, 3. Cognitive/Educational, 4. Medically Based Therapies, 5. Community/Caregiver/Family Support) were collected at discharge and 1, 6, 12, and 18 months post-injury. Probabilities were estimated using nonlinear logistic regression models. The impact of age at discharge was also assessed.RESULTS:
Over time, the estimated probability of need for Medical, Medically Based Therapies, and Cognitive/Educational services were consistently high. Whereas unmet need for Medical and Medically Based Therapies were low, unmet need for Cognitive/Educational services were relatively high. Need for Psychological and Community/Caregiver/Family Support services increased in the months post-discharge, as did the probability of unmet need. Older age at discharge was associated with need for Psychological and Community/Caregiver Family Support services.CONCLUSIONS:
Findings support the long-term monitoring of need for Psychological and Community/Caregiver/Family Support services among children with moderate to severe TBI. Future research to explore the etiology of unmet needs is warranted.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Cuidados Posteriores
/
Lesiones Traumáticas del Encéfalo
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Child
/
Humans
Idioma:
En
Revista:
Brain Inj
Asunto de la revista:
CEREBRO
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos