Long Term Functional Outcomes after Very Severe Pediatric Traumatic Brain Injury

PM&R ◽  
2015 ◽  
Vol 7 ◽  
pp. S86-S86 ◽  
Author(s):  
Elana Katz ◽  
Beth Slomine ◽  
Stacy J. Suskauer
2018 ◽  
Vol 84 (8) ◽  
pp. 1314-1318 ◽  
Author(s):  
Eliza Moskowitz ◽  
Claudia I. Melendez ◽  
Julie Dunn ◽  
Abid D. Khan ◽  
Richard Gonzalez ◽  
...  

Decompressive craniectomy (DC) is a surgical modality sometimes used in the management of elevated intracranial pressure. Questions remain as to its long-term benefits in traumatic brain injury patients. The extended Glasgow Outcome Scale (eGOS) is a scoring system based on a structured interview that allows for consistent and reproducible measurement of long-term functional outcomes. The purpose of this study was to determine the eGOS score of post-craniectomy patients after discharge and stratify survivors based on outcome. A multicenter review of patients who underwent DC was performed. Survivors underwent a phone survey at which time the eGOS was calculated. Patients with an eGOS ≥ 5 were considered to have a good functional outcome. Fifty-four patients underwent DC. Age (OR 1.038; confidence interval 1.003–1.074) and Glasgow Coma Scale (OR 0677; confidence interval 0.527–0.870) were predictors of mortality. Patients who were available for follow-up (n = 13) had poor functional outcomes at discharge (eGOS = 3); however, this improved at the time of follow-up survey (eGOS = 5; P = 0.005). DC is a controversial operation with high mortality and uncertain benefit. Among our cohort, the eGOS score was significantly higher at follow-up survey than it was at discharge. Although the mortality was high, if patients survived to discharge, most had a good functional outcome at follow-up survey.


2014 ◽  
Vol 31 (7) ◽  
pp. 649-657 ◽  
Author(s):  
Nicholas P. Ryan ◽  
Vicki Anderson ◽  
Celia Godfrey ◽  
Miriam H. Beauchamp ◽  
Lee Coleman ◽  
...  

2017 ◽  
Vol 38 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Anna H. Hung ◽  
Amy Cassedy ◽  
Hanna M. Schultz ◽  
Keith Owen Yeates ◽  
Hudson Gerry Taylor ◽  
...  

2007 ◽  
Vol 22 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Lisa A. Brenner ◽  
Jeanne E. Dise-Lewis ◽  
Sarah K. Bartles ◽  
Susan E. OʼBrien ◽  
Matthew Godleski ◽  
...  

2007 ◽  
Vol 63 (6) ◽  
pp. 1364-1369 ◽  
Author(s):  
Kristan L. Staudenmayer ◽  
Ramon Diaz-Arrastia ◽  
Ana de Oliveira ◽  
Larry M. Gentilello ◽  
Shahid Shafi

2021 ◽  
Author(s):  
Hattan Arif ◽  
Emily A Troyer ◽  
Jane S Paulsen ◽  
Florin Vaida ◽  
Elisabeth A. Wilde ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document