当前位置： SCI文献检索 > JOURNAL OF PAEDIATRICS AND CHILD HEALTH期刊下所有文献 > Outcome of closed head injury in Malaysian children: neurocognitive and behavioural sequelae.

Outcome of closed head injury in Malaysian children: neurocognitive and behavioural sequelae.

Abstract：

OBJECTIVES:To compare the neurobehavioural outcome of children aged 6-12 years with severe closed head injury [sCHI] (coma > 24 h), mild-to-moderate head injury [mCHI] (coma < 6 h) and orthopaedic controls. METHODS:Twenty-nine children in each group, matched for age, sex and ethnicity, were assessed using the Glasgow outcome Scale (GOS), Weschler Intelligence Scale for Children (WISC-III), Movement Assessment Battery for Children (Movement ABC), Wide Range Assessment of Learning and Memory (WRAML) and a standardised neurological examination 6 months post-injury. Parental reporting of pre- and post-injury behaviour was documented using the Child Behaviour Checklist (CBCL). RESULTS:Seven (24.1%) children with sCHI and three (10.3%) orthopaedic controls had residual motor deficits. Three (10.3%) children with sCHI and none in the other groups faced problems with independent ambulation. Twenty-seven (93.1%) of those with sCHI and all children in the other groups had GOS scores of good recovery or moderate disability. Twenty-two (81.5%) sCHI, five (18.5%) mCHI and one (3.7%) orthopaedic control reported a deterioration in school performance. MANOVAS identified a significant injury group effect for performance skills (P = 0.007), verbal skills (P = 0.002), memory and learning (P = 0.001) and motor skills (P = 0.001). Repeated measures ANOVA for pre- and post-injury CBCL scores showed significant differences related to somatic complaints (P = 0.004), problems of socialising (P = 0.003), delinquency (P = 0.004), aggressiveness (P = 0.010), thought (P < 0.001) and attention (P < 0.001). Post-hoc univariate analysis showed the significant differences were between that of the sCHI children and the other two groups. CONCLUSION:Although most sCHI children seemed to have made good physical recovery, there were cognitive, motor, memory and learning difficulties and behavioural problems concomitant with a deterioration in school performance compared with those with lesser or no head injury. This highlights the need for better integrated rehabilitation services to enable a gradual return into mainstream school.

journal_name

J Paediatr Child Health

journal_title

Journal of paediatrics and child health

authors

Ong LC,Chandran V,Zasmani S,Lye MS

doi

10.1046/j.1440-1754.1998.00239.x

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

363-8

issue

eissn

1034-4810

issn

1440-1754

journal_volume

pub_type

杂志文章

在线工具

Outcome of closed head injury in Malaysian children: neurocognitive and behavioural sequelae.