View in EDS HTML Full Text PDF Full Text

Factors influencing recovery in a pediatric sample with disorders of consciousness: insights from an observational study.

Saved in:
Bibliographic Details
Title: Factors influencing recovery in a pediatric sample with disorders of consciousness: insights from an observational study.
Authors: González, María Cecilia, Leguizamón, F., Dei Vecchi, L., Andreu, M., Ferrea, M.
Source: Brain Injury. 2024, Vol. 38 Issue 12, p1026-1034. 9p.
Subjects: Wounds & injuries, Rehabilitation for brain injury patients, Cerebral anoxia-ischemia, Scientific observation, Severity of illness index, Retrospective studies, Multivariate analysis, Convalescence, Neuropsychology, Confidence intervals, Consciousness disorders, Children
Geographic Terms: Argentina
Abstract: Objective: To estimate rates and time to reach emergence of consciousness from vegetative state/unresponsive wakefulness syndrome (VS/UWS), and explore factors associated with improved recovery in children and adolescents with disorders of consciousness (DoC) following severe traumatic and non-traumatic brain injury. Methods: Analytical, retrospective, cohort study. Clinical records of consecutively referred patients admitted in VS/UWS to a neurological rehabilitation institute in Argentina, between 2005 and 2021 were reviewed. Seventy children and adolescents were included in the analysis. A specialized 12-week rehabilitation program was administered, and emergence was defined by scores ≥44 points on the Western Neuro Sensory Stimulation Profile (WNSSP), sustained for at least 3 weeks on consecutive weekly evaluations. Results: Emergence from VS/UWS to consciousness occurred within 5.4 (SD 2.6) weeks in almost one-third of patients. Multivariate Cox regression analysis showed emergence was significantly lower in patients with hypoxic ischemic encephalopathy compared to patients with other non-traumatic etiologies [HRadj 0.23 (95% CI 0.06–0.89); p = 0.03)]. Conclusions: Our findings reinforce growing evidence on the impact of etiology on DoC recovery in pediatric populations, ultimately influencing treatment and family-related decisions in child neurorehabilitation. [ABSTRACT FROM AUTHOR]
Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 179805639
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Factors influencing recovery in a pediatric sample with disorders of consciousness: insights from an observational study.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22González%2C+María+Cecilia%22">González, María Cecilia</searchLink><br /><searchLink fieldCode="AR" term="%22Leguizamón%2C+F%2E%22">Leguizamón, F.</searchLink><br /><searchLink fieldCode="AR" term="%22Dei+Vecchi%2C+L%2E%22">Dei Vecchi, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Andreu%2C+M%2E%22">Andreu, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Ferrea%2C+M%2E%22">Ferrea, M.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Brain+Injury%22">Brain Injury</searchLink>. 2024, Vol. 38 Issue 12, p1026-1034. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+for+brain+injury+patients%22">Rehabilitation for brain injury patients</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebral+anoxia-ischemia%22">Cerebral anoxia-ischemia</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Neuropsychology%22">Neuropsychology</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Consciousness+disorders%22">Consciousness disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Argentina%22">Argentina</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To estimate rates and time to reach emergence of consciousness from vegetative state/unresponsive wakefulness syndrome (VS/UWS), and explore factors associated with improved recovery in children and adolescents with disorders of consciousness (DoC) following severe traumatic and non-traumatic brain injury. Methods: Analytical, retrospective, cohort study. Clinical records of consecutively referred patients admitted in VS/UWS to a neurological rehabilitation institute in Argentina, between 2005 and 2021 were reviewed. Seventy children and adolescents were included in the analysis. A specialized 12-week rehabilitation program was administered, and emergence was defined by scores ≥44 points on the Western Neuro Sensory Stimulation Profile (WNSSP), sustained for at least 3 weeks on consecutive weekly evaluations. Results: Emergence from VS/UWS to consciousness occurred within 5.4 (SD 2.6) weeks in almost one-third of patients. Multivariate Cox regression analysis showed emergence was significantly lower in patients with hypoxic ischemic encephalopathy compared to patients with other non-traumatic etiologies [HRadj 0.23 (95% CI 0.06–0.89); p = 0.03)]. Conclusions: Our findings reinforce growing evidence on the impact of etiology on DoC recovery in pediatric populations, ultimately influencing treatment and family-related decisions in child neurorehabilitation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=179805639
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02699052.2024.2372451
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1026
    Subjects:
      – SubjectFull: Wounds & injuries
        Type: general
      – SubjectFull: Rehabilitation for brain injury patients
        Type: general
      – SubjectFull: Cerebral anoxia-ischemia
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Neuropsychology
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Consciousness disorders
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Argentina
        Type: general
    Titles:
      – TitleFull: Factors influencing recovery in a pediatric sample with disorders of consciousness: insights from an observational study.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: González, María Cecilia
      – PersonEntity:
          Name:
            NameFull: Leguizamón, F.
      – PersonEntity:
          Name:
            NameFull: Dei Vecchi, L.
      – PersonEntity:
          Name:
            NameFull: Andreu, M.
      – PersonEntity:
          Name:
            NameFull: Ferrea, M.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Text: 2024
              Type: published
              Y: 2024
          Identifiers:
            – Type: issn-print
              Value: 02699052
          Numbering:
            – Type: volume
              Value: 38
            – Type: issue
              Value: 12
          Titles:
            – TitleFull: Brain Injury
              Type: main
ResultId 1