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ISSN 1561-3119 (Electronic)

2014, Number 3

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Rev Cubana Pediatr 2014; 86 (3)

Assessment of the intellectual sequelae observed in children with severe traumatic brain injury

Rodríguez MVS, Tena CM, Viamontes MWA, Gallo BCM, Montejo MJ, Pérez MY

Language: Spanish
References: 15
Page: 336-343
PDF size: 111.66 Kb.


ABSTRACT

Introduction: severe traumatic brain injury is one of the main causes of hospitalization and mortality in children aged over one year.
Objective: to identify and to assess the intellectual sequelae that severe traumatic brain injuries cause in these pediatric patients.
Methods: a prospective, longitudinal and descriptive study of 84 over one-year old children suffering severe traumatic brain injuries in the inclusion period of 1998 through 2008, with a follow-up motor rehabilitation up to 5 years (until 2013). The study variables were age, sex, direct causes of accident and clinical manifestations observed on the physical exam. The intelligence quotient and followup of progress in the course of time were determined according to the Glasgow Outcome Scale.
Results: accidents were the main cause of brain injuries. The most affected were boys and the 5 to 9 years-old group. Sixty one percent of these patients had moderate mental retardation, 32.2 % mild retardation and 3.4 % severe and deep retardation. Seven died. The assessment of the rehabilitative treatment one year after confirmed that 76.6 % of these children kept their severe disability and 5 year after, just 29.9 % of them were unable to manage themselves.
Conclusions: severe traumatic brain injuries cause awful intellectual sequelae in children and favorable rehabilitation is not accomplished till one year of discharge from the hospital. The most vulnerable groups are over 5 years-old children and males, and the fundamental cause of these severe brain injuries were, among the accidents, falls from a high place.


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