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Pediatric pelvic injury: functional outcome at 6-month follow-up
Paul R Signorino1, John Densmore, Marchelle Werner
1Department of Pediatric Surgery, Children's Hospital of Wisconsin and the Medical College of Wisconsin, Milwaukee, WI 53201, USA.
Insights
Pediatric pelvic fractures significantly impact children
Area of Science:
- Pediatric orthopedics
- Functional outcomes research
- Trauma recovery
Background:
- Limited data exists on functional outcomes post-pediatric pelvic fractures at hospital discharge.
- Assessing long-term functional status is crucial for recovery evaluation.
Purpose of the Study:
- To evaluate functional status in pediatric patients with pelvic fractures at hospital discharge and 6 months post-injury.
- To compare functional outcomes at two distinct time points.
Main Methods:
- A national multicenter prospective study involving 20 pediatric patients.
- Utilized WeeFIM (Functional Independence Measure for Children) assessments.
- Data collected at hospital discharge and 6-month follow-up.
Main Results:
- Significant improvements observed in self-care, mobility, and total functional ratings at 6 months.
- Improvements remained significant after converting raw scores to age-adjusted functional quotients.
- Preliminary data indicates positive functional recovery trends.
Conclusions:
- Children with pelvic fractures demonstrate improved functional status 6 months post-injury.
- Functional recovery approaches near-normal levels within 6 months.
- This preliminary study highlights the potential for substantial functional rehabilitation.
Background/Purpose:
Data on functional outcomes after pediatric pelvic fractures are limited to those obtained at hospital discharge. This study assesses functional status at both hospital discharge and at 6 months after injury.
Methods:
A national multicenter prospective study began in February 2002 and is ongoing. Patients completed WeeFIM functional assessments at hospital discharge and at 6-month follow-up as part of this study. This report summarizes preliminary functional assessment results from 20 patients.
Results:
Patient data were accrued into 3 domains (self-care, mobility, and cognition), which constitute a total raw rating. Significant improvement at 6 months after injury was evident in self-care, mobility, and total raw ratings. This significance remained when total raw ratings were converted to age-adjusted functional quotients.
Conclusions:
This preliminary assessment shows that after pelvic fractures, children improve their functional status at 6 months, returning to near-normal status.