在儿童早期脑震荡后的脑震荡后的症状
Dominique Dupont1,2, Ken Tang3, Cindy Beaudoin1,2
1Department of Psychology, Université de Montréal, Montreal, Quebec, Canada.
JAMA network open
|March 21, 2024
概括
早期儿童脑震荡与骨科损伤或典型发育相比,与多个脑震荡后症状 (PCS) 相关,长达3个月. 使用适合年龄的措施有助于跟踪PCS和诊断幼儿脑震荡.
科学领域:
- 儿科神经学 儿科神经学
- 发展心理学是发展心理学.
- 创伤性脑损伤研究研究
背景情况:
- 早期儿童中脑震荡后症状 (PCS) 的研究受到年龄相适应的评估工具的缺乏所限制.
- 了解PCS在幼儿中的演变对于及时诊断和管理至关重要.
研究的目的:
- 在儿童早期脑震荡后的前3个月记录PCS,使用适合发育的测量方法.
- 将脑震荡的幼儿的PCS与有骨科损伤的幼儿和没有受伤的对照进行比较.
主要方法:
- 一项前性,多中心的纵向队列研究,涉及6至72个月的儿童.
- 护理人员使用儿童早期创伤观察和症状清单报告的观察,在多个时间点评估了PCS.
- 顺序回归模型用于组比较.
主要成果:
- 与骨科损伤和对照组相比,脑震荡的儿童在受伤后3个月内显示出明显更高的PCS率.
- 在各种评估点的总PCS和域级分数 (认知,身体,行为) 中观察到显著差异.
- 在脑震荡和比较组之间,在受伤前的PCS中没有发现显著差异.
结论:
- 儿童早期脑震荡与与骨科损伤或典型发育相比,PCS的负担更高.
- 使用适合发育的措施对于跟踪PCS和支持幼儿脑震荡诊断是有价值的.
- 调查结果强调了专门评估工具对于评估这群脆弱人群中脑震荡结果的重要性.
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