在虐待头部创伤的发展结果
Dina Ahmad1, Amanda Small2, Ashley Gibson1
1UTHealth Houston (The University of Texas Health Science Center at Houston), USA.
Seminars in pediatric neurology
|July 4, 2024
概括
滥用头部创伤 (AHT) 会导致各种发育结果,从正常到死亡. 持续评估和长期跟踪对于最大限度地发挥儿童在AHT后的潜力至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 发育儿科 发育儿科
- 虐待儿童研究 虐待儿童研究
背景情况:
- 滥用头部创伤 (AHT) 与严重的后果有关,但发展影响仍然不清楚.
- 评估AHT结果的挑战包括多样化的措施,小样本,并发症和消耗.
- 了解AHT的发育轨迹对于干预和预后至关重要.
研究的目的:
- 审查关于AHT的短期和长期发育结果的文献.
- 确定影响结果的因素,评估工具和后续建议.
- 突出与AHT相关的研究差距和社会成本.
主要方法:
- 在OVID Medline和PubMed (2013-2023) 的系统文献搜索.
- 关键词:"滥用"",脑创伤"",发展".
- 包括55个相关研究进行分析.
主要成果:
- AHT导致广泛的结果,包括死亡率和不同程度的残疾.
- 超过一半的AHT幸存者在出院后经历了残疾;毛动力和认知/学术领域受到影响最大.
- 超过100种不同的结果评估工具阻碍了研究的可比性.
结论:
- 护理方面的进步改善了AHT的结果,但长期残疾仍然存在.
- 长期随访对于支持所有AHT幸存者的发展潜力至关重要.
- 未来的研究应该对评估进行标准化,并调查社会环境恢复因素.
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