在儿科和青少年创伤患者住院康复后的行为结果
Hannah Leblanc1, Rebecca Moreci2, Logan Gold1
1Louisiana State University Health Sciences Center School of Medicine, New Orleans LA 70112, USA.
Journal of pediatric surgery
|December 28, 2024
概括
儿童创伤患者经常经历行为和精神问题,包括ADHD,PTSD和抑郁症,无论伤害类型如何. 长期跟踪对于解决这些后果和确保获得必要疗法至关重要.
科学领域:
- 儿科康复儿童康复中心
- 神经科学是一个神经科学.
- 创伤护理的护理人员.
背景情况:
- 创伤伤害是美国儿童死亡和残疾的主要原因.
- 儿童创伤性脑损伤 (TBI) 后的行为障碍已被记录,但脊髓损伤 (SCI) 和多重创伤 (MT) 的结果不太了解.
研究的目的:
- 为了确定儿童和青少年创伤患者的行为和神经精神疾病的患病率.
- 在不同类型的伤害中识别常见的行为和精神病的后果.
主要方法:
- 这是一项对97名18岁或更年轻的患者的回顾性审查,这些患者在创伤后入院康复.
- 根据新的精神病/行为诊断或受伤后先前存在的疾病恶化的情况来对患者进行分类.
主要成果:
- 在TBI,SCI和MT组中观察到高度的注意力缺陷多动症 (ADHD),创伤后应激障碍 (PTSD),神经认知障碍和学校问题.
- 在所有伤害类型中,平面影响,抑郁,侵略和焦虑都普遍存在.
- 学校中断发生在放学后的中位数为5.6个月,其中43%的家长认为缺乏资源是后续的障碍.
结论:
- 在儿科创伤后,行为和精神问题很常见,无论伤害机制如何.
- 长期监测和干预对于管理这些后果和确保适当的治疗支持至关重要.
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