Injury severity variables as predictors of WeeFIM scores in pediatric TBI: Time to follow commands is best.

TitleInjury severity variables as predictors of WeeFIM scores in pediatric TBI: Time to follow commands is best.
Publication TypeJournal Article
Year of Publication2009
AuthorsSuskauer SJ, Slomine BS, Inscore AB, Lewelt AJ, Kirk JW, Salorio CF
JournalJournal of pediatric rehabilitation medicine
Volume2
Issue4
Pagination297-307
Date Published2009
Abstract

After pediatric traumatic brain injury (TBI), early prognosis of expected function is important for optimizing care. The power of several common brain injury severity measures for predicting functional outcome in children with TBI was investigated; the severity variables studied were Glasgow Coma Scale (GCS) score, time to follow commands (TFC), duration of post-traumatic amnesia (PTA), and total duration of impaired consciousness (TFC+PTA). Outcome was assessed using the Functional Independence Measure for Children (WeeFIM) at discharge from inpatient rehabilitation (n = 120) and, in a subset of children, at 3 months following discharge. Correlations and multiple linear regression analyses were conducted using GCS, TFC, PTA, and TFC+PTA to predict age-corrected WeeFIM scores. Models in which TFC and PTA duration were entered as separate variables and as a combined variable (TFC+PTA) were all significantly predictive of WeeFIM scores at discharge; however, TFC accounted for the greatest portion of variance in WeeFIM scores. Among children with moderate to severe TBI who received inpatient rehabilitation, TFC was the best predictor of general functional outcome at discharge and follow-up. Our findings highlight the need for careful and consistent assessment of TFC to assist in predicting functional outcomes as early and accurately as possible.

DOI10.1242/jcs.031427
Alternate JournalJ Pediatr Rehabil Med