Repositorio Digital

Postdischarge Care of Pediatric Traumatic Brain Injury in Argentina: A Multicenter Randomized Controlled Trial

Mostrar el registro sencillo del ítem Carney, Nancy Petroni, Gustavo Luján, Silvia Ballarini, Nicolás Faguaga, Gabriela du Coudray, Hugo Huddleston, Amy Baggio, Gloria Becerra, Juan Busso, Leonardo Dikmen, Sureyya Falcone, Roberto García, Mirta González Carrillo, Osvaldo Medici, Paula Quaglino, Marta Randisi, Carina Sáenz, Silvia Temkin, Nancy Vanella, Elida 2016-07-29T18:28:31Z 2016-07-29T18:28:31Z 2016
dc.description Fil: Busso, L. Hospital de Alta Complejidad en Red El Cruce Dr. Néstor C. Kirchner. Florencio Varela, Argentina. es_AR
dc.description.abstract OBJECTIVE: To develop, in partnership with families of children with traumatic brain injury, a postdischarge intervention that is effective, simple, and sustainable. DESIGN: Randomized Controlled Trial. SETTING: Seven Level 1 Pediatric Trauma Centers in Argentina. PATIENTS: Persons less than 19 years of age admitted to one of the study hospitals with a diagnosis of severe, moderate, or complicated mild traumatic brain injury and were discharged alive. INTERVENTIONS: Patients were randomly assigned to either the intervention or standard care group. A specially trained Community Resource Coordinator was assigned to each family in the intervention group. We hypothesized that children with severe, moderate, and complicated mild traumatic brain injury who received the intervention would have significantly better functional outcomes at 6 months post discharge than those who received standard care. We further hypothesized that there would be a direct correlation between patient outcome and measures of family function. MEASUREMENTS AND MAIN RESULTS: The primary outcome measure was a composite measured at 6 months post injury. There were 308 patients included in the study (61% men). Forty-four percent sustained a complicated mild traumatic brain injury, 18% moderate, and 38% severe. Sixty-five percent of the patients were 8 years old or younger, and over 70% were transported to the hospital without ambulance assistance. There was no significant difference between groups on the primary outcome measure. There was a statistically significant correlation between the primary outcome measure and the scores on the Family Impact Module of the Pediatric Quality of Life Inventory (ρ = 0.57; p < 0.0001). Children with better outcomes lived with families reporting better function at 6 months post injury. CONCLUSIONS: Although no significant effect of the intervention was demonstrated, this study represents the first conducted in Latin America that documents the complete course of treatment for pediatric patients with traumatic brain injury spanning hospital transport through hospital care and into the postdischarge setting. es_AR
dc.language.iso en_US es_AR
dc.subject Traumatismos Encefálicos es_AR
dc.subject Unidades de Cuidado Intensivo Pediátrico es_AR
dc.subject Continuidad de la Atención al Paciente es_AR
dc.title Postdischarge Care of Pediatric Traumatic Brain Injury in Argentina: A Multicenter Randomized Controlled Trial es_AR
dc.type Article es_AR

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