Emergence to the conscious state during inpatient rehabilitation after traumatic brain injury in children and young adults: A case series

Kelly Pham, Megan E. Kramer, Beth S Slomine, Stacy Jennifer M Suskauer

Research output: Contribution to journalArticle

Abstract

Objective: To describe clinical patterns related to emergence to the conscious state (CS) in children and young adults with traumatic brain injury receiving acute inpatient rehabilitation. Setting: One academically affiliated pediatric brain injury rehabilitation unit. Participants: Fourteen consecutive patients aged 1 to 20 years with traumatic brain injury and disorders of consciousness. Design: Retrospective case series. Main Measures: The primary outcome was emergence to CS during the inpatient rehabilitation admission. Factors evaluated for relationship to emergence to CS included age at injury, admission level of consciousness, admission Rappaport Coma/Near-Coma Scale score, and admission Cognitive and Linguistic Scale responsiveness item score. Results: Ten of 14 patients emerged to CS during the inpatient rehabilitation admission. Those who emerged to CS had higher levels of responsiveness at admission to rehabilitation. There was a trend toward older age in those who emerged to CS. Conclusions: In this limited cohort, the majority of patients with disorders of consciousness after traumatic brain injury emerged to CS during acute inpatient rehabilitation, underscoring the presence of functional goals for inpatient rehabilitation in this population. Larger cohorts are needed to further explore clinical variables associated with emergence to CS.

Original languageEnglish (US)
Pages (from-to)E44-E48
JournalJournal of Head Trauma Rehabilitation
Volume29
Issue number5
DOIs
StatePublished - Sep 1 2014

Fingerprint

Inpatients
Young Adult
Rehabilitation
Coma
Consciousness
Consciousness Disorders
Brain Diseases
Linguistics
Traumatic Brain Injury
Brain Injuries
Pediatrics
Wounds and Injuries
Population

Keywords

  • Children
  • Minimally conscious state
  • Traumatic brain injury
  • Vegetative state

ASJC Scopus subject areas

  • Rehabilitation
  • Clinical Neurology
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Cite this

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abstract = "Objective: To describe clinical patterns related to emergence to the conscious state (CS) in children and young adults with traumatic brain injury receiving acute inpatient rehabilitation. Setting: One academically affiliated pediatric brain injury rehabilitation unit. Participants: Fourteen consecutive patients aged 1 to 20 years with traumatic brain injury and disorders of consciousness. Design: Retrospective case series. Main Measures: The primary outcome was emergence to CS during the inpatient rehabilitation admission. Factors evaluated for relationship to emergence to CS included age at injury, admission level of consciousness, admission Rappaport Coma/Near-Coma Scale score, and admission Cognitive and Linguistic Scale responsiveness item score. Results: Ten of 14 patients emerged to CS during the inpatient rehabilitation admission. Those who emerged to CS had higher levels of responsiveness at admission to rehabilitation. There was a trend toward older age in those who emerged to CS. Conclusions: In this limited cohort, the majority of patients with disorders of consciousness after traumatic brain injury emerged to CS during acute inpatient rehabilitation, underscoring the presence of functional goals for inpatient rehabilitation in this population. Larger cohorts are needed to further explore clinical variables associated with emergence to CS.",
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