Functional status of children with encephalitis in an inpatient rehabilitation setting: A case series

Yogita I. Tailor, Stacy J. Suskauer, Leigh N. Sepeta, Joshua B. Ewen, Ellen J. Dematt, Melissa K. Trovato, Cynthia F. Salorio, Beth S. Slomine

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: Patterns and predictors of recovery from encephalitis are poorly understood. METHODS: This study examined functional status and reviewed charts of all children who presented to a pediatric inpatient rehabilitation facility with encephalitis between 1996 and 2010. Functional status at admission and discharge from inpatient rehabilitation was evaluated using the Functional Independence Measure for Children (WeeFIM) Self-care, Mobility, Cognitive, and Total Developmental Functional Quotient scores (DFQ, % of age-appropriate function). Charts were reviewed to characterize key clinical features and findings. RESULTS: Of the 13 children identified, the mean age was 9 years (range 5-16) with 54% males. Mean WeeFIM Total DFQ at admission was 37 (range: 15-90) and at discharge was 64 (range: 16-96). Average change in WeeFIM Total DFQ from admission to discharge was 26.7 (range 0-55, p <0.001). WeeFIM domain scores improved between admission and discharge (Self-Care: p <0.001, Cognition: p <0.01, Mobility: p <0.001). Eleven children displayed significant impairments in functional skills, defined as DFQ of ≤ 85, at discharge. Key clinical features and findings were diverse and not related to functional outcome. CONCLUSIONS: Results suggest that significant functional improvement in children with encephalitis occurs during inpatient rehabilitation. Further research is necessary to identify predictors of outcome in children with encephalitis.

Original languageEnglish (US)
Pages (from-to)163-173
Number of pages11
JournalJournal of Pediatric Rehabilitation Medicine
Volume6
Issue number3
DOIs
StatePublished - 2013

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Encephalitis
Inpatients
Rehabilitation
Self Care
Child Care
Cognition
Pediatrics

Keywords

  • Children and adolescents
  • Encephalitis
  • Functional independence measure
  • Outcome
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Pediatrics, Perinatology, and Child Health

Cite this

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title = "Functional status of children with encephalitis in an inpatient rehabilitation setting: A case series",
abstract = "INTRODUCTION: Patterns and predictors of recovery from encephalitis are poorly understood. METHODS: This study examined functional status and reviewed charts of all children who presented to a pediatric inpatient rehabilitation facility with encephalitis between 1996 and 2010. Functional status at admission and discharge from inpatient rehabilitation was evaluated using the Functional Independence Measure for Children (WeeFIM) Self-care, Mobility, Cognitive, and Total Developmental Functional Quotient scores (DFQ, % of age-appropriate function). Charts were reviewed to characterize key clinical features and findings. RESULTS: Of the 13 children identified, the mean age was 9 years (range 5-16) with 54% males. Mean WeeFIM Total DFQ at admission was 37 (range: 15-90) and at discharge was 64 (range: 16-96). Average change in WeeFIM Total DFQ from admission to discharge was 26.7 (range 0-55, p <0.001). WeeFIM domain scores improved between admission and discharge (Self-Care: p <0.001, Cognition: p <0.01, Mobility: p <0.001). Eleven children displayed significant impairments in functional skills, defined as DFQ of ≤ 85, at discharge. Key clinical features and findings were diverse and not related to functional outcome. CONCLUSIONS: Results suggest that significant functional improvement in children with encephalitis occurs during inpatient rehabilitation. Further research is necessary to identify predictors of outcome in children with encephalitis.",
keywords = "Children and adolescents, Encephalitis, Functional independence measure, Outcome, Rehabilitation",
author = "Tailor, {Yogita I.} and Suskauer, {Stacy J.} and Sepeta, {Leigh N.} and Ewen, {Joshua B.} and Dematt, {Ellen J.} and Trovato, {Melissa K.} and Salorio, {Cynthia F.} and Slomine, {Beth S.}",
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T2 - Journal of Pediatric Rehabilitation Medicine

AU - Tailor,Yogita I.

AU - Suskauer,Stacy J.

AU - Sepeta,Leigh N.

AU - Ewen,Joshua B.

AU - Dematt,Ellen J.

AU - Trovato,Melissa K.

AU - Salorio,Cynthia F.

AU - Slomine,Beth S.

PY - 2013

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N2 - INTRODUCTION: Patterns and predictors of recovery from encephalitis are poorly understood. METHODS: This study examined functional status and reviewed charts of all children who presented to a pediatric inpatient rehabilitation facility with encephalitis between 1996 and 2010. Functional status at admission and discharge from inpatient rehabilitation was evaluated using the Functional Independence Measure for Children (WeeFIM) Self-care, Mobility, Cognitive, and Total Developmental Functional Quotient scores (DFQ, % of age-appropriate function). Charts were reviewed to characterize key clinical features and findings. RESULTS: Of the 13 children identified, the mean age was 9 years (range 5-16) with 54% males. Mean WeeFIM Total DFQ at admission was 37 (range: 15-90) and at discharge was 64 (range: 16-96). Average change in WeeFIM Total DFQ from admission to discharge was 26.7 (range 0-55, p <0.001). WeeFIM domain scores improved between admission and discharge (Self-Care: p <0.001, Cognition: p <0.01, Mobility: p <0.001). Eleven children displayed significant impairments in functional skills, defined as DFQ of ≤ 85, at discharge. Key clinical features and findings were diverse and not related to functional outcome. CONCLUSIONS: Results suggest that significant functional improvement in children with encephalitis occurs during inpatient rehabilitation. Further research is necessary to identify predictors of outcome in children with encephalitis.

AB - INTRODUCTION: Patterns and predictors of recovery from encephalitis are poorly understood. METHODS: This study examined functional status and reviewed charts of all children who presented to a pediatric inpatient rehabilitation facility with encephalitis between 1996 and 2010. Functional status at admission and discharge from inpatient rehabilitation was evaluated using the Functional Independence Measure for Children (WeeFIM) Self-care, Mobility, Cognitive, and Total Developmental Functional Quotient scores (DFQ, % of age-appropriate function). Charts were reviewed to characterize key clinical features and findings. RESULTS: Of the 13 children identified, the mean age was 9 years (range 5-16) with 54% males. Mean WeeFIM Total DFQ at admission was 37 (range: 15-90) and at discharge was 64 (range: 16-96). Average change in WeeFIM Total DFQ from admission to discharge was 26.7 (range 0-55, p <0.001). WeeFIM domain scores improved between admission and discharge (Self-Care: p <0.001, Cognition: p <0.01, Mobility: p <0.001). Eleven children displayed significant impairments in functional skills, defined as DFQ of ≤ 85, at discharge. Key clinical features and findings were diverse and not related to functional outcome. CONCLUSIONS: Results suggest that significant functional improvement in children with encephalitis occurs during inpatient rehabilitation. Further research is necessary to identify predictors of outcome in children with encephalitis.

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