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: Research - peer-reviewArticle

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.

LanguageEnglish (US)
Pages163-173
Number of pages11
JournalJournal of Pediatric Rehabilitation Medicine
Volume6
Issue number3
DOIs
StatePublished - 2013

Fingerprint

Encephalitis
Inpatients
Rehabilitation
Self Care
Child Care
Cognition
Pediatrics
Research

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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T1 - Functional status of children with encephalitis in an inpatient rehabilitation setting

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

Y1 - 2013

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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