Children sustaining a severe acquired brain lesion before age 3 years: a follow-up study at 1 year from insult

Brain Inj. 2019;33(2):160-167. doi: 10.1080/02699052.2018.1539763. Epub 2018 Oct 29.

Abstract

Purpose: To describe the functional and cognitive outcome of acquired brain injury of different aetiologies in children before age 3 years, at initial hospitalization and at a 1-year follow-up, after a rehabilitation programme.

Method: Data were collected at 6 months and at 12 months from the event; cognitive data were collected as soon as possible at T1. The full sample was divided into three groups according to aetiology.

Results: At T0, 74 patients showed so severe a cognitive impairment that they could not be evaluated, others presented with motor, linguistic and cognitive deficits. At T1, the proportion of non-evaluable patients decreased to 58 children. Patients with anoxic lesions showed the most unfavourable motor and visual outcome; patients with infectious lesions showed most frequently a motor global delay.

Conclusions: At 1 year from insult about 50% of patients could undergo a cognitive evaluation. Improvement differed according to aetiology.

Keywords: Acquired brain injuries; follow-up study; outcome research; preschool children; rehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Injuries / etiology
  • Brain Injuries / psychology*
  • Brain Injuries / rehabilitation*
  • Brain Injuries, Traumatic / psychology
  • Brain Injuries, Traumatic / rehabilitation
  • Central Nervous System Infections / complications
  • Child, Preschool
  • Cognition Disorders / etiology
  • Cognition Disorders / psychology
  • Cognition Disorders / rehabilitation
  • Female
  • Follow-Up Studies
  • Glasgow Outcome Scale
  • Humans
  • Hypoxia, Brain / complications
  • Hypoxia, Brain / psychology
  • Infant
  • Language Disorders / etiology
  • Male
  • Movement Disorders / etiology
  • Neuropsychological Tests
  • Recovery of Function
  • Socioeconomic Factors
  • Treatment Outcome
  • Vision Disorders / etiology