Seminars in Pediatric Neurology最新文献_第5页

Developmental outcomes in abusive head trauma 虐待性头部创伤的发育结果

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101142

Dina Ahmad , Amanda Small , Ashley Gibson , Natalie Kissoon

{"title":"Developmental outcomes in abusive head trauma","authors":"Dina Ahmad , Amanda Small , Ashley Gibson , Natalie Kissoon","doi":"10.1016/j.spen.2024.101142","DOIUrl":"10.1016/j.spen.2024.101142","url":null,"abstract":"<div><p>Abusive head trauma (AHT) is associated with high mortality and poorer outcomes compared to accidental head injuries. The short and long-term developmental outcomes for AHT are not well identified. Variability in outcome measures, small sample sizes, difficulty in measuring domain-specific developmental skills, co-existence of comorbidities, genetic and environmental factors and high attrition rates all contribute to the challenges on providing data in this area. The objective of this article is to review the scientific literature on the developmental outcomes of AHT, highlighting factors that affect outcomes, the available assessment tools, and short and long-term developmental outcomes, recommended follow up, societal costs, and future opportunities for research. Authors searched OVID Medline and PubMed for articles published between 2013 and 2023 using the terms “abuse”, “craniocerebral trauma” and “development”. Fifty-five records were included for this review. The data shows that injuries sustained from AHT result in a spectrum of outcomes ranging from normal development to death. There are more than 100 outcome assessment tools limiting the ability to compare studies. More than half of patients are left with disabilities post discharge. Gross motor and cognition/academics are the 2 most common domains studied. Advancement in surgical and neurocritical care management has influenced AHT outcomes. Close long-term follow up is recommended to maximize each child's developmental potential, irrespective of the presence of disability at discharge. We suggest that future research should focus on adopting a consistent diagnostic and assessment approach and explore the social environmental factors that can affect recovery.</p></div>","PeriodicalId":49284,"journal":{"name":"Seminars in Pediatric Neurology","volume":"50 ","pages":"Article 101142"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preface to the issue on Child maltreatment 关于虐待儿童问题的前言

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101143

Kristin Garton Crichton

引用次数: 0

Child maltreatment in children with medical complexity and disability 医疗复杂和残疾儿童中的虐待儿童问题

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101134

Clair Park, Samantha Alley, Whitney Reinke, Shravya Yarlagadda, Jennifer Hansen

引用次数: 0

Ophthalmologic findings in abusive head trauma 虐待性头部创伤的眼科检查结果

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101141

Disha Jain , Lien Le , Natalie Kissoon

引用次数: 0

Trauma-informed care 创伤知情护理

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101139

Heather N. Williams , Brenna Farley

引用次数: 0

Neurorehabilitation across the Continuum: From the Neurocritical care unit to home 神经康复的连续性：从神经重症监护病房到家庭

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101121

Alexander Ankar , Emily Hermes , Catherine Wheless , Gabrielle Nguyen , Taryn Townsend , Sarah Risen

{"title":"Neurorehabilitation across the Continuum: From the Neurocritical care unit to home","authors":"Alexander Ankar , Emily Hermes , Catherine Wheless , Gabrielle Nguyen , Taryn Townsend , Sarah Risen","doi":"10.1016/j.spen.2024.101121","DOIUrl":"10.1016/j.spen.2024.101121","url":null,"abstract":"<div><p>Children admitted to neurocritical care units often experience new neurodevelopmental disabilities due to both their acquired neurologic injuries and deconditioning from prolonged hospitalizations. Rehabilitation for critically ill children is multifactorial and begins in the intensive care unit itself. The goals of rehabilitation include prevention of complications associated with immobilization and evolving tone, comprehensive evaluation and treatment of functional deficits, and implementation of adaptive strategies with the goal of maximizing recovery. As a child progresses along the medical continuum from the neurocritical care unit to acute care to post-hospitalization settings, their rehabilitative needs and interventions should also evolve.</p><p>A child in the neurocritical care unit is likely to have sustained an acquired brain injury. Whether resulting from traumatic or non-traumatic causes, all etiologies of pediatric acquired brain injury can result in significant challenges for the child and their family. Post-intensive care syndrome-pediatrics is a clinical construct that that systematically organizes the range of physical, cognitive, psychological, and social symptoms that emerge in both a child and their family members following a critical illness. Ideally, outpatient care for this population evaluates and supports all areas of post-intensive care syndrome-pediatrics through an interdisciplinary clinical care model. Proactive and comprehensive rehabilitation across the continuum provides the opportunity to support the child and their family in all areas affected, thereby minimizing distress, maximizing function, and optimizing outcomes.</p></div>","PeriodicalId":49284,"journal":{"name":"Seminars in Pediatric Neurology","volume":"49 ","pages":"Article 101121"},"PeriodicalIF":2.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuromuscular problems of the critically Ill neonate and child 重症新生儿和儿童的神经肌肉问题

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101123

Leslie H. Hayes, Basil T. Darras

引用次数: 0

Neurocritical care and neuromonitoring considerations in acute pediatric spinal cord injury 急性小儿脊髓损伤的神经重症监护和神经监测注意事项

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101122

Ajay X. Thomas , Jennifer C. Erklauer

{"title":"Neurocritical care and neuromonitoring considerations in acute pediatric spinal cord injury","authors":"Ajay X. Thomas , Jennifer C. Erklauer","doi":"10.1016/j.spen.2024.101122","DOIUrl":"10.1016/j.spen.2024.101122","url":null,"abstract":"<div><p>Management of pediatric spinal cord injury (SCI) is an essential skill for all pediatric neurocritical care physicians. In this review, we focus on the evaluation and management of pediatric SCI, highlight a novel framework for the monitoring of such patients in the intensive care unit (ICU), and introduce advancements in critical care techniques in monitoring and management. The initial evaluation and characterization of SCI is crucial for improving outcomes as well as prognostication. While physical examination and imaging are the main stays of the work-up, we propose the use of somatosensory evoked potentials (SSEPs) and transcranial magnetic stimulation (TMS) for challenging clinical scenarios. SSEPs allow for functional evaluation of the dorsal columns consisting of tracts associated with hand function, ambulation, and bladder function. Meanwhile, TMS has the potential for informing prognostication as well as response to rehabilitation. Spine stabilization, and in some cases surgical decompression, along with respiratory and hemodynamic management are essential. Emerging research suggests that targeted spinal cerebral perfusion pressure may provide potential benefits. This review aims to increase the pediatric neurocritical care physician's comfort with SCI while providing a novel algorithm for monitoring spinal cord function in the ICU.</p></div>","PeriodicalId":49284,"journal":{"name":"Seminars in Pediatric Neurology","volume":"49 ","pages":"Article 101122"},"PeriodicalIF":2.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1071909124000081/pdfft?md5=19803b6d1fcccd824a12651fc0e9dbf9&pid=1-s2.0-S1071909124000081-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction to Pediatric Neurocritical Care, 2024 儿科神经重症监护入门，2024 年

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101130

James J. Riviello Jr. , Yi-Chen Lai , Jennifer C. Erklauer

引用次数: 0

Supporting parents while their child is receiving neurocritical care 在孩子接受神经重症护理期间为家长提供支持

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101116

Raquel Farias-Moeller , Nora Wong

引用次数: 0