학술논문
[Implementation of a pediatric unit of acquired brain injury in subacute phase in the public health system. Epidemiological, clinical and initial evolution characteristics of the patients attended].
Document Type
Academic Journal
Author
Jiménez-Legido M; Sección de Neuropediatría. Hospital Infantil Universitario Niño Jesús, Madrid, España.; Cantarín-Extremera V; Sección de Neuropediatría. Hospital Infantil Universitario Niño Jesús, Madrid, España; Grupo Clínico Vinculado (GCV14/ER/6) al Centro de Investigación Biomédica en Red para enfermedades raras (CIBERER) Instituto de Salud Carlos III, Madrid, España. Electronic address: veronica.cantarin@salud.madrid.org.; Vara-Arias MT; Servicio de Rehabilitación. Hospital Infantil Universitario Niño Jesús, Madrid, España.; Rodríguez-Palero S; Servicio de Rehabilitación. Hospital Infantil Universitario Niño Jesús, Madrid, España.; Cartas-Carrión SC; Servicio de Rehabilitación. Hospital Infantil Universitario Niño Jesús, Madrid, España.; Esteso-Orduña B; Sección de Neuropsicología. Servicio de Psiquiatría y Psicología Clínica. Hospital Infantil Universitario Niño Jesús, Madrid, España.; Cámara Barrio S; Sección de Neuropsicología. Servicio de Psiquiatría y Psicología Clínica. Hospital Infantil Universitario Niño Jesús, Madrid, España.; Méndez-Caba J; Unidad de Terapias Funcionales. Hospital Infantil Universitario Niño Jesús, Madrid, España.; Ruíz-Falcó Rojas ML; Sección de Neuropediatría. Hospital Infantil Universitario Niño Jesús, Madrid, España; Grupo Clínico Vinculado (GCV14/ER/6) al Centro de Investigación Biomédica en Red para enfermedades raras (CIBERER) Instituto de Salud Carlos III, Madrid, España.
Source
Publisher: Sociedad Española de Rehabilitación Country of Publication: Spain NLM ID: 7802471 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-3278 (Electronic) Linking ISSN: 00487120 NLM ISO Abbreviation: Rehabilitacion (Madr) Subsets: MEDLINE
Subject
Language
Spanish; Castilian
Abstract
Introduction: Acquired brain injury (ABI) is defined as a neurological injury, acutely occurred, at some point in life causing impairment or loss of functional capacity. In 2019, a specific document was created by the Ombudsman pointing out the relevance of attention to this entity in the pediatric age.
Patients and Method: The process of creation and the casuistry of care of one of the first comprehensive care units for subacute ACD in pediatric age within the public health system is presented.
Results: Different clinical guidelines have been prepared on the admission and care process within the unit, both for patients and their relatives. Twenty-four patients ≤18 years old, admitted to the subacute phase ACD unit from November 2019 to July 2021, 12 coming from the Community of Madrid, were attended. The median age was 6.97 years. Traumatic mechanism was the most frequent, with iatrogenic causes predominating, followed by precipitation and vehicle-related accidents. On admission to the unit, 8 maintained a minimally conscious/vegetative state. The collaboration of up to 14 different specialists was required due to the complexity of the patients. The overall evolution was favorable in 23 cases, with sequelae in all of them.
Conclusion: The creation of units specialized in pediatric ACD care with specific action protocols and coordinated trans- and multidisciplinary work is of vital importance.
(Copyright © 2022 Sociedad Española de Rehabilitación y Medicina Física. Publicado por Elsevier España, S.L.U. All rights reserved.)
Patients and Method: The process of creation and the casuistry of care of one of the first comprehensive care units for subacute ACD in pediatric age within the public health system is presented.
Results: Different clinical guidelines have been prepared on the admission and care process within the unit, both for patients and their relatives. Twenty-four patients ≤18 years old, admitted to the subacute phase ACD unit from November 2019 to July 2021, 12 coming from the Community of Madrid, were attended. The median age was 6.97 years. Traumatic mechanism was the most frequent, with iatrogenic causes predominating, followed by precipitation and vehicle-related accidents. On admission to the unit, 8 maintained a minimally conscious/vegetative state. The collaboration of up to 14 different specialists was required due to the complexity of the patients. The overall evolution was favorable in 23 cases, with sequelae in all of them.
Conclusion: The creation of units specialized in pediatric ACD care with specific action protocols and coordinated trans- and multidisciplinary work is of vital importance.
(Copyright © 2022 Sociedad Española de Rehabilitación y Medicina Física. Publicado por Elsevier España, S.L.U. All rights reserved.)