Rehabilitation for Traumatic Brain Injury in Children and Adolescents. Evidence211 Report and Technology Assessment Number 2

摘要

A systematic review of the scientific literature was conducted to identify211u001earticles on child and adolescent traumatic brain injury (TBI) oriented around key 211u001eresearch questions and to create a tool for use in future evidence-based 211u001einvestigations about recovery from TBI in this population. Key research questions 211u001efor this project were focused on the effectiveness of early, intensive 211u001erehabilitation; referral of children with TBI to special education; the 211u001eeffectiveness of special education for children with TBI; the effect of 211u001edevelopmental phase on prediction and outcome; and the effect of support for 211u001efamilies. A search was conducted of MEDLINE (1976-1998), CINAHL (1982-1998), 211u001eHealthSTAR (1995-1998), PsychINFO (1982-1998), ERIC (1996-1998). Current Contents 211u001e(1998), and Cochrane Library, supplemented by reference list of review articles, 211u001ebook chapter bibliographies, and the advice of peers. The initial search strategy 211u001eyielded 1,464 abstracts of potentially relevant studies. All studies about child 211u001eor adolescent TBI--from acute management through long-term rehabilitation--were 211u001ecategorized by study design, deficit, intervention, outcome, and predictors. 211u001eThree-hundred fifty-six articles identified from electronic databases and manual 211u001esearches relevant to one of the five research questions were retrieved and read; 211u001e1 study was found for question 1; 15 studies were found for question 2; 8 studies 211u001ewere found for question 3; 61 studies were found for question 4, and 3 studies 211u001ewere found for question 5 (88 total). The remaining 268 articles described 211u001eprograms or interventions without providing patient or student data.