Factors associated with Functional Impairment after Pediatri
Short- and long-term functional impairment after pediatric injury may be more sensitive for measuring the quality of care compared with mortality alone.

The aim of this study was to evaluate categories of injuries associated with a higher prevalence of impaired functional status at hospital discharge among children and adolescents and to estimate the number of those with injuries in these categories who received treatment at pediatric trauma centers.

This prospective cohort study included children and adolescents younger than 15 years who were hospitalized with at least 1 serious injury at 1 of 7 levels 1 pediatric trauma centers. This study included a sample of 427 injured children and adolescents who had new Functional Status Scale (FSS) domain morbidity at discharge.

--The proportion of new FSS domain morbidity was highest among those with multiple injured body regions and severe head injury and lowest among those with an isolated head injury of mild or moderate severity.

--After adjusting for oversampling of specific injuries in the study sample, 749 of 5195 seriously injured children and adolescents were estimated to have functional impairment at hospital discharge.

--Children and adolescents with extremity injuries and those with severe traumatic brain injuries comprised the largest proportions of those estimated to have impairment at discharge.

In conclusion, in this cohort study, most injured children and adolescents returned to baseline functional status by hospital discharge. These findings suggest that functional status assessments can be limited to cohorts of injured children and adolescents at the highest risk for impairment.

JAMA Surgery
Source: https://jamanetwork.com/journals/jamasurgery/article-abstract/2780523