Functional outcome in pediatric trauma

J Trauma. 1989 May;29(5):589-92. doi: 10.1097/00005373-198905000-00008.


Two hundred fifty consecutive children hospitalized with severe injuries (at least one injury with an Abbreviated Injury Score [AIS] greater than or equal to 4 or two or more injuries with AIS scores greater than or equal to 2) were studied to determine their functional status at discharge and 6 months later using questions from the RAND Health Insurance Study (HIS) and the Glasgow Outcome Scale (GOS). Of the 217 surviving patients, 190 (88%) had one or more functional limitations by the HIS scale at discharge. Ten (5%) were in a vegetative state, 40 (18%) severely disabled, 97 (45%) moderately disabled, and 70 (32%) healthy by the GOS. Six-month followup was complete for 156 patients. Of these, 84 (54%) had one or more functional limitations by the HIS scale. Seven (4%) were in a vegetative state, 17 (11%) severely disabled, 50 (32%) moderately disabled, and 82 (53%) healthy by the GOS. A substantial proportion of the whole group of children hospitalized for the treatment of severe injuries had ongoing physical disabilities that limited their participation in normal activities 6 months after they were discharged. This suggests a need for greater emphasis on the rehabilitation of pediatric trauma patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adolescent
  • Child
  • Child, Preschool
  • Craniocerebral Trauma / rehabilitation
  • Disabled Persons
  • Humans
  • Infant
  • Length of Stay
  • Outcome and Process Assessment, Health Care*
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Wounds and Injuries / classification
  • Wounds and Injuries / rehabilitation
  • Wounds and Injuries / therapy*