目的调查在出院时被认为神经系统完好无损的儿童发生溺水事件后的长期神经认知结果。
一项近溺水儿童的前瞻性队列研究。
95溺水和接近溺水的入院,0-16岁,2009年1月至2013年12月,韦斯特米德儿童医院,悉尼,新南威尔士州,澳大利亚。
23名儿童均符合标准并获得父母同意进行研究。
识别行为的长期缺陷,执行功能,运动技能,5年的沟通技巧和幸福感。评估在3-6个月进行,1年,在诊所就诊时溺水近3年和5年后。身体发育筛查和执行功能筛查使用行为评估量表-学龄前版本(BRIEF-P)和BRIEF进行。
在研究期间发生了95次溺水和接近溺水事件。10名(11%)儿童死亡,28人被送往儿科重症监护室,64人直接进入病房。3名儿童死于急诊科,7名儿童出院时出现严重的神经功能缺损。随后招募了23名儿童;这些儿童中有5名(22%)在随访期间有行为和/或执行功能异常。
在接近溺水事件后入院的儿童需要长期随访,以确定可能适合干预的任何细微后遗症,以确保最佳患者预后。
To investigate long-term neurocognitive outcomes after a near-drowning incident in children who were deemed neurologically intact on discharge from hospital.
A prospective cohort study of near-drowning children.
95 drowning and near-drowning admissions, 0-16 years of age, from January 2009 to December 2013, to The Children\'s Hospital at Westmead, Sydney, NSW, Australia.
23 children both met the criteria and had parental consent for the study.
Identification of the long-term deficits in behaviour, executive function, motor skills, communicative skills and well-being over a 5-year period. Assessment was undertaken at 3-6 months, 1 year, 3 years and 5 years after near-drowning at clinic visits. Physical developmental screening and executive function screening were done using Behavior Rating Inventory of Executive Function-Preschool version (BRIEF-P) and BRIEF.
95 drowning and near-drowning episodes occurred during the study period. 10 (11%) children died, 28 were admitted to the paediatric intensive care unit and 64 directly to a ward. 3 children died in emergency department, 7 children had severe neurological deficit on discharge from the hospital. 23 were subsequently recruited into the study; 5 (22%) of these children had abnormalities in behaviour and/or executive function at some during their follow-up.
Children admitted to hospital following a near-drowning event warrant long-term follow-up to identify any subtle sequelae which might be amenable to intervention to ensure optimal patient outcome.