Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Long-Term Vocational Outcome at 15 Years from Severe Traumatic and Non Traumatic Brain Injury in Pediatric Age

Sandra Strazzer
* ORCID logo ,
Valentina Pastore
,
Susanna Frigerio
,
Katia Colombo
,
Sara Galbiati
,
Federica Locatelli
,
Susanna Galbiati
Version 1 : Received: 15 June 2023 / Approved: 16 June 2023 / Online: 16 June 2023 (10:38:26 CEST)

A peer-reviewed article of this Preprint also exists.

Strazzer, S.; Pastore, V.; Frigerio, S.; Colombo, K.; Galbiati, S.; Locatelli, F.; Galbiati, S. Long-Term Vocational Outcome at 15 Years from Severe Traumatic and Non-Traumatic Brain Injury in Pediatric Age. Brain Sci. 2023, 13, 1000. Strazzer, S.; Pastore, V.; Frigerio, S.; Colombo, K.; Galbiati, S.; Locatelli, F.; Galbiati, S. Long-Term Vocational Outcome at 15 Years from Severe Traumatic and Non-Traumatic Brain Injury in Pediatric Age. Brain Sci. 2023, 13, 1000.

Abstract

. Background: Recent studies suggest that acquired brain injury with impaired consciousness in infancy is related to more severe and persistent effects and may have a cumulative effect on ongoing development. In this work, we aim to describe vocational outcome in a group of patients at 15 years from a severe brain lesion they suffered in developmental age. Methods: This study included a total of 147 patients aged 1.5 to 14 years with acquired brain lesion. Clinical, functional details (“Glasgow Outcome Scale – Extended”, “Functional Independent Measure”, Intelligence Quotient) were collected at the time of their first hospitalization and vocational outcome was determined after 15 years. Results: 94 patients (63.9%) presented with traumatic brain injury, while 53 patients (36.1%) presented with a brain lesion of other origin. Traumatic patients had a higher probability to be partly or fully productive than non-traumatic ones: 75.5% of traumatic subjects were working –taking into account limitations due to the traumatic event, versus 62.3% of non-traumatic ones. A relationship between some clinical variables and the vocational outcome was found. Conclusions: Rehabilitation should adequately emphasize “vocational rehabilitation” because a significant proportion of people experiencing a disorder of consciousness in childhood may show good social integration in adult age.

Keywords

Brain Injuries; Disorders of consciousness; Childhood; Follow-Up Studies; Vocational Outcome

Subject

Medicine and Pharmacology, Neuroscience and Neurology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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