Pediatric pelvic injury: functional outcome at 6-month follow-up

J Pediatr Surg. 2005 Jan;40(1):107-12; discussion 112-3. doi: 10.1016/j.jpedsurg.2004.09.018.

Abstract

Background/purpose: Data on functional outcomes after pediatric pelvic fractures are limited to those obtained at hospital discharge. This study assesses functional status at both hospital discharge and at 6 months after injury.

Methods: A national multicenter prospective study began in February 2002 and is ongoing. Patients completed WeeFIM functional assessments at hospital discharge and at 6-month follow-up as part of this study. This report summarizes preliminary functional assessment results from 20 patients.

Results: Patient data were accrued into 3 domains (self-care, mobility, and cognition), which constitute a total raw rating. Significant improvement at 6 months after injury was evident in self-care, mobility, and total raw ratings. This significance remained when total raw ratings were converted to age-adjusted functional quotients.

Conclusions: This preliminary assessment shows that after pelvic fractures, children improve their functional status at 6 months, returning to near-normal status.

Publication types

  • Multicenter Study

MeSH terms

  • Accidental Falls
  • Accidents, Traffic
  • Activities of Daily Living
  • Adolescent
  • Child
  • Child, Preschool
  • Cognition Disorders / etiology
  • Cognition Disorders / rehabilitation
  • Disability Evaluation*
  • Female
  • Follow-Up Studies
  • Fractures, Bone / rehabilitation*
  • Humans
  • Male
  • Mobility Limitation
  • Patient Discharge
  • Pelvic Bones / injuries*
  • Prospective Studies
  • Quality of Life*
  • Recovery of Function*
  • United States