Le syndrome du bébé secoué : les séquelles ? Lind, K.; Laurent-Vannier, A.; Toure, H. ...
Archives de pédiatrie : organe officiel de la Société française de pédiatrie,
April 2013, Letnik:
20, Številka:
4
Journal Article
Recenzirano
Le syndrome du bébé secoué (SBS) est un traumatisme crânioencéphalique secondaire à un acte violent de secouement de la part d’un adulte envers un nourrisson. Les critères diagnostiques du SBS ont ...été récemment validés par la Haute Autorité de santé. La mortalité globale après un SBS est en moyenne de 21,6 % et l’évolution à long terme n’est jugée favorable que pour 8 à 36 % des patients suivis plus de cinq ans en moyenne. Cet article décrit les séquelles, leurs mécanismes et les facteurs pronostiques ainsi que des pistes pour l’amélioration de la prise en charge des patients à long terme.
The Shaken Baby Syndrome (SBS) is a severe inflicted brain injury due to an adult violently shaking an infant. Diagnostic guidelines have been recently published by the “Haute Autorité de santé”. The mortality rate after SBS is 21.6 % and the long-term outcome is good for only 8 to 36 % patients followed over more than 5 years. The aim of this article is to describe sequelae after a SBS, their mechanisms, prognostic factors and recommendations for a better long-term care of the patients.
Abstract Goal Attainment Scaling (GAS) is a method for quantifying progress on personal goals. Turner-Stokes's guide to GAS is a method for quantifying progress towards personal goals. ...Turner-Stokes's guide and the use of Kiresuk's T-score are the most widely used GAS-based approaches in rehabilitation. However, the literature describes a number of other approaches and emphasizes the need for caution when using the T-score. This article presents the literature debates on GAS, variations of GAS (in terms of the score level assigned to the patient's initial status and description of the scale's different levels), the precautions to be taken to produce valid GAS scales and the various ways of analyzing GAS results. Our objective is to (i) provide clinical teams with a critical view of GAS (the application of which is not limited to a single research group's practices) and (ii) present the most useful resources and guidelines on writing GAS scales. According to the literature, it appears to be preferable to set the patient's initial level to –2 (even when worsening is a possible outcome) and to describe all five GAS levels in detail. The use of medians and rank tests appears to be appropriate, given the ordinal nature of GAS.
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