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Pediatric Rehabilitation Lecture Series: Evidence- ...
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Video Summary
Dr. Rosenberg spoke about evidence-based outcome predictions in pediatric traumatic brain injury (TBI) and spinal cord injury (SCI). He highlighted the challenges of predicting outcomes in both TBI and SCI, and the limitations of current prediction models. In TBI, he discussed the use of post-traumatic amnesia as a strong predictor of outcomes, but emphasized the need to wait until at least 8 weeks to make more accurate predictions. In SCI, he mentioned the use of the ASIA impairment scale to predict ambulation and the importance of providing numeric estimates of outcomes when requested by families. Dr. Rosenberg also stressed the importance of listening to parents' concerns and questions, and using humility in prognostication by acknowledging uncertainty and avoiding negative medical certainty. He encouraged a balanced approach, providing both positive and negative information, and emphasized the need to consider the individual patient and their specific circumstances. Overall, he highlighted the importance of effective communication in providing prognostic information and supporting families through the recovery process.
Keywords
evidence-based outcome predictions
pediatric traumatic brain injury
spinal cord injury
predicting outcomes
post-traumatic amnesia
8 weeks
ASIA impairment scale
ambulation
numeric estimates
prognostication
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