{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:34:15Z","timestamp":1780605255635,"version":"3.54.1"},"reference-count":54,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,1,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To determine the residual physical disability after inpatient rehabilitation for children 7 to 18 years old with traumatic injuries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>This was a retrospective cohort study of patients aged 7 to 18 years who underwent inpatient rehabilitation for traumatic injuries from 2002 to 2011. Patients were identified from the Uniform Data System for Medical Rehabilitation. Injuries were captured by using standardized Medicare Inpatient Rehabilitation Facility Patient Assessment Instrument codes. Functional outcome was measured with the Functional Independence Measure (FIM) instrument. A validated, categorical grading system of the FIM motor items was used, consisting of clinically relevant levels of physical achievement from grade 1 (need for total assistance) to grade 7 (completely independent for self-care and mobility).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>A total of 13\u2009798 injured children underwent inpatient rehabilitation across 523 facilities during the 10-year period. After a mean 3-week length of stay, functional limitations were reduced, but children still tended to have residual physical disabilities (median admission grade: 1; median discharge grade: 4). Children with spinal cord injuries, either alone or in combination with other injuries, had lower functional grade at discharge, longer lengths of stay, and more comorbidities at discharge than those with traumatic brain injuries, burns, and multiple injuries (P &amp;lt; .0001 for all comparisons).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Children had very severe physical disability on admission to inpatient rehabilitation for traumatic injuries, and those with spinal cord injuries had persistent disability at discharge. These traumatic events during critical stages of development may result in a substantial care burden over the child\u2019s lifespan.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2012-1418","type":"journal-article","created":{"date-parts":[[2012,12,18]],"date-time":"2012-12-18T01:49:09Z","timestamp":1355795349000},"page":"e206-e213","source":"Crossref","is-referenced-by-count":37,"title":["Physical Disability After Injury-Related Inpatient Rehabilitation in Children"],"prefix":"10.1542","volume":"131","author":[{"given":"Mark R.","family":"Zonfrillo","sequence":"first","affiliation":[{"name":"Center for Injury Research and Prevention, and"},{"name":"Department of Pediatrics,"},{"name":"Center for Clinical Epidemiology and Biostatistics, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis R.","family":"Durbin","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Prevention, and"},{"name":"Department of Pediatrics,"},{"name":"Center for Clinical Epidemiology and Biostatistics, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flaura K.","family":"Winston","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Prevention, and"},{"name":"Department of Pediatrics,"},{"name":"Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huaqing","family":"Zhao","sequence":"additional","affiliation":[{"name":"Biostatistics and Data Management Core, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret G.","family":"Stineman","sequence":"additional","affiliation":[{"name":"Center for Clinical Epidemiology and Biostatistics, and"},{"name":"Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"Department of Physical Medicine and Rehabilitation, Perelman School of Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2013,1,1]]},"reference":[{"key":"2021120823504718200_B1","unstructured":"Centers for Disease Control and Prevention, National Centers for Injury Prevention and Control. 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