Abstract
To study the school progress of teenagers with a severe brain injury at the end of their inpatient stay at rehabilitation center of the Centre Médical et Pédagogique pour Adolescents . All of them have benefited from both schooling and rehabilitation at the same time. Only patients aged between 12 and 17 years and hospitalized between 2012 and 2017 were included in the study. Demographic data (age, sex), initial Glasgow coma scale (GCS), duration of coma, duration of intubation, time between accident and hospitalization in rehabilitation, duration of stay in rehabilitation, neuropsychological assessment results, school level prior to the brain injury and at the end of the hospitalization were noted. Eighty-six brain injury cases were examined. Only 25 patients were included in the study among them 17 males and 8 females. The average age at admission was 15.8 ± 1.7 years. The average time between accident and hospitalization in rehabilitation was 145 ± 269 days. The average duration of stay in rehabilitation was 260 ± 197 days. The average GCS was 5.6 ± 1.8. The average duration of coma was 9.9 ± 4.1 days. The average duration of intubation was 14 ± 6 days. Twenty teenagers have resumed their school education. Ten students have returned to pre-traumatic brain injury level, four patients have increased to a level higher than before the accident. Two patients were redirected to apprentiship studies, two referred to Training and Orientation Assessment Unit and two have resumed their education with additional support. Teenagers with severe brain injury require multidisciplinary rehabilitation and appropriate school education. The follow up of this population should be extended beyond hospitalization in a rehabilitation center.
Published Version
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