Format

Send to

Choose Destination
Brain Inj. 2019;33(7):916-921. doi: 10.1080/02699052.2019.1565893. Epub 2019 Jan 29.

Agitated behavior scale in pediatric traumatic brain injury.

Author information

1
a Schulich School of Medicine & Dentistry , Western University , London , ON , Canada.
2
b Children's Hospital , London Health Sciences Centre , London , ON , Canada.
3
c Department of Pediatrics, Division of Neurology and Neurosurgery , Children's Hospital, London Health Sciences Centre , London , ON , Canada.
4
d Faculty of Clinical Neurological Sciences and Epidemiology , Western University , London , ON , Canada.
5
e Department of Pediatrics , Western University , Ontario , Canada.
6
f Department of Critical Care Medicine , Hospital for Sick Children , Toronto , ON , Canada.

Erratum in

Abstract

Agitation following TBI commonly occurs during the acute recovery phase. The ABS is a valid measure of agitation in adults following TBI. The objective of the study was to determine if ABS scores accurately measure acute agitation in pediatric patients recovering from TBI. The ABS was completed twice daily for 4 days and mean ABS scores were calculated. Physicians assessed patients' agitation daily using a VAS. In addition, interventions for agitation were recorded. The association between ABS and VAS scores was assessed using Spearman's correlation. The relationship between the number of medication classes taken for agitation (0, 1-2, or ≥3) and ABS scores was assessed using one-way analysis of variance. Finally, the association between the use of hand restraints and ABS scores was examined using an unpaired two-sample t-test. Twenty-six pediatric patients with acute TBI were included. ABS scores significantly associated with VAS scores. Patients that required interventions for agitation (hand restraints or ≥3 medication classes) had higher ABS scores than patients that did not receive any intervention. The study supports the use of ABS scoring to measure agitation in pediatric patients with TBI. However, additional studies are warranted to further support the validity of this scale. Abbreviations: TBI: Traumatic brain injury; ABS: Agitated Behaviour Scale; VAS: visual analog scale; PCCU: Pediatric Critical Care Unit.

KEYWORDS:

Traumatic brain injury; agitation; pediatric

Supplemental Content

Full text links

Icon for Taylor & Francis
Loading ...
Support Center