1. Disability from Japanese encephalitis in Cambodia and Viet Nam.
- Author
-
Hills SL, Van Cuong N, Touch S, Mai HH, Soeung SC, Lien TT, Samnang C, Sovann L, Van Diu P, Lac LD, Heng S, Huong VM, Grundy JJ, Huch C, Lewthwaite P, Solomon T, and Jacobson JA
- Subjects
- Adolescent, Cambodia epidemiology, Child, Child Behavior Disorders diagnosis, Child Behavior Disorders etiology, Child, Preschool, Cognition Disorders mortality, Cohort Studies, Disability Evaluation, Encephalitis, Japanese mortality, Female, Follow-Up Studies, Humans, Infant, Male, Prognosis, Risk Assessment, Sentinel Surveillance, Severity of Illness Index, Vietnam epidemiology, Cognition Disorders diagnosis, Cognition Disorders etiology, Children with Disabilities statistics & numerical data, Encephalitis, Japanese complications, Encephalitis, Japanese diagnosis, Quality of Life
- Abstract
A cohort of Japanese encephalitis (JE) survivors in Cambodia and Viet Nam were assessed at least 4 months after hospital discharge in order to understand the extent of disability after JE. We used a simple assessment tool which focuses on the impact on daily life. In total, 64 disability assessments were conducted: 38 in Cambodia and 26 in Viet Nam. In Cambodia, 4 (11%) children had severe sequelae, suggesting the children would likely be dependent, 15 (39%) had moderate sequelae and 17 (45%) had mild sequelae. In Viet Nam, two (8%) persons had severe sequelae, five (19%) had moderate sequelae and eight (31%) had mild sequelae. In many JE-endemic areas there are no multi-disciplinary teams with sophisticated equipment to assess patients after JE disease. This assessment tool can assist with patient management and generate data to support the need for programmes to prevent disease and improve outcomes for survivors.
- Published
- 2011
- Full Text
- View/download PDF