Children with neurological impairment frequently experience unmet health care needs, high-severity acute illnesses, coexisting condition exacerbations, adverse medical events, and disproportionately high health care utilization and spending.1,2 Our clinical experience within the clinical spectrum of neurological impairment has suggested that children with high-intensity neurological impairment have increased severity of health problems, needs, and care. Best practices for managing the acute and chronic health care needs of children with high-intensity neurological impairment are underdeveloped, partly owing to the limited methods of distinguishing these patients.
Thomson JE, Feinstein JA, Hall M, Gay JC, Butts B, Berry JG. Identification of Children With High-Intensity Neurological Impairment. JAMA Pediatr. Published online August 19, 2019173(10):989–991. doi:10.1001/jamapediatrics.2019.2672
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