Identifying factors contributing to child and family outcome 30 months after traumatic brain injury in children.
نویسندگان
چکیده
OBJECTIVE To examine the contributions of injury severity, physical and cognitive disability, child and family function to outcome 30 months after traumatic brain injury (TBI) in children. DESIGN A prospective, longitudinal, between group design, comparing function before and after injury across three levels of injury severity. SUBJECTS One hundred and fifty children, 3.0-12.11 years old, admitted to hospital with a diagnosis of TBI. The sample was divided according to injury severity: mild (n = 42), moderate (n = 70), severe (n = 38). Children with a history of neurological, developmental, and psychiatric disorders were excluded from participation. MAIN OUTCOME MEASURES Post injury physical function, cognitive ability (incorporating intellect, memory, and attention), behavioural and family functioning, and level of family burden. RESULTS A dose-response relation was identified for injury severity and physical and cognitive outcome, with significant recovery documented from acute to six months after TBI. Behavioural functioning was not related to injury severity, and where problems were identified, little recovery was noted over time. Family functioning remained unchanged from preinjury to post injury assessments. The level of family burden was high at both six and 30 months after injury, and was predicted by injury severity, functional impairment, and post injury child behavioural disturbance. CONCLUSIONS These results suggest ongoing problems for the child and significant family burden 30 months after TBI. The nature and severity of the physical and cognitive problems are closely related to injury severity, with child and family function predicted by psychosocial and premorbid factors.
منابع مشابه
Prognostic Serum Factors in Traumatic Brian Injury: A Systematic Review
Background & Aim: Traumatic brain injury is one of the main causes of death and disability. The aim of this study is to systematically review the articles which assessed some serum factors of traumatic brain injury patients in relation to their outcomes. Methods & Materials/Patients: Databases were searched for relevant publications from 2005 to 2014. Selection criteria were:Studies which ev...
متن کاملAssessment the Contributing Factors to Head Injury and its Health Outcomes in Baghdad Teaching Hospital
Background: Every year, approximately 1.25 million people are killed as a result of traffic accidents. Between 20 million and 50 million other people are exposed to non-fatal injuries and many become disabled. The study aims to assess the contributing factors of traumatic head injuries and its health outcomes in Baghdad city. Methodology: It was conducted descriptive study to determine the con...
متن کاملNon-visible penetrating brain trauma: a case report
Objective: One of the most frequent causes of death and acquired disability in the pediatric population is the Traumatic Brain Injury (TBI). TBI is secondary to falls, road traffic and vehicle collisions, child abuse and assaults. Penetrating brain injury is a severe form of traumatic brain injury. Blunt head injury is more frequent than TBI in children, but the second one carries a poor progno...
متن کاملPredictors of attention-deficit/hyperactivity disorder within 6 months after pediatric traumatic brain injury.
OBJECTIVE To assess the phenomenology and predictive factors of attention-deficit/hyperactivity disorder (ADHD) after traumatic brain injury (TBI), also called secondary ADHD (SADHD). METHOD Children without preinjury ADHD 5-14 years old with TBI from consecutive admissions (n = 143) to five trauma centers were observed prospectively for 6 months (baseline and 6 months), with semistructured p...
متن کاملHealth-related quality of life during the first year after traumatic brain injury.
OBJECTIVES To document health-related quality of life (HRQOL) of children with traumatic brain injury (TBI) and to examine the relationship between TBI severity and HRQOL during the first year after injury. DESIGN Prospective cohort study. SETTING Four pediatric level I trauma centers. PATIENTS Children with TBI (n = 330). MAIN EXPOSURE Traumatic brain injury. MAIN OUTCOME MEASURES A ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of neurology, neurosurgery, and psychiatry
دوره 76 3 شماره
صفحات -
تاریخ انتشار 2005