Duration of post‐traumatic amnesia as a predictor of functional outcome in school‐age children: a systematic review

Briggs, Rachel; Brookes, Naomi; Tate, Robyn; Lah, Sunčica

doi:10.1111/dmcn.12674

Cited by 18 publications

(20 citation statements)

References 54 publications

(175 reference statements)

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“…The predictors of activity and participation outcomes following a childhood MTBI remain unclear [ 25 – 29 ]. Studies on overall outcome after a childhood MTBI suggest that both injury-related (e.g., Glasgow Coma Scale score, loss of consciousness, post-traumatic amnesia) and non-injury-related (e.g., age at injury, socioeconomic status, family functioning) factors affect outcome [ 30 – 34 ]. To determine which variables predict symptom resolution after an MTBI, well-designed, long-term studies are needed [ 20 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

Activities and participation of children and adolescents after mild traumatic brain injury and the effectiveness of an early intervention (Brains Ahead!): study protocol for a cohort study with a nested randomised controlled trial

Renaud

Lambregts

Kloet

et al. 2016

Trials

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BackgroundApproximately 20 % of children and adolescents who have sustained mild traumatic brain injuries may experience long-term consequences, including cognitive problems, post-traumatic stress symptoms and reduced load-bearing capacity. The underestimation and belated recognition of these long-term consequences may lead to chronic and disruptive problems, such as participation problems in school and in social relationships. The aim of this study is to examine the level of activities and participation of children and adolescents up to 6 months after a mild traumatic brain injury and to identify possible outcome predictors. Another aim is to investigate the effectiveness of an early psychoeducational intervention and compare the results with those obtained with usual care.Methods/designThis paper presents the Brains Ahead! study design, a randomised controlled trial nested within a multicentre, longitudinal, prospective cohort study. The eligible participants include children and adolescents between 6 and 18 years of age who have experienced a mild traumatic brain injury within the last 2 weeks. The cohort study will include 500 children and adolescents with a mild traumatic brain injury and their caregivers. A subset of 140 participants and their caregivers will be included in the randomised controlled trial. Participants in the randomised controlled trial will be randomly assigned to either the psychoeducational intervention group or the usual care control group. The psychoeducational intervention involves one face-to-face contact and one phone contact with the interventionist, during which the consequences of mild traumatic brain injury and advice for coping with these consequences to prevent long-term problems will be discussed. Information will be provided both verbally and in a booklet. The primary outcome domain is activities and participation, which will be evaluated using the Child and Adolescent Scale of Participation. Participants are evaluated 2 weeks, 3 months and 6 months after the mild traumatic brain injury.DiscussionThe results of this study will provide insight into which children with mild traumatic brain injury are at risk for long-term participation problems and may benefit from a psychoeducational intervention.Trial registrationNetherlands Trial Register identifier NTR5153. Registered on 17 Apr 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-016-1357-6) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Activities and participation of children and adolescents after mild traumatic brain injury and the effectiveness of an early intervention (Brains Ahead!): study protocol for a cohort study with a nested randomised controlled trial

Renaud

Lambregts

Kloet

et al. 2016

Trials

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“…The presence of PTA is an important factor in determining safe discharge from hospital . Additionally, duration of PTA has been associated with worsened neurocognitive, physical and emotional deficits up to 12 months post‐injury, following moderate and severe paediatric TBI …”

Section: Introductionmentioning

confidence: 99%

Reliability of the Abbreviated Westmead Post‐traumatic Amnesia Scale in children: Impact of age on test results

Tesson

Nogajski

Macey

et al. 2015

Emerg Medicine Australasia

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The A-WPTAS is reliable for use in children aged 7 years and older, while its use in children aged 6 years and under results in an unsatisfactory high false positive rate, limiting its clinical utility. The adult-level performance of children aged 7 years onwards provides strong support for using the tool in the early management of these children with mild traumatic brain injury in Australian EDs.

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“…Female sex has also been identified as a risk factor for worse post-concussive symptoms and functional outcome (Morrison, Arbelaez, Fackler, De Maio, & Paidas, 2004;Zemek et al, 2016). As for injuryrelated characteristics, the presence of certain neurological symptoms (e.g., loss of consciousness, post-traumatic amnesia) in the acute post-injury phase has been linked to worse functional outcomes and post-concussive symptoms (Briggs, Brookes, Tate, & Lah, 2015;Taylor et al, 2010). Owing to their predictive power with respect to child functioning following TBI, demographic and injury-related characteristics should be considered as potential factors of influence in young children's capacity to have harmonious interactions with their parents after sustaining TBI.…”

mentioning

confidence: 99%

Factors contributing to parent–child interaction quality following mild traumatic brain injury in early childhood

Lalonde

Bernier

Beaudoin

et al. 2019

Journal of Neuropsychology

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There is emerging evidence that parent–child interactions are affected by early childhood traumatic brain injury (TBI). These findings are of functional importance when considering the high prevalence of TBI in early childhood alongside evidence that young children exposed to positive relationships with their parents early in life exhibit better social functioning concurrently and longitudinally. Given that the overall quality of parent–child interactions is the result of both parent and child emotional and behavioural dispositions, it remains unclear which parental or child‐related factors contribute to the quality of interactions post‐TBI. The aim of this study was to investigate the factors that contribute to the quality of parent–child interactions following early childhood TBI. The sample included 68 children (18–60 months at recruitment) with accidental, uncomplicated mild TBI (mTBI). The quality of parent–child interactions was assessed 6 months post‐injury using the Mutually Responsive Orientation scale, an observational measure of the dyadic quality of parent–child exchanges. Potential contributing factors were assessed among parental factors (e.g., age, socioeconomic status, family burden, parental stress, marital satisfaction) and child‐related factors (e.g., age, sex, symptoms, fatigue, adaptive/behavioural skills). Socioeconomic status, child post‐concussive symptoms, and child sleep problems were found to be significant independent contributing factors to parent–child interactions six months post‐injury. This study provides the first evidence that both parental and child factors relate to the quality of parent–child interactions following mTBI, thus contributing to a better understanding of the scope and complexity of factors that play a role in childrens' recovery.

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Duration of post‐traumatic amnesia as a predictor of functional outcome in school‐age children: a systematic review

Cited by 18 publications

References 54 publications

Activities and participation of children and adolescents after mild traumatic brain injury and the effectiveness of an early intervention (Brains Ahead!): study protocol for a cohort study with a nested randomised controlled trial

Activities and participation of children and adolescents after mild traumatic brain injury and the effectiveness of an early intervention (Brains Ahead!): study protocol for a cohort study with a nested randomised controlled trial

Reliability of the Abbreviated Westmead Post‐traumatic Amnesia Scale in children: Impact of age on test results

Factors contributing to parent–child interaction quality following mild traumatic brain injury in early childhood

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