Preschool children with mild to moderate traumatic brain injury: An exploration of immediate and post-acute morbidity

Goldstrohm, Sheri; Arffa, Sharon

doi:10.1016/j.acn.2005.02.005

Cited by 62 publications

(48 citation statements)

References 40 publications

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“…It is noteworthy that previous research indicates that certain psychosocial factors, such as low SES and increased parental stress, put young children at risk for sustaining a TBI. 42 It appears from the findings that such factors also influence recovery post-TBI. Surprisingly, the injury factors in this case lowered GCS were not predictive of intellectual or behavioral function, possibly indicating the low reliability of measures such as GCS in very young children.…”

Section: Discussionmentioning

confidence: 86%

Intellectual, Behavioral, and Social Outcomes of Accidental Traumatic Brain Injury in Early Childhood

Crowe¹,

Catroppa²,

Babl³

et al. 2012

PEDIATRICS

100

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WHAT'S KNOWN ON THIS SUBJECT: Traumatic brain injury in school-aged children is associated with intellectual, behavioral, and social deficits. Research into outcomes of children injured before 3 years of age is limited despite data suggesting a high incidence of injury in this age group. WHAT THIS STUDY ADDS:Results show that a moderate to severe traumatic brain injury before 3 years of age is associated with lowered cognitive function. Furthermore, this study highlights the link between social disadvantage and poor outcomes after traumatic brain injury in early childhood. abstract OBJECTIVE: The intellectual, behavioral, and social function of children who sustained traumatic brain injury (TBI) before 3 years of age were compared with a group of uninjured children. The role of injury and environmental factors in recovery was examined.METHODS: A group of 53 children who sustained a TBI before 3 years of age (20 mild and 33 moderate/severe) and 27 uninjured children (control group) were assessed on an IQ measure and parent measures of behavior and social skills. Children were aged 4 to 6 years and were an average of 40 months since sustaining their injury.RESULTS: There were no demographic differences between the groups. Although all group scores were in the average range, children with moderate/severe TBI performed significantly below uninjured children on an IQ measure. No significant differences were found on parent behavior ratings, although effect sizes between groups were medium to large. No differences were found for social skills. All outcomes were significantly influenced by environmental but not injury factors.CONCLUSIONS: Moderate/severe TBI at an early age appears to be associated with lowered intellectual function and possibly behavior problems. A child' s environment influences cognitive and behavior function after TBI. Pediatrics 2012;129:e262-e268 AUTHORS:

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Section: Discussionmentioning

confidence: 86%

Intellectual, Behavioral, and Social Outcomes of Accidental Traumatic Brain Injury in Early Childhood

Crowe¹,

Catroppa²,

Babl³

et al. 2012

PEDIATRICS

100

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“…However, these deficits improved over 6 months of follow-up and the children did not appear to suffer long-term sequelae. No worsening of behavioral problems was found at 6 months following TBI [50] .…”

Section: Mild Tbimentioning

confidence: 91%

Epidemiology and Outcomes of Pediatric Traumatic Brain Injury

Keenan

Bratton²

2006

Dev Neurosci

230

142

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Traumatic brain injury is a leading cause of death and disability in the pediatric age group. Causes of injury vary with child developmental age, with more inflicted injuries in infants, fall-related injuries among toddlers, sports-related injuries among middle-school-aged children and motor vehicle crashes in older children. Prevention strategies exist for some pediatric traumatic brain injury; however, all suffer from lack of compliance and enforcement. Neuropsychological and behavioral outcomes for injured children vary with the severity of injury, child age at injury, premorbid child characteristics, family factors and the families’ socioeconomic status. Each of these factors needs to be taken into account when designing rehabilitation strategies and assessing factors related to outcome.

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“…Children who have sustained TBI frequently have a prior history of behavioural and emotional disorder [17][18][19]. It is likely that pre-existing emotional and behavioural problems (e.g.…”

Section: Introductionmentioning

confidence: 99%

Social-emotional behaviour in infants and toddlers with mild traumatic brain injury

Kaldoja

Kolk

2012

Brain Injury

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Preschool children with mild to moderate traumatic brain injury: An exploration of immediate and post-acute morbidity

Cited by 62 publications

References 40 publications

Intellectual, Behavioral, and Social Outcomes of Accidental Traumatic Brain Injury in Early Childhood

Intellectual, Behavioral, and Social Outcomes of Accidental Traumatic Brain Injury in Early Childhood

Epidemiology and Outcomes of Pediatric Traumatic Brain Injury

Social-emotional behaviour in infants and toddlers with mild traumatic brain injury

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