Citation

Rivara FP, Vavilala MS, Dennis DR, Temkin NR, Wang J, O'Connor S, Koepsell T, Dorsch A, Jaffe K. J. Neurotrauma 2012; 29(15): 2499-2504.

Affiliation

University of Washington, Pediatrics, Box 359960, 325 Ninth Ave, Seattle, Washington, United States, 98104; fpr@uw.edu.

Copyright

(Copyright © 2012, Mary Ann Liebert Publishers)

DOI

10.1089/neu.2012.2434

PMID

22757748

Abstract

The study examined the outcome of 0-17 year old children 36 months after The study examined the outcome of 0-17 year old children 36 months after traumatic brain injury (TBI) and examined if there was any improvement in function between 24 and 36 months. Controls were children treated in the emergency department for an arm injury. Functional outcome 36 months after injury was measured by the Pediatric Quality of Life scale (PedsQL), self-care and communication subscales of the Adaptive Behavior Assessment Scale Second edition (ABAS-II), and the Child and Adolescent Scale of Participation (CASP). At 36 months after TBI, those with moderate or severe TBI continued to have PedsQL scores that were 16.1 and 17.9 points, respectively, lower than at baseline, compared to the change among arm injury controls. Compared to the baseline assessment, children with moderate or severe TBI had significantly poorer functioning on the ABAS-II and poorer participation in activities (CASP). There was no significant improvement in any group on any outcomes between 24 and 36 months. Post-injury interventions that decrease the impact of these deficits on function and quality of life, as well as preventive interventions that reduce likelihood of TBI occurrence, should be developed and tested.

Language: en