@article{ref1,
title="Disability 3, 12, and 24 Months After Traumatic Brain Injury Among Children and Adolescents",
journal="Pediatrics",
year="2011",
author="Rivara, Frederick P. and Koepsell, Thomas D. and Wang, Jin and Temkin, Nancy and Dorsch, Andrea and Vavilala, Monica S. and Durbin, Dennis and Jaffe, Kenneth M.",
volume="128",
number="5",
pages="e1129-38",
abstract="Objective:To examine disability in children and adolescents after traumatic brain injury (TBI) across the spectrum of injury severity.Methods:This was a prospective cohort study of children younger than 18 years treated for a TBI (n = 729) or an arm injury (n = 197) between March 1, 2007, and September 30, 2008. The main outcome measures were disability in health-related quality of life, adaptive skills, and participation in social and community activities 3, 12, and 24 months after injury compared with preinjury functioning.Results:The health-related quality of life for children with moderate or severe TBI was lower at all follow-up times compared with baseline, but there was some improvement during the first 2 years after injury. Three months after injury, there was a substantial decrease in the level of activities in which children with moderate and severe TBI were able to participate; these activities improved at 12 and 24 months but were still significantly impaired. Communication and self-care abilities in children with moderate and severe TBI were lower at 3 months than at baseline and did not improve by 24 months. Children who met the definition of mild TBI but had an intracranial hemorrhage had lower quality-of-life scores at 3 months.Conclusions:Children with moderate or severe TBI and children with mild TBI who had intracranial hemorrhage had substantial long-term reduction in their quality of life, participation in activities with others, and ability to communicate and care for themselves.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2011-0840",
url="http://dx.doi.org/10.1542/peds.2011-0840"
}