@article{ref1,
title="Long-term impact of abusive head trauma in young children: outcomes at 5 and 11 years old",
journal="Journal of pediatric surgery",
year="2021",
author="Jackson, Jordan E. and Beres, Alana L. and Theodorou, Christina M. and Ugiliweneza, Beatrice and Boakye, Maxwell and Nuño, Miriam",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Abusive head trauma (AHT) is a leading cause of morbidity and mortality among young children. We aimed to evaluate the long-term impact of AHT. <br><br>METHODS: Using administrative claims from 2000-2018, children <3 years old with documented AHT who had follow-up through ages 5 and 11 years were identified. The primary outcome was incidence of neurodevelopmental disability and the secondary outcome was the effect of age at time of AHT on long-term outcomes. <br><br>RESULTS:   1,165 children were identified with follow-up through age 5; 358 also had follow-up through age 11.  The incidence of neurodevelopmental disability was 68.0% (792/1165) at 5 years of age and 81.6% (292/358) at 11 years of age.  The incidence of disability significantly increased for the 358 children followed from 5 to 11 years old (+14.3 percentage points, p<0.0001).  Children <1 year old at the time of AHT were more likely to develop disabilities when compared to 2 year olds. <br><br>CONCLUSIONS: AHT is associated with significant long-term disability by age 5 and the incidence increased by age 11 years.  There is an association between age at time of AHT and long-term outcomes. Efforts to improve comprehensive follow-up as children continue to age is important. LEVEL OF EVIDENCE: IV.<p /> <p>Language: en</p>",
language="en",
issn="0022-3468",
doi="10.1016/j.jpedsurg.2021.02.019",
url="http://dx.doi.org/10.1016/j.jpedsurg.2021.02.019"
}