Cognition in the Emergency Department as a Predictor of Recovery after Pediatric Mild Traumatic Brain Injury

Journal of the International Neuropsychological Society : JINS
Brian L BrooksKaren M Barlow

Abstract

Cognitive abilities can be acutely disrupted in children and adolescents who sustain a mild traumatic brain injury (mTBI), with the potential that these disruptions may be predictive of recovery. The objective of this study was to determine if cognitive abilities in the emergency department (ED) can differentiate and predict poor symptom recovery following a pediatric mTBI. Participants included 77 male and female youth with a mTBI (mean age=13.6; SD=2.6). All participants completed computerized cognitive testing (four subtests from the CNS Vital Signs) when they presented to the ED. Symptom measurement occurred in the ED (for pre-injury), at 7-10 days, 1 month, 2 months, and 3 months post-mTBI using the post-concussion symptom inventory (PCSI). Recovery was determined using reliable change scores for symptom ratings from 28 orthopedic injury controls (mean age=13.9 years; SD=2.1). Significantly worse Reaction Time scores (i.e., rapid information processing) in the ED were found in those who remained symptomatic at 1 month. Performances on the Reaction Time and Cognitive Flexibility domain scores were predictive of symptom outcome at 1 month for youth (above and beyond sex and baseline symptom burden). Youth with low scores on ...Continue Reading

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Citations

Feb 18, 2017·Current Opinion in Neurology·Fenella J Kirkham
Feb 13, 2018·Continuum : Lifelong Learning in Neurology·Meeryo Choe, Karen M Barlow
Nov 2, 2018·Brain Injury : [BI]·Brian L BrooksKeith Owen Yeates
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Feb 22, 2017·Journal of the International Neuropsychological Society : JINS·Vickie Plourde, Brian L Brooks
Aug 1, 2019·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Michael TakagiVicki Anderson
Sep 4, 2019·The Journal of Head Trauma Rehabilitation·Frank P MacMasterBrian L Brooks
Sep 22, 2020·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Samantha A Murphy, Jonathan N Dodd
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Mar 20, 2019·Journal of Neurotrauma·Brian L BrooksLianne Tomfohr-Madsen
Jul 24, 2018·Journal of Neurotrauma·Brian L BrooksUNKNOWN PERC Concussion Team
Nov 28, 2020·Journal of the International Neuropsychological Society : JINS·Veronik SicardAndrew R Mayer
Nov 3, 2020·Clinical and Translational Medicine·Steven D HicksFrank Middleton
May 11, 2021·Journal of Child Neurology·Shane ViraniBrian L Brooks

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