PMID: 8600862Mar 1, 1996Paper

Neurobehavioral sequelae of severe pediatric traumatic brain injury: a cohort study

Archives of Physical Medicine and Rehabilitation
T L MassagliJ M Rivara

Abstract

To determine: (1) the magnitude of neurobehavioral deficits following severe traumatic brain injury (TBI) in children, 3 weeks and 1 year after resolution of post-traumatic amnesia (PTA); (2) the relationship between deficits and injury severity; (3) the performance of cases compared to population norms versus individually matched controls. Prospective cohort study. Two regional university medical centers. Cases were 30 children 6 to 15 years old with severe TBI, measured by initial Glasgow Coma Scale (GCS) score and days to reach a GCS score of 15. Controls were individually matched for age, gender, and premorbid academic achievement. Subjects received the same neurobehavioral tests three weeks and one year after resolution of PTA. Outcomes included individual test scores and variables summarizing results in eight domains. Correlations were calculated between deficits, expressed as case-control differences, and injury severity. Cases showed substantial deficits and performed significantly more poorly than controls at both initial and 1-year testing. At initial testing, cases had an overall score two standard deviations below controls. At 1-year testing their overall score was one standard deviation below controls. Greater impa...Continue Reading

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Citations

Oct 22, 2011·Journal of the International Neuropsychological Society : JINS·Stephanie GormanLinda Ewing-Cobbs
Aug 27, 2005·Journal of Pediatric Psychology·JoAnne M Youngblut, Dorothy Brooten
Jun 5, 2002·The Journal of Trauma·Vicki MontgomeryMary E Fallat
May 28, 2005·The Journal of Trauma·Barbara WechslerMargaret G Stineman
Jul 15, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·G Di StefanoJ M Fletcher
Jan 23, 2003·Developmental Neuropsychology·Janet E FarmerKaren Kirk
Aug 30, 2006·Physical & Occupational Therapy in Pediatrics·Patricia A Mortenson, Susan R Harris
Feb 5, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Marisa B OsorioShari L Wade
Sep 29, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Brad G KurowskiShari L Wade
Sep 18, 2004·Archives of Physical Medicine and Rehabilitation·Mukaddes GölgeJohann P Kuhtz-Buschbeck
Aug 28, 2016·Annals of Physical and Rehabilitation Medicine·Agata Krasny-PaciniPhilippe Meyer
Jul 17, 1999·The Journal of Head Trauma Rehabilitation·H WoodwardD Sanfilippo
Jun 17, 2004·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Craig G N CampbellJames S Hutchison

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