Influences on Outcomes in Childhood Traumatic Brain Injury

Both preinjury and postinjury factors are important.

Several recent studies have examined outcomes in children with traumatic brain injury (TBI) of varying severity.

Peterson and colleagues studied a series of 278 children with mild TBI (mean age, 15 years; 56% male) who were referred for neuropsychological testing because of persistent symptoms (mean, 2 months). Overall, 48% had a previous TBI; 61% had sports-related TBIs. On a well-validated instrument assessing emotional and behavioral functioning, parent-reported preinjury anxiety was elevated. Children rated at risk for behavioral problems (including conduct problems) and somatization had more previous mild TBIs. However, investigators could not tell whether preinjury problems increased TBI risk or prior TBIs led to the problems.

Max and c…

Reviewing Author

Jonathan Silver, MD

Disclosures

RoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions

Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience

Leadership Positions in Professional SocietiesNorth American Brain Injury Association (Board Member); National Institute on Disability, Independent Living, and Rehabilitation Research (Chair of Data Monitoring Safety Board for study of donepezil on cognition after traumatic brain injury)

Jonathan Silver, MD

Disclosures

RoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions

Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience

Influences on Outcomes in Childhood Traumatic Brain Injury

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Reviewing Author