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 Vol. 17 No. 6, June 2007
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AAP Grand Rounds 17:62-63 (2007)
© 2007 American Academy of Pediatrics

CRITICAL CARE MEDICINE

Neurodevelopmental Outcomes Following Traumatic Brain Injury

Source: Keenan HT, Hooper SR, Wetherington CD, et al. Neurodevelopmental consequences of early traumatic brain injury in 3-year-old children. Pediatrics. 2007;119:e616–e623; doi: 10.1542/peds.2006-2313[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

This study from the University of North Carolina, Chapel Hill, presents neurodevelopmental outcomes of a previously described cohort with traumatic brain injury (TBI) suffered in the first two years of life.1 The authors studied young patients admitted to an ICU in the state of North Carolina between the years 2000 and 2001 who survived TBI (n=112). Approximately half of the children had inflicted injuries while the other half had noninflicted injuries. For the current report, the investigators obtained information about the family including care provider, income, and social capital measured by the Hollingshead Four Factor Index of Social Status,2 as well as the child’s injury data and current health status including major disabilities, use of adaptive aids, and anthropometric data. Cognitive development was assessed with the Mullen Scales of Early Learning and adaptive behavior was evaluated with the Scales of Independent Behavior-Revised. Injured children were compared to similar-aged children from the southeastern US with comparable socioeconomic and racial backgrounds.

Fifty-two of the 112 (46%) children received neurodevelopmental . . . [Full Text of this Article]

Susan L. Bratton, MD, MPH, FAAP
Pediatric Critical Care, Primary Children’s Medical Center, University of Utah Health Sciences Center, Salt Lake City, UT

 





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