Behaviour and school performance after brain injury

Abstract

Main Outcomes and Results: Two-thirds of children with a TBI exhibited significant behavioural problems, significantly more than controls (p=0.02). Children with behavioural problems had a mean IQ approximately 15 points lower than those without (p=0.001, 95% CI:7 to 26.7). At school, 76%(19) of children with behavioural problems also had difficulties with schoolwork. Behavioural problems were associated with social deprivation and parental marital status (p ≤ 0.01). Conclusions:Children with TBI are at risk of developing behavioural problems which may affect school performance. Children with TBI should be screened to identify significant behavioural problems before they return to school. 2

Pediatric Neurocritical Care: A Neurology Consultation Model and Implication for Education and Training

“…It may be higher, because the increased risk-adjusted mortality in some subgroups may reflect a lack of responsiveness to therapies. These observations highlight the fact that patients with critical neurological illnesses have impairments that persist long after the acute phase in the pediatric intensive care unit admission [4,[18][19][20][21][22]. Survivors of neurocritical illness may have chronic problems related to medical, cognitive, behavioral, and motor impairments.…”

School reentry for children with acquired central nervous systems injuries

“…The impact of acquired CNS injury on cognitive, language, behavior, sensory, and motor function is well documented in outcome studies [Vogel et al, 1998;Anderson et al, 2002;Schwartz et al, 2003;Anderson et al, 2004;Hawley, 2004;Hooper et al, 2004;Jonsson et al, 2004;Levin et al, 2004;Wang et al, 2004;Ewing-Cobbs et al, 2006;van Heugten et al, 2006;Taylor et al, 2008]. Impairment in one or more of these areas presents a challenge to returning to school following hospitalization or medical treatment.…”

3: A Study of Outcomes Following Head Injury Among Children and Young Adults in Full-Time Education

“…Hawley linked these problems with a decline in academic performance and an increased risk of exclusion [17]. The author recommended that children should be screened for behavioural problems prior to return to school following injury and schoolteachers be made aware of the injury.…”

“…The interviews covered aspects of behaviour and mood, specifically affecting home life but some of these can have an indirect effect on school performance [17].…”