Met and unmet rehabilitative needs among pediatric patients with moderate to severe TBI

Brenner, Lisa A.; Grassmeyer, Riley P.; Biffl, Susan E.; Kinney, Adam R.; Dise-Lewis, Jeanne E.; Betthauser, Lisa M.; Forster, Jeri E.

doi:10.1080/02699052.2021.1953146

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Children with a severe pTBI tended to have more apparent functional impairments, leading to the identification of needs, and usually made more regular use of health care services; however, some of these children experienced unmet needs due to discontinued services with increasing time after injury. Likewise, Brenner et al 67 recently found similar unmet needs regarding postacute rehabilitation services for moderate and severe pTBI. Medical-based therapy was often identified and met as a need, but psychosocial, educational, and community-based support were often unmet needs.…”

Section: Unmet Needsmentioning

confidence: 75%

See 1 more Smart Citation

Unmet health care needs over the first 2 years after pediatric traumatic brain injury

Dahl,

Holthe,

Andelic

et al. 2024

European Journal of Paediatric Neurology

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Section: Unmet Needsmentioning

confidence: 75%

“…Medical-based therapy was often identified and met as a need, but psychosocial, educational, and community-based support were often unmet needs. The needs seemed to shift over time, from physical impairment needs to psychological and emotional needs 67 .…”

Section: Unmet Needsmentioning

confidence: 99%

Unmet health care needs over the first 2 years after pediatric traumatic brain injury

Dahl,

Holthe,

Andelic

et al. 2024

European Journal of Paediatric Neurology

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“…Traumatic brain injuries (TBIs) place a significant burden on Australia's economy and health services (Bierbaum et al 2019), as well as on the children, adolescents and families affected (Brenner et al 2021). Paediatric TBIs are a major cause of morbidity and mortality (Leo and McCrea 2016), impacting more than 3 million children and adolescents globally each year (Dewan et al 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Hanten et al 2009;Chapman et al 1995Chapman et al , 2016 and psychosocial outcomes (e.g. Anderson et al 2005;Yeates et al 2010;Gregório et al 2014) and experience unmet therapeutic needs within Australia (Brenner et al 2021) and internationally (Dollman et al 2017;Lyons et al 2017;Fuentes et al 2018). Although a range of communication disorders can arise following TBIs (e.g.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to the assessment of cognitive-communication disorders in children and adolescents after traumatic brain injury: a survey of Australian clinical practice

Crumlish,

Copley,

Wallace

et al. 2024

Brain Impairment

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Background. There is a lack of comprehensive clinical guidance for the measurement of paediatric cognitive-communication disorders (CCDs) following traumatic brain injury (TBI). This study aimed to (1) explore Australian speech-language pathologists' (SLPs') measurement practices when assessing CCDs in children and adolescents with TBI; and (2) to understand the barriers and facilitators to optimal assessment using the Theoretical Domains Framework. Methods. This study used an online, cross-sectional survey design, comprising both quantitative and qualitative questions, informed by behaviour change theory. Results were analysed using descriptive statistics and qualitative content analysis. Results. This study reports data from 111 Australian SLPs. SLPs reported measuring a range of constructs with 52 unique measurement instruments. SLPs' professional role, identity and optimism were the primary facilitators, whereas clinicians' behavioural regulation and emotion were found to be primary barriers. SLPs identified the need for greater tertiary training and professional development opportunities, regardless of workplace sector or years of experience. Conclusions. Australian SLPs considered themselves key professionals in the assessment of CCDs in children and adolescents with TBI and reported optimism for the value and benefits of this clinical activity. There was, however, a lack of consistency in measurement practices, as well as feelings of nervousness and difficulty associated with CCD assessment, which may further compound the under-diagnosis already prevalent in this population. Results from this study support the need for comprehensive guidance regarding best practice.

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“…Globally, 81%, 11%, and 8% of the reported TBI cases account for mild, moderate, and severe TBI. 1 However, because the greatest burden of TBI (i.e., long-term disability and death) is attributed to severe TBI, 5 6 prevention efforts should focus on moderate-to-severe TBI.…”

Section: Introductionmentioning

confidence: 99%

Area-Level Socioeconomic Inequalities in Intracranial Injury-Related Hospitalization in Korea: A Retrospective Analysis of Data From Korea National Hospital Discharge Survey 2008–2015

et al. 2023

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Background Although inequality in traumatic brain injury (TBI) by individual socioeconomic status (SES) exists, interventions to modify individual SES are difficult. However, as interventions for area-based SES can affect the individual SES, monitoring or public health intervention can be planned. We analyzed the effect of area-based SES on hospitalization for TBI and revealed yearly inequality trends to provide a basis for health intervention. Methods We included patients who were hospitalized due to intracranial injuries (ICIs) between 2008 and 2015 as a measure of severe TBI with data provided by the Korea National Hospital Discharge Survey. Area-based SES was synthesized using the 2010 census data. We assessed inequalities in ICI-related hospitalization rates using the relative index of inequality and the slope index of inequality for the periods 2008–2009, 2010–2011, 2012–2013, and 2014–2015. We analyzed the trends of these indices for the observation period by age and sex. Results The overall relative indices of inequality for each 2-year period were 1.82 (95% confidence interval, 1.5–2.3), 1.97 (1.6–2.5), 2.01 (1.6–2.5), and 2.01 (1.6–2.5), respectively. The overall slope indices of inequality in each period were 38.74 (23.5–54.0), 36.75 (21.7–51.8), 35.65 (20.7–50.6), and 43.11 (27.6–58.6), respectively. The relative indices of inequality showed a linear trend for men ( P = 0.006), which was most evident in the ≥ 65-year age group. Conclusion Inequality in hospitalization for ICIs by area-based SES tended to increase during the observation period. Practical preventive interventions and input in healthcare resources for populations with low area-based SES are likely needed.

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Met and unmet rehabilitative needs among pediatric patients with moderate to severe TBI

Cited by 7 publications

References 28 publications

Unmet health care needs over the first 2 years after pediatric traumatic brain injury

Unmet health care needs over the first 2 years after pediatric traumatic brain injury

Barriers and facilitators to the assessment of cognitive-communication disorders in children and adolescents after traumatic brain injury: a survey of Australian clinical practice

Area-Level Socioeconomic Inequalities in Intracranial Injury-Related Hospitalization in Korea: A Retrospective Analysis of Data From Korea National Hospital Discharge Survey 2008–2015

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