The relation between neurological trauma parameters and long-term outcome in children with closed head injury

Ruijs, M. B. M.; Gabreëls, F.J.M.; Keyser, A.

doi:10.1007/bf02073384

Cited by 25 publications

(33 citation statements)

References 27 publications

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“…This may re¯ect a tendency for the occurrence of more school problems a long time after head injury. Somatic symptoms like headache and dizziness were also reported in this study supporting the ®ndings of Ruijs et al [16]. The number of children with headache in the present study is in contradiction with the study of Bruyn and Lanser [5,8], which showed no higher incidence of headache 1 year after mild head injury compared with children without CHI.…”

Section: Discussionsupporting

confidence: 57%

“…Ruijs et al [16] reported on sequelae still existing in children 2 years after mild to severe head injury, including somatic problems such as headache, dizziness and sleeping disorders, personality changes such as mental slowing, and school problems including memory impairment, concentration disturbances and fatigue. On the other hand of the children having suered only mild head injuries, 27% had somatic symptoms after 2 years and 51% had personality changes while only 3% had school problems.…”

Section: Discussionmentioning

confidence: 99%

“…The eects of mild head injury are less well established [1,3,5]. While the general prognosis for patients following mild head injury has been considered good, the current literature presents increasing evidence suggesting long-term neuro-behavioural symptoms [7,10,13,15,16]. If memory or behavioural symptoms are present some time after the accident, the accident will only rarely be reported as a probable cause.…”

Section: Introductionmentioning

confidence: 99%

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Mild closed head injury in children compared to traumatic fractured bone; neurobehavioural sequelae in daily life 2 years after the accident

Overweg-Plandsoen

Kodde

Straaten

et al. 1999

European Journal of Pediatrics

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Mild closed head injury in children compared to traumatic fractured bone: neurobehavioural sequelae in daily life 2 years after the accident Overweg-Plandsoen, W.C.G.; Kodde, A.; van Straaten, M.; van der Linden, E.A.M.; Neyens, L.G.J.; Aldenkamp, A.P.; Vermeulen, M. Published in: European Journal of Pediatrics Link to publication Citation for published version (APA):Overweg-Plandsoen, W. C. G., Kodde, A., van Straaten, M., van der Linden, E. A. M., Neyens, L. G. J., Aldenkamp, A. P., & Vermeulen, M. (1999). Mild closed head injury in children compared to traumatic fractured bone: neurobehavioural sequelae in daily life 2 years after the accident. European Journal of Pediatrics, 249-252. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Abstract Two years after an accident resulting in either a mild head injury or a fractured bone, two groups of 22 children each, aged 4±14 years, were examined for the existence of any neurobehavioural symptoms by means of a standardized questionnaire ®lled out by their caretakers. Selection of the children was based on reports of the Accident and Emergency Department in 1 year. Signi®cantly more symptoms were reported after mild head injury. The main symptoms reported were headache, dizziness, fatigue and memory problems. The total number of symptoms in the children with mild head injury exceeded four times this in the group of children with a fractured bone. Conclusion Even 2 years after a mild head injury there are still residual symptoms in daily life. Key words Mild head injury á Fractured bone á Late sequelae á ChildrenAbbreviation CHI closed head injury IntroductionHead injury in children and young adults represents a signi®cant cause of morbidity and mortality. In 1990 in The Netherlands (population 15 millions), 2839 children aged 0±14 years were admitted to hospital because of a pedestrian/vehicle accident. A large percentage suered from head injury. The exact incidence of mild head injury in children is unknown. Children sustaining mild head injury usually are not admitted to hospital, however they are frequently seen for a short period of time on an outpatient basis, subsequently discharged and they never seek medical attention for the head injury again.Most head injuries in children are closed head injuries (CHI). A pro...

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mild closed head injury in children compared to traumatic fractured bone; neurobehavioural sequelae in daily life 2 years after the accident

Overweg-Plandsoen

Kodde

Straaten

et al. 1999

European Journal of Pediatrics

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“…TFC + PTA has been shown to predict functional outcome at discharge from hospitalization using the Functional Independence Measure for Children (WeeFIM®) [2, 16] or the GOS [17]. With regard to longer-term outcomes in children, TFC + PTA has been shown to predict neuropsychological performance 1-year post-injury [18] and GOS score 1 and 2 years post-injury [17]. …”

Section: Introductionmentioning

confidence: 99%

Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI

et al. 2013

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Objective To investigate the relationship between injury severity variables, particularly time to follow commands (TFC) and long-term functional outcomes in paediatric traumatic brain injury (TBI). Methods and procedure Participants included 40 children with moderate-to-severe TBI discharged from inpatient rehabilitation. Measures of severity were initial Glasgow Coma Scale score, TFC, duration of Post Traumatic Amnesia (PTA) and total duration of impaired consciousness (TFC + PTA). Functional outcome was measured by age-corrected Functional Independence Measure for Children (WeeFIM®) scores at 1-year after discharge. Results Correlations indicated that injury severity variables (TFC, PTA and TFC + PTA) were all associated with functional outcome. Regression analyses revealed that TFC and TFC + PTA similarly accounted for 49% or 47% of the variance, respectively, in total WeeFIM® score. Thirty-seven of 40 children had good outcome; of the three children with TFC 426 days, two had poor outcome. Conclusion PTA and TFC + PTA do not provide a benefit over TFC alone for prediction of long-term outcome and TFC is identified earlier in the recovery course. TFC remains an important predictor of functional outcome 1-year after discharge from inpatient rehabilitation after paediatric TBI.

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“…Die publizierten Todesraten liegen zwischen 25% und 40% [3,7,11,16,25,37,40]. Die Langzeitmorbidität bezüglich neurologischer Restschäden nach Schä-del-Hirn-Trauma scheint jedoch ungünstig zu sein [8,18,27,35].…”

Section: Patienten Und Methodenunclassified

Schweres Schädel-Hirn-Trauma bei Kindern

Feickert

Drommer

Heyer

1999

Monatsschrift Kinderheilkunde

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The relation between neurological trauma parameters and long-term outcome in children with closed head injury

Cited by 25 publications

References 27 publications

Mild closed head injury in children compared to traumatic fractured bone; neurobehavioural sequelae in daily life 2 years after the accident

Mild closed head injury in children compared to traumatic fractured bone; neurobehavioural sequelae in daily life 2 years after the accident

Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI

Schweres Schädel-Hirn-Trauma bei Kindern

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