Association of initial CT findings with quality-of-life outcomes for traumatic brain injury in children View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-08

AUTHORS

Jonathan O. Swanson, Monica S. Vavilala, Jin Wang, Sumit Pruthi, James Fink, Kenneth M. Jaffe, Dennis Durbin, Thomas Koepsell, Nancy Temkin, Frederick P. Rivara

ABSTRACT

BACKGROUND: Traumatic brain injury (TBI) is a leading cause of acquired disability in children and adolescents. OBJECTIVE: To demonstrate the association between specific findings on initial noncontrast head CT and long-term outcomes in children who have suffered TBI. MATERIALS AND METHODS: This was an IRB-approved prospective study of children ages 2-17 years treated in emergency departments for TBI and who underwent a head CT as part of the initial work-up (n = 347). The change in quality of life at 12 months after injury was measured by the PedsQL scale. RESULTS: Children with TBI who had intracranial injuries identified on the initial head CT had a significantly lower quality-of-life scores compared to children with TBI whose initial head CTs were normal. In multivariate analysis, children whose initial head CT scans demonstrated intraventricular hemorrhage, parenchymal injury, midline shift ≥ 5 mm, hemorrhagic shear injury, abnormal cisterns or subdural hematomas ≥ 3 mm had lower quality of life scores 1 year after injury than children whose initial CTs did not have these same injuries. CONCLUSION: Associations exist between findings from the initial noncontrast head CT and quality of life score 12 months after injury in children with TBI. More... »

PAGES

974-981

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00247-012-2372-8

DOI

http://dx.doi.org/10.1007/s00247-012-2372-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007380456

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22434553


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41 schema:description BACKGROUND: Traumatic brain injury (TBI) is a leading cause of acquired disability in children and adolescents. OBJECTIVE: To demonstrate the association between specific findings on initial noncontrast head CT and long-term outcomes in children who have suffered TBI. MATERIALS AND METHODS: This was an IRB-approved prospective study of children ages 2-17 years treated in emergency departments for TBI and who underwent a head CT as part of the initial work-up (n = 347). The change in quality of life at 12 months after injury was measured by the PedsQL scale. RESULTS: Children with TBI who had intracranial injuries identified on the initial head CT had a significantly lower quality-of-life scores compared to children with TBI whose initial head CTs were normal. In multivariate analysis, children whose initial head CT scans demonstrated intraventricular hemorrhage, parenchymal injury, midline shift ≥ 5 mm, hemorrhagic shear injury, abnormal cisterns or subdural hematomas ≥ 3 mm had lower quality of life scores 1 year after injury than children whose initial CTs did not have these same injuries. CONCLUSION: Associations exist between findings from the initial noncontrast head CT and quality of life score 12 months after injury in children with TBI.
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