دورية أكاديمية
أعرض في EDS

Mild Traumatic Brain Injury Characteristics and Symptoms in Preschool Children: How Do They Differ to School Age Children? A Multicenter Prospective Observational Study.

التفاصيل البيبلوغرافية
العنوان: Mild Traumatic Brain Injury Characteristics and Symptoms in Preschool Children: How Do They Differ to School Age Children? A Multicenter Prospective Observational Study.
المؤلفون: Crowe LM; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia; School of Psychological Sciences, University of Melbourne, Melbourne, Australia. Electronic address: louise.crowe@mcri.edu.au., Rausa VC; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia., Anderson V; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia; School of Psychological Sciences, University of Melbourne, Melbourne, Australia., Borland ML; Emergency Department, Perth Children's Hospital, Perth, Australia; School of Medicine, Divisions of Emergency Medicine and Paediatrics, University of Western Australia, Perth, Australia., Kochar A; Emergency Department, Women's & Children's Hospital, Adelaide, Australia., Lyttle MD; Faculty of Health & Life Sciences, University of the West of England, Bristol, UK., Gilhotra Y; Emergency Medicine Education and Training, Retrieval Services, Queensland, Australia., Dalziel SR; Emergency Department, Starship Children's Health, Auckland, New Zealand; Departments of Surgery and Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand., Oakley E; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia; Emergency Department, Royal Children's Hospital, Melbourne, Australia., Furyk J; Emergency Department, The Townsville Hospital, Townsville, Australia; Emergency Department, University Hospital Geelong, Geelong, Australia; School of Medicine, Faculty of Health, Deakin University, Geelong, Australia., Neutze J; Emergency Department, Kidzfirst Middlemore Hospital, Auckland, New Zealand., Bressan S; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Women's and Children's Health, University of Padova, Padova, Italy., Davis GA; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Neurosurgery, Austin and Cabrini Hospitals, Melbourne, Australia., Babl FE; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Emergency Department, Royal Children's Hospital, Melbourne, Australia; Department of Critical Care Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.
مؤلفون مشاركون: Paediatric Research in Emergency Departments International Collaborative (PREDICT)
المصدر: Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2024 Jan; Vol. 105 (1), pp. 120-124. Date of Electronic Publication: 2023 Sep 14.
نوع المنشور: Observational Study; Multicenter Study; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 2985158R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-821X (Electronic) Linking ISSN: 00039993 NLM ISO Abbreviation: Arch Phys Med Rehabil Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : W.B. Saunders
مواضيع طبية MeSH: Brain Concussion* , Brain Injuries, Traumatic*, Adult ; Child ; Child, Preschool ; Humans ; Australia ; Cohort Studies ; Emergency Service, Hospital ; Prospective Studies
مستخلص: Objective: To investigate if preschool children differ to school age children with mild traumatic brain injury (TBI) with respect to injury causes, clinical presentation, and medical management.
Design: A secondary analysis of a dataset from a large, prospective and multisite cohort study on TBI in children aged 0-18 years, the Australian Paediatric Head Injury Rules Study.
Setting: Nine pediatric emergency departments (ED) and 1 combined adult and pediatric ED located across Australia and New Zealand.
Participants: 7080 preschool aged children (2-5 years) were compared with 5251 school-age children (6-12 years) with mild TBI (N= (N=12,331) MAIN OUTCOME MEASURES: Clinical report form on medical symptoms, injury causes, and management.
Results: Preschool children were less likely to be injured with a projectile than school age children (P<.001). Preschool children presented with less: loss of consciousness (P<.001), vomiting (P<.001), drowsiness (P=.002), and headache (P<.001), and more irritability and agitation (P=.003), than school-age children in the acute period after mild TBI. Preschool children were less likely to have neuroimaging of any kind (P<.001) or to be admitted for observation than school age children (P<.001).
Conclusions: Our large prospective study has demonstrated that preschool children with mild TBI experience a different acute symptom profile to older children. There are significant clinical implications with symptoms post-TBI used in medical management to aid decisions on neuroimaging and post-acute intervention.
(Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Adolescent; Brain concussion; Brain injuries; Child; Preschool; Rehabilitation; Traumatic
تواريخ الأحداث: Date Created: 20230916 Date Completed: 20240122 Latest Revision: 20240223
رمز التحديث: 20240224
DOI: 10.1016/j.apmr.2023.08.008
PMID: 37715760
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-821X
DOI:10.1016/j.apmr.2023.08.008