Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic
Traumatic brain injury is a major public health problem in the pediatric population. Previously, management was acute emergency department/primary care evaluation with follow-up by primary care. However, persistent symptoms after traumatic brain injury are common, and many do not have access to a sp...
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| Veröffentlicht in: | Journal of child neurology 2016-01, Vol.31 (1), p.109-115 |
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| container_title | Journal of child neurology |
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| creator | Choe, M. C. Valino, H. Fischer, J. Zeiger, M. Breault, J. McArthur, D. L. Leung, M. Madikians, A. Yudovin, S. Lerner, J. T. Giza, C. C. |
| description | Traumatic brain injury is a major public health problem in the pediatric population. Previously, management was acute emergency department/primary care evaluation with follow-up by primary care. However, persistent symptoms after traumatic brain injury are common, and many do not have access to a specialized traumatic brain injury clinic to manage chronic issues. The goal of this study was to determine the factors related to outcomes, and identify the interventions provided in this subspecialty clinic. Data were extracted from medical records of 151 retrospective and 403 prospective patients. Relationships between sequelae, injury characteristics, and clinical interventions were analyzed. Most patients returning to clinic were not fully recovered from their injury. Headaches were more common after milder injuries, and seizures were more common after severe. The majority of patients received clinical intervention. The presence of persistent sequelae for traumatic brain injury patients can be evaluated and managed by a specialty concussion/traumatic brain injury clinic ensuring that medical needs are met. |
| doi_str_mv | 10.1177/0883073815572685 |
| format | Article |
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C. ; Valino, H. ; Fischer, J. ; Zeiger, M. ; Breault, J. ; McArthur, D. L. ; Leung, M. ; Madikians, A. ; Yudovin, S. ; Lerner, J. T. ; Giza, C. C.</creator><creatorcontrib>Choe, M. C. ; Valino, H. ; Fischer, J. ; Zeiger, M. ; Breault, J. ; McArthur, D. L. ; Leung, M. ; Madikians, A. ; Yudovin, S. ; Lerner, J. T. ; Giza, C. C.</creatorcontrib><description>Traumatic brain injury is a major public health problem in the pediatric population. Previously, management was acute emergency department/primary care evaluation with follow-up by primary care. However, persistent symptoms after traumatic brain injury are common, and many do not have access to a specialized traumatic brain injury clinic to manage chronic issues. The goal of this study was to determine the factors related to outcomes, and identify the interventions provided in this subspecialty clinic. Data were extracted from medical records of 151 retrospective and 403 prospective patients. Relationships between sequelae, injury characteristics, and clinical interventions were analyzed. Most patients returning to clinic were not fully recovered from their injury. Headaches were more common after milder injuries, and seizures were more common after severe. The majority of patients received clinical intervention. 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However, persistent symptoms after traumatic brain injury are common, and many do not have access to a specialized traumatic brain injury clinic to manage chronic issues. The goal of this study was to determine the factors related to outcomes, and identify the interventions provided in this subspecialty clinic. Data were extracted from medical records of 151 retrospective and 403 prospective patients. Relationships between sequelae, injury characteristics, and clinical interventions were analyzed. Most patients returning to clinic were not fully recovered from their injury. Headaches were more common after milder injuries, and seizures were more common after severe. The majority of patients received clinical intervention. The presence of persistent sequelae for traumatic brain injury patients can be evaluated and managed by a specialty concussion/traumatic brain injury clinic ensuring that medical needs are met.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Brain Injuries - diagnosis</subject><subject>Brain Injuries - epidemiology</subject><subject>Brain Injuries - etiology</subject><subject>Brain Injuries - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Electronic Health Records - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0883-0738</issn><issn>1708-8283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1LA0EQhhdRTIy2YiUpbU5nv3dLCYkKAZtYL5vduXghl4u7d4X_3guJFoLgNFPM874wDyE3FO4p1foBjOGguaFSaqaMPCFDqsEUhhl-Sob7c7G_D8hFzmsAMNLCORkwqa0USgzJ9cKnFbbVdjVu33E83VUR6ypckrPSbzJeHfeIvM2mi8lzMX99epk8zovAGW-LEpUsrY7CcxMD68cb7gPykgpYWqsFCKowRu2VBBai4EFwLihYC3GJfETuDr271Hx0mFtXVzngZuO32HTZUS25UEox-R-0fxCotj0KBzSkJueEpdulqvbp01Fwe3Hut7g-cnts75Y1xp_At6keKA5A9it066ZL217M34VfesBxxA</recordid><startdate>201601</startdate><enddate>201601</enddate><creator>Choe, M. 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| ispartof | Journal of child neurology, 2016-01, Vol.31 (1), p.109-115 |
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| subjects | Adolescent Adult Age Factors Brain Injuries - diagnosis Brain Injuries - epidemiology Brain Injuries - etiology Brain Injuries - therapy Child Child, Preschool Cohort Studies Electronic Health Records - statistics & numerical data Female Humans Infant Infant, Newborn Male Treatment Outcome Young Adult |
| title | Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic |
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