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Brain Inj. 2002 Nov;16(11):969-85.

Children's brain injury: a postal follow-up of 525 children from one health region in the UK.

Author information

1
Centre for Health Services Studies, University of Warwick, Coventry CV4 7AL, UK. c.a.hawley@warwick.ac.uk

Abstract

PRIMARY OBJECTIVES:

To follow-up a population of children admitted to one Hospital Trust with traumatic brain injury (TBI), and compare outcomes following mild TBI with outcomes following moderate or severe TBI.

RESEARCH DESIGN:

Population-based postal questionnaire survey.

METHODS AND PROCEDURES:

Questionnaires were mailed to parents of all 974 surviving children on a register of paediatric TBI admissions, 525 completed questionnaires were returned (56.2%). Most children (419) had suffered mild TBI, 57 moderate, and 49 severe.

MAIN OUTCOMES AND RESULTS:

Thirty per cent of parents received no information on post-injury symptoms, and clinical follow-up was limited. Statistically significant differences were observed between mild and moderate/severe groups for cognitive, social, emotional, and mobility problems. Nevertheless, approximately 20% of the mild group suffered from poor concentration, personality change and educational problems post-injury. Few schools (20%) made special provision for children returning after injury.

CONCLUSIONS:

Children can have long-lasting and wide-ranging sequelae following TBI. Information should be routinely given to parents and schools after brain injury.

PMID:
12443547
DOI:
10.1080/02699050210147239
[Indexed for MEDLINE]

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