Research Reports - 10 years outcome from childhood traumatic brain injury

Int J Dev Neurosci. 2012 May;30(3):217-24

Anderson V, Godfrey C, Rosenfeld JV, Catroppa C.

Childhood traumatic brain injury (TBI) is a common, acquired disability, which
has significant implications for subsequent development, and for later quality of
life. To date few studies have documented outcomes in these children into
adolescence, when academic, social and personal demands increase. The objective
of this study was to document functional outcomes at 10 years post-injury, and to
identify predictors of outcome including injury, socio-demographic and pre-injury
characteristics. The study employed consecutive recruitment to a prospective,
longitudinal study. Children with a diagnosis of TBI between 2 and 12 years were
initially recruited and divided according to injury severity (mild, moderate,
severe). The sample was reviewed at 10 years post-injury and intellectual,
adaptive, executive and social domains were investigated. Results indicated that,
at 10 years post child TBI, survivors' functional abilities fell overall within
the low average to average range regardless of injury severity, suggesting no
extreme impairments at a group level for any of the domains under investigation.
Significant group differences were identified, though, for adaptive abilities and
for speed of processing, with more severe injury associated with poorer
performances in each instance. Further, a similar trend was identified for
measures of intellectual ability and executive functions. Individual rates of
impairment were considerably higher than population expectations across all
severity groups for these domains. Although rates of social impairment were also
elevated, they were less related to injury factors, suggesting that
cognitive/adaptive outcomes and social consequences of TBI may have different
bases.

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