Pediatric Abusive Head Trauma: Return to Hospital System in the First Year Post Injury

Neurosurgery ◽  
2018 ◽  
Vol 85 (1) ◽  
pp. E66-E74 ◽  
Author(s):  
Brittany D Fraser ◽  
P Ryan Lingo ◽  
Nickalus R Khan ◽  
Brandy N Vaughn ◽  
Paul Klimo Jr
2020 ◽  
Vol 13 (3) ◽  
pp. 241-253
Author(s):  
Sarah Badger ◽  
Mary-Clare Waugh ◽  
Jan Hancock ◽  
Susan Marks ◽  
Karen Oakley

PURPOSE: Abusive head trauma (AHT) can have debilitating sequelae for children who survive. A retrospective medical record review was used to describe short-term developmental outcomes of children with AHT and identify predictors of poorer outcomes. METHOD: Children with AHT who received follow up by the hospital’s rehabilitation department for 12 to 24 months post-injury were included in this review. Data for 85 children were collected on hearing, vision, gross motor, fine motor, speech and language, cognition, play, adaptive functioning, behaviour and personal-social skills. RESULTS: Global assessment found 42% of children had a good recovery, 34% had a moderate disability and 24% had a severe disability. For whom there was data, more than half had abnormal cognition, behaviour and personal-social skills, whilst more than a third had abnormal speech and language, neurological signs on last assessment, vision, play skills, and gross and fine motor skills. Factors that predicted poorer prognosis across all developmental domains included paediatric intensive care unit admission, longer length of hospital stay, breathing difficulty and lower Glasgow Coma Scale on presentation. CONCLUSION: This study highlights the substantial number of children who have abnormal development in the short-term post-AHT and assists in identifying those who require extensive long-term follow up.


2013 ◽  
Author(s):  
Francesca Menegazzo ◽  
Melissa Rosa Rizzotto ◽  
Martina Bua ◽  
Luisa Pinello ◽  
Elisabetta Tono ◽  
...  

2021 ◽  
Vol 51 (6) ◽  
pp. 911-917
Author(s):  
Mark S. Dias ◽  
Krishnamoorthy Thamburaj

2021 ◽  
Vol 51 (6) ◽  
pp. 947-965
Author(s):  
Jai Sidpra ◽  
Sahil Chhabda ◽  
Adam J. Oates ◽  
Aashim Bhatia ◽  
Susan I. Blaser ◽  
...  

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