Teaching Young Children with Traumatic Brain Injury in Inclusive Classroom Settings

Author(s):  
Cheryl A. Utley ◽  
Festus E. Obiakor ◽  
Sunday Obi
Author(s):  
Christina M. Theodorou ◽  
Miriam A. Nuno ◽  
Kaeli J. Yamashiro ◽  
Sarah C. Stokes ◽  
Jordan E. Jackson ◽  
...  

2019 ◽  
Vol 104 (7) ◽  
pp. 664-669 ◽  
Author(s):  
Silvia Bressan ◽  
Amit Kochar ◽  
Ed Oakley ◽  
Meredith Borland ◽  
Natalie Phillips ◽  
...  

ObjectiveDespite high-quality paediatric head trauma clinical prediction rules, the management of otherwise asymptomatic young children with scalp haematomas (SH) can be difficult. We determined the risk of intracranial injury when SH is the only predictor variable using definitions from the Pediatric Emergency Care Applied Research Network (PECARN) and Children’s Head Injury Algorithm for the Prediction of Important Clinical Events (CHALICE) head trauma rules.DesignPlanned secondary analysis of a multicentre prospective observational study.SettingTen emergency departments in Australia and New Zealand.PatientsChildren <2 years with head trauma (n=5237).InterventionsWe used the PECARN (any non-frontal haematoma) and CHALICE (>5 cm haematoma in any region of the head) rule-based definition of isolated SH in both children <1 year and <2 years.Main outcome measuresClinically important traumatic brain injury (ciTBI; ie, death, neurosurgery, intubation >24 hours or positive CT scan in association with hospitalisation ≥2 nights for traumatic brain injury).ResultsIn children <1 year with isolated SH as per PECARN rule, the risk of ciTBI was 0.0% (0/109; 95% CI 0.0% to 3.3%); in those with isolated SH as defined by the CHALICE, it was 20.0% (7/35; 95% CI 8.4% to 36.9%) with one patient requiring neurosurgery. Results for children <2 years and when using rule specific outcomes were similar.ConclusionsIn young children with SH as an isolated finding after head trauma, use of the definitions of both rules will aid clinicians in determining the level of risk of ciTBI and therefore in deciding whether to do a CT scan.Trial registration numberACTRN12614000463673.


2018 ◽  
Vol 42 (3) ◽  
pp. 259-267 ◽  
Author(s):  
Juliet Haarbauer-Krupa ◽  
Jennifer P. Lundine ◽  
Roberta DePompei ◽  
Tricia Z. King

2019 ◽  
Vol 20 (11) ◽  
pp. 1061-1068
Author(s):  
Corina Noje ◽  
Eric M. Jackson ◽  
Isam W. Nasr ◽  
Philomena M. Costabile ◽  
Marcelo Cerullo ◽  
...  

2020 ◽  
Vol 41 (02) ◽  
pp. 125-142
Author(s):  
Jessica Salley ◽  
Libby Crook ◽  
Angela Ciccia ◽  
Juliet Haarbauer-Krupa ◽  
Jennifer P. Lundine

AbstractTo review the evidence available on early childhood (i.e., 0–5 years 11 months) traumatic brain injury (TBI) and identify clinical implications and future directions for speech-language pathology (SLP) practice and research, a scoping review of the literature was conducted following the 2018 Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRSIMA-ScR) guidelines. A total of 44 peer-reviewed articles were included for review. Included studies were assigned one or more of the following thematic labels related to early childhood TBI: etiology, assessment, treatment, outcomes, contributing factors. Most of the studies were nonexperimental studies and addressed outcomes following early childhood TBI. We conclude, based on this scoping review, that children who experience a TBI before 6 years of age are at risk for persistent long-term difficulties in academic and social functioning. SLPs are among the group of clinicians most appropriate to assess and treat these children; yet, the evidence for assessment, treatment, and identification of factors contributing to the recovery of young children with TBI is particularly lacking. Rigorous research is needed to improve the evidence base for SLPs.


2004 ◽  
Vol 26 (3) ◽  
pp. 707-733 ◽  
Author(s):  
Susan H. Landry ◽  
Paul Swank ◽  
Karla Stuebing ◽  
Mary Prasad ◽  
Linda Ewing-Cobbs

2013 ◽  
Vol 58 (3) ◽  
pp. 223-232 ◽  
Author(s):  
Joy M. Fairbanks ◽  
Tanya M. Brown ◽  
Amy Cassedy ◽  
H. Gerry Taylor ◽  
Keith O. Yeates ◽  
...  

2013 ◽  
Vol 19 (5) ◽  
pp. 497-507 ◽  
Author(s):  
Linda Ewing-Cobbs ◽  
Mary R. Prasad ◽  
Donna Mendez ◽  
Marcia A. Barnes ◽  
Paul Swank

AbstractCore social interaction behaviors were examined in young children 0–36 months of age who were hospitalized for accidental (n= 61) or inflicted (n= 64) traumatic brain injury (TBI) in comparison to typically developing children (n= 60). Responding to and initiating gaze and joint attention (JA) were evaluated during a semi-structured sequence of social interactions between the child and an examiner at 2 and 12 months after injury. The accidental TBI group established gaze less often and had an initial deficit initiating JA that resolved by the follow-up. Contrary to expectation, children with inflicted TBI did not have lower rates of social engagement than other groups. Responding to JA was more strongly related than initiating JA to measures of injury severity and to later cognitive and social outcomes. Compared to complicated-mild/moderate TBI, severe TBI in young children was associated with less responsiveness in social interactions and less favorable caregiver ratings of communication and social behavior. JA response, family resources, and group interacted to predict outcomes. Children with inflicted TBI who were less socially responsive and had lower levels of family resources had the least favorable outcomes. Low social responsiveness after TBI may be an early marker for later cognitive and adaptive behavior difficulties. (JINS, 2013,19, 1–11)


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