A clinically focused systematic review of social communication in pediatric TBI

2018 ◽  
Vol 42 (3) ◽  
pp. 331-344 ◽  
Author(s):  
Angela Hein Ciccia ◽  
Leah Beekman ◽  
Emily Ditmars
Keyword(s):  
Systematic Review ◽  
Social Communication ◽  
Pediatric Tbi

scholarly journals Sleep disturbances after pediatric traumatic brain injury: a systematic review of prevalence, risk factors, and association with recovery

SLEEP ◽  
2020 ◽  
Vol 43 (10) ◽  
Author(s):  
Madison Luther ◽  
Katrina M Poppert Cordts ◽  
Cydni N Williams
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Disturbances ◽  
Small Sample Size ◽  
Evaluation Studies ◽  
Small Sample ◽  
Risk Of Bias ◽  
Pediatric Tbi

Abstract Study Objectives Sleep is vital for brain development and healing after injury, placing children with sleep-wake disturbances (SWD) after traumatic brain injury (TBI) at risk for worse outcomes. We conducted a systematic review to quantify SWD after pediatric TBI including prevalence, phenotypes, and risk factors. We also evaluated interventions for SWD and the association between SWD and other posttraumatic outcomes. Methods Systematic searches were conducted in MEDLINE, PsychINFO, and reference lists for English language articles published from 1999 to 2019 evaluating sleep or fatigue in children hospitalized for mild complicated, moderate, or severe TBI. Two independent reviewers assessed eligibility, extracted data, and assessed risk of bias using the Newcastle–Ottowa Score for observational studies. Results Among 966 articles identified in the search, 126 full-text articles were reviewed, and 24 studies were included (11 prospective, 9 cross-sectional, and 4 case studies). Marked heterogeneity was found in study populations, measures defining SWD, and time from injury to evaluation. Studies showed at least 20% of children with TBI had trouble falling or staying asleep, fatigue, daytime sleepiness, and nightmares. SWD are negatively correlated with posttraumatic cognitive, behavioral, and quality of life outcomes. No comparative intervention studies were identified. The risk of bias was moderate–high for all studies often related to lack of validated or objective SWD measures and small sample size. Heterogeneity precluded meta-analyses. Conclusions SWD are important morbidities after pediatric TBI, though current data are limited. SWD have implications for TBI recovery and may represent a modifiable target for improving outcomes after pediatric TBI.

Pediatric Mild Traumatic Brain Injury: Who Can Be Managed at a Non-pediatric Trauma Center Hospital? A Systematic Review of the Literature

2021 ◽  
pp. 000313482110508
Author(s):  
Olivia A. Keane ◽  
Mauricio A. Escobar ◽  
Lucas P. Neff ◽  
Ian C. Mitchell ◽  
Joshua J. Chern ◽  
...  
Keyword(s):  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Trauma Center ◽  
Pediatric Trauma ◽  
Evidence Based ◽  
Review Of The Literature ◽  
Mild Tbi ◽  
Pediatric Tbi ◽  
Pediatric Trauma Center

Background Pediatric traumatic brain injury (TBI) affects about 475,000 children in the United States annually. Studies from the 1990s showed worse mortality in pediatric TBI patients not transferred to a pediatric trauma center (PTC), but did not examine mild pediatric TBI. Evidence-based guidelines used to identify children with clinically insignificant TBI who do not require head CT were developed by the Pediatric Emergency Care Applied Research Network (PECARN). However, which patients can be safely observed at a non-PTC is not directly addressed. Methods A systematic review of the literature was conducted, focusing on management of pediatric TBI and transfer decisions from 1990 to 2020. Results Pediatric TBI patients make up a great majority of preventable transfers and admissions, and comprise a significant portion of avoidable costs to the health care system. Majority of mild TBI patients admitted to a PTC following transfer do not require ICU care, surgical intervention, or additional imaging. Studies have shown that as high as 83% of mild pediatric TBI patients are discharged within 24 hrs. Conclusions An evidence-based clinical practice algorithm was derived through synthesis of the data reviewed to guide transfer decision. The papers discussed in our systematic review largely concluded that transfer and admission was unnecessary and costly in pediatric patients with mild TBI who met the following criteria: blunt, no concern for NAT, low risk on PECARN assessment, or intermediate risk on PECARN with negative imaging or imaging with either isolated, nondisplaced skull fractures without ICH and/or EDH, or SDH <0.3 cm with no midline shift.

scholarly journals A Systematic Review of Play-Based Interventions Targeting the Social Communication Skills of Children with Autism Spectrum Disorder in Educational Contexts

2021 ◽  
Author(s):  
Christina O’Keeffe ◽  
Sinéad McNally
Keyword(s):  
Systematic Review ◽  
Autism Spectrum Disorder ◽  
Communication Skills ◽  
Social Communication ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Social Communication Skills ◽  
Children With Asd ◽  
The Social

AbstractChildren with autism spectrum disorder (ASD) experience social communication difficulties which can be compounded by increased social demands and expectations of the school environment. Play offers a unique context for social communication development in educational settings. This systematic review aimed to synthesize play-based interventions for the social communication skills of children with ASD in educational contexts and identified nine studies. Overall, studies in this review provided a promising evidence base for supporting social communication skills through play in education for children with ASD. The review also highlighted gaps in research on play-based interventions for the social communication skills of children with ASD within naturalistic educational settings.

scholarly journals The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study

2019 ◽  
Vol 10 ◽  
Author(s):  
Helen M. Genova ◽  
Alison Haight ◽  
Joman Y. Natsheh ◽  
John DeLuca ◽  
Jean Lengenfelder
Keyword(s):  
Pilot Study ◽  
Social Functioning ◽  
Social Communication ◽  
Pediatric Tbi ◽  
The Relationship

scholarly journals Impacts and Effective Communication on Generation Z in Industrial Revolution 4.0 Era

2020 ◽  
Vol 2 (1) ◽  
pp. 37-42
Author(s):  
TALHAH AJMAIN
Keyword(s):  
Systematic Review ◽  
Communication Skills ◽  
Social Communication ◽  
Industrial Revolution ◽  
Effective Means ◽  
Direct Interaction ◽  
Social Communication Skills ◽  
Generation Z ◽  
The Social ◽  
Negative Impacts

Generation Z (Gen Z), those who were born between the mid-1990s until mid-2000s are closely related to the emerging Indistrial Revolution 4.0 (IR 4.0) era. Both positive and negative impacts towards the social development and communication of Gen Z are apparent. The purpose of this study is to descibe the influence of technology on Gen Z and to discuss the effective means of communication when interacting with this group of people. A systematic review and documentational analysis approach is adopted. The outcome of this study indicated that advancement in technology has hugely affected the social communication skills of Gen Z. It is suggested that the means of approaching this generation requires comprehending their way of thinking, communicating with them in their “tech-language”, and to always be updated with the advancement of information technology (IT), thus ensuring relevance to be in their environment. All these requires groundwork efforts to have direct interaction with them according to the ways of Gen Z.

Sign in / Sign up

Export Citation Format

Share Document