BACKGROUND: Traumatic brain injury (TBI) is a leading cause of acquired disability in children and adolescents. OBJECTIVE: To demonstrate the association between specific findings on initial noncontrast head CT and long-term outcomes in children who have suffered TBI. MATERIALS AND METHODS: This was an IRB-approved prospective study of children ages 2-17 years treated in emergency departments for TBI and who underwent a head CT as part of the initial work-up (n = 347). The change in quality of life at 12 months after injury was measured by the PedsQL scale. RESULTS: Children with TBI who had intracranial injuries identified on the initial head CT had a significantly lower quality-of-life scores compared to children with TBI whose initial head CTs were normal. In multivariate analysis, children whose initial head CT scans demonstrated intraventricular hemorrhage, parenchymal injury, midline shift ≥ 5 mm, hemorrhagic shear injury, abnormal cisterns or subdural hematomas ≥ 3 mm had lower quality of life scores 1 year after injury than children whose initial CTs did not have these same injuries. CONCLUSION: Associations exist between findings from the initial noncontrast head CT and quality of life score 12 months after injury in children with TBI.
BACKGROUND:Traumatic brain injury (TBI) is a leading cause of acquired disability in children and adolescents. OBJECTIVE: To demonstrate the association between specific findings on initial noncontrast head CT and long-term outcomes in children who have suffered TBI. MATERIALS AND METHODS: This was an IRB-approved prospective study of children ages 2-17 years treated in emergency departments for TBI and who underwent a head CT as part of the initial work-up (n = 347). The change in quality of life at 12 months after injury was measured by the PedsQL scale. RESULTS:Children with TBI who had intracranial injuries identified on the initial head CT had a significantly lower quality-of-life scores compared to children with TBI whose initial head CTs were normal. In multivariate analysis, children whose initial head CT scans demonstrated intraventricular hemorrhage, parenchymal injury, midline shift ≥ 5 mm, hemorrhagic shear injury, abnormal cisterns or subdural hematomas ≥ 3 mm had lower quality of life scores 1 year after injury than children whose initial CTs did not have these same injuries. CONCLUSION: Associations exist between findings from the initial noncontrast head CT and quality of life score 12 months after injury in children with TBI.
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