Barynia Backeljauw1, Brad G Kurowski2. 1. University of Cincinnati College of Medicine, Cincinnati, OH(∗). 2. Division of Physical Medicine and Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH(†). Electronic address: brad.kurowski@cchmc.org.
Abstract
OBJECTIVE: To gain an understanding of the current state of the evidence for management of attention problems after traumatic brain injury (TBI) in children, determine gaps in the literature, and make recommendations for future research. TYPE: Focused systematic review. LITERATURE SURVEY: PubMed/Medline and PsychINFO databases were searched for relevant articles published in English during the last 20 years. Keywords included "attention" "attention deficit and disruptive behavior disorders," and "brain injuries." Studies were limited to children. METHODOLOGY: Titles were examined first and eliminated based on lack of relevancy to attention problems after brain injury in children. This was followed by an abstract and full text review. Article quality was determined based on the US Preventative Services Task Force recommendations for evidence grading. SYNTHESIS: Four pharmacologic and 10 cognitive therapy intervention studies were identified. These studies varied in level of evidence quality but were primarily nonrandomized or cohort studies. CONCLUSIONS: There are studies that demonstrate benefits of varying pharmacologic and cognitive therapies for the management of attention problems after TBI. However, there is a paucity of evidence available to definitively guide management of attention problems after pediatric TBI. Larger randomized, controlled trials and multicenter studies are needed to elucidate optimal treatment strategies in this population.
OBJECTIVE: To gain an understanding of the current state of the evidence for management of attention problems after traumatic brain injury (TBI) in children, determine gaps in the literature, and make recommendations for future research. TYPE: Focused systematic review. LITERATURE SURVEY: PubMed/Medline and PsychINFO databases were searched for relevant articles published in English during the last 20 years. Keywords included "attention" "attention deficit and disruptive behavior disorders," and "brain injuries." Studies were limited to children. METHODOLOGY: Titles were examined first and eliminated based on lack of relevancy to attention problems after brain injury in children. This was followed by an abstract and full text review. Article quality was determined based on the US Preventative Services Task Force recommendations for evidence grading. SYNTHESIS: Four pharmacologic and 10 cognitive therapy intervention studies were identified. These studies varied in level of evidence quality but were primarily nonrandomized or cohort studies. CONCLUSIONS: There are studies that demonstrate benefits of varying pharmacologic and cognitive therapies for the management of attention problems after TBI. However, there is a paucity of evidence available to definitively guide management of attention problems after pediatric TBI. Larger randomized, controlled trials and multicenter studies are needed to elucidate optimal treatment strategies in this population.
Authors: Erin B Gorman; Rafael Klorman; Joan E Thatcher; Agneta D Borgstedt Journal: J Am Acad Child Adolesc Psychiatry Date: 2006-07 Impact factor: 8.829
Authors: James McGOUGH; James McCRACKEN; James Swanson; Mark Riddle; Scott Kollins; Laurence Greenhill; Howard Abikoff; Mark Davies; Shirley Chuang; Tim Wigal; Sharon Wigal; Kelly Posner; Anne Skrobala; Elizabeth Kastelic; Jaswinder Ghuman; Charles Cunningham; Sharon Shigawa; Robert Moyzis; Benedetto Vitiello Journal: J Am Acad Child Adolesc Psychiatry Date: 2006-11 Impact factor: 8.829
Authors: Cydni N Williams; Mary E Hartman; Kristin P Guilliams; Rejean M Guerriero; Juan A Piantino; Christopher C Bosworth; Skyler S Leonard; Kathryn Bradbury; Amanda Wagner; Trevor A Hall Journal: Curr Treat Options Neurol Date: 2019-09-27 Impact factor: 3.598
Authors: Elizabeth LeBlond; Julia Smith-Paine; Jacqlyn J Riemersma; Paul S Horn; Shari L Wade; Brad G Kurowski Journal: J Int Neuropsychol Soc Date: 2019-08 Impact factor: 2.892
Authors: Shari L Wade; Brad G Kurowski; Michael W Kirkwood; Nanhua Zhang; Amy Cassedy; Tanya M Brown; Britt Nielsen; Terry Stancin; H Gerry Taylor Journal: Pediatrics Date: 2015-01-12 Impact factor: 7.124
Authors: Shari L Wade; Megan E Narad; Emily L Shultz; Brad G Kurowski; Aimee E Miley; Jessica M Aguilar; Anna-Lynne R Adlam Journal: J Neurosurg Sci Date: 2017-11-20 Impact factor: 2.279
Authors: Nicole D Osier; James W Bales; Bunny Pugh; Samuel Shin; Julie Wyrobek; Ava M Puccio; David O Okonkwo; Dianxu Ren; Sheila Alexander; Yvette P Conley; C Edward Dixon Journal: J Neurotrauma Date: 2016-06-27 Impact factor: 5.269
Authors: Megan E Narad; Jacqlyn Riemersma; Shari L Wade; Julia Smith-Paine; Paige Morrison; H Gerry Taylor; Keith Owen Yeates; Brad G Kurowski Journal: J Head Trauma Rehabil Date: 2020 May/Jun Impact factor: 3.117