The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries

2.50
Hdl Handle:
http://hdl.handle.net/2336/23672
Title:
The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
Authors:
Halldorsson, Jonas G; Flekkoy, Kjell M; Arnkelsson, Gudmundur B; Tomasson, Kristinn; Gudmundsson, Kristinn R; Arnarson, Eirikur Orn
Citation:
Neuropsychiatr Dis Treat. 2008, 4(2):405–412
Issue Date:
2008
Abstract:
Aims: To estimate the prognostic value of injury severity, location of event, and demographic parameters, for symptoms of pediatric traumatic head injury (THI) 4 years later. Methods: Data were collected prospectively from Reykjavik City Hospital on all patients age 0–19 years, diagnosed with THI (n = 408) during one year. Information was collected on patient demographics, location of traumatic event, cause of injury, injury severity, and ICD-9 diagnosis. Injury severity was estimated according to the Head Injury Severity Scale (HISS). Four years post-injury, a questionnaire on late symptoms attributed to the THI was sent. Results: Symptoms reported were more common among patients with moderate/severe THI than among others (p 0.001). The event location had prognostic value (p 0.05). Overall, 72% of patients with moderate/severe motor vehicle-related THI reported symptoms. There was a curvilinear age effect (p 0.05). Symptoms were least frequent in the youngest age group, 0–4 years, and most frequent in the age group 5–14 years. Gender and urban/rural residence were not signifi cantly related to symptoms. Conclusions: Motor vehicle related moderate/severe THI resulted in a high rate of late symptoms. Location had a prognostic value. Patients with motor vehicle-related THI need special consideration regardless of injury severity.
Description:
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Full metadata record

DC FieldValue Language
dc.contributor.authorHalldorsson, Jonas G-
dc.contributor.authorFlekkoy, Kjell M-
dc.contributor.authorArnkelsson, Gudmundur B-
dc.contributor.authorTomasson, Kristinn-
dc.contributor.authorGudmundsson, Kristinn R-
dc.contributor.authorArnarson, Eirikur Orn-
dc.date.accessioned2008-04-17T13:00:31Z-
dc.date.available2008-04-17T13:00:31Z-
dc.date.issued2008-
dc.date.submitted2008-04-17-
dc.identifier.citationNeuropsychiatr Dis Treat. 2008, 4(2):405–412en
dc.identifier.issn1176-6328-
dc.identifier.urihttp://hdl.handle.net/2336/23672-
dc.descriptionTo access full text version of this article. Please click on the hyperlink "View/Open" belowen
dc.description.abstractAims: To estimate the prognostic value of injury severity, location of event, and demographic parameters, for symptoms of pediatric traumatic head injury (THI) 4 years later. Methods: Data were collected prospectively from Reykjavik City Hospital on all patients age 0–19 years, diagnosed with THI (n = 408) during one year. Information was collected on patient demographics, location of traumatic event, cause of injury, injury severity, and ICD-9 diagnosis. Injury severity was estimated according to the Head Injury Severity Scale (HISS). Four years post-injury, a questionnaire on late symptoms attributed to the THI was sent. Results: Symptoms reported were more common among patients with moderate/severe THI than among others (p 0.001). The event location had prognostic value (p 0.05). Overall, 72% of patients with moderate/severe motor vehicle-related THI reported symptoms. There was a curvilinear age effect (p 0.05). Symptoms were least frequent in the youngest age group, 0–4 years, and most frequent in the age group 5–14 years. Gender and urban/rural residence were not signifi cantly related to symptoms. Conclusions: Motor vehicle related moderate/severe THI resulted in a high rate of late symptoms. Location had a prognostic value. Patients with motor vehicle-related THI need special consideration regardless of injury severity.en
dc.language.isoenen
dc.publisherDove Medical Pressen
dc.relation.urlhttp://dovepress.com/articles.php?content_id=2636en
dc.subject.meshPediatricsen
dc.subject.meshTraumatic Head Injuryen
dc.subject.meshCraniocerebral Traumaen
dc.titleThe prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuriesen
dc.typeArticleen
dc.identifier.eissn1178-2021-
dc.contributor.departmentPsychological Health Services, Landspitali University Hospital, Reykjavik, Icelanden
dc.identifier.journalNeuropsychiatric disease and treatmenten
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