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Incidence of disability among children 12 months after traumatic brain injury

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  • Rivara, F.P.
  • Koepsell, T.D.
  • Wang, J.
  • Temkin, N.
  • Dorsch, A.
  • Vavilala, M.S.
  • Durbin, D.
  • Jaffe, K.M.

Abstract

Objectives. We examined the burden of disability resulting from traumatic brain injuries (TBIs) among children younger than 18 years. Methods. We derived our data from a cohort study of children residing in King County, Washington, who were treated in an emergency department for a TBI or for an arm injury during 2007-2008. Disabilities 12 months after injury were assessed according to need for specialized educational and community-based services and scores on standardized measures of adaptive functioning and social-community participation. Results. The incidence of children receiving new services at 12 months was about 10-fold higher among those with a mild TBI than among those with a moderate or severe TBI. The population incidence of disability (defined according to scores below the norm means on the outcome measures included) was also consistently much larger (2.8-fold to 28-fold) for mild TBIs than for severe TBIs. Conclusions. The burden of disability caused by TBIs among children is primarily accounted for by mild injuries. Efforts to prevent these injuries as well as to decrease levels of disability following TBIs are warranted.

Suggested Citation

  • Rivara, F.P. & Koepsell, T.D. & Wang, J. & Temkin, N. & Dorsch, A. & Vavilala, M.S. & Durbin, D. & Jaffe, K.M., 2012. "Incidence of disability among children 12 months after traumatic brain injury," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2074-2079.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300696_6
    DOI: 10.2105/AJPH.2012.300696
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    Cited by:

    1. Huiping Zhu & Qi Gao & Xin Xia & Joe Xiang & Hongli Yao & Jianbo Shao, 2014. "Clinically-Important Brain Injury and CT Findings in Pediatric Mild Traumatic Brain Injuries: A Prospective Study in a Chinese Reference Hospital," IJERPH, MDPI, vol. 11(4), pages 1-14, March.
    2. Kai Chen & Xiaoping Lin & Han Wang & Yujie Qiang & Jie Kong & Rui Huang & Haining Wang & Hui Liu, 2022. "Visualizing the Knowledge Base and Research Hotspot of Public Health Emergency Management: A Science Mapping Analysis-Based Study," Sustainability, MDPI, vol. 14(12), pages 1-23, June.

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