keyword
https://read.qxmd.com/read/38262374/cortisol-dynamics-quality-of-life-and-fatigue-following-traumatic-brain-injury-in-childhood
#21
JOURNAL ARTICLE
Nikolaos Daskas, Peta Sharples, Marcus Likeman, Stafford Lightman, Elizabeth Crowne
INTRODUCTION: Traumatic brain injury (TBI) is a leading cause of acquired neurological morbidity. The prevalence of post-traumatic hypopituitarism (PTHP) and associated morbidity after childhood TBI is unclear. Our study investigated long term HPA (hypothalamus-pituitary-adrenal) axis function, in a prospective childhood TBI and control cohort, using measures of cortisol/cortisone secretion (physiological, stimulated), HPA axis feedback and exploring associations with fatigue, depression and Quality of Life (QoL) outcomes...
January 23, 2024: Hormone Research in Pædiatrics
https://read.qxmd.com/read/38262182/racial-and-ethnic-disparities-in-diagnostic-imaging-for-child-physical-abuse
#22
JOURNAL ARTICLE
Denise C Abdoo, Henry T Puls, Matt Hall, Daniel M Lindberg, James Anderst, Joanne N Wood, Kavita Parikh, Margaret Tashijan, Marion R Sills
IMPORTANCE: Racial bias may affect occult injury testing decisions for children with concern for abuse. OBJECTIVES: To determine the association of race on occult injury testing decisions at children's hospitals. DESIGN: In this retrospective study, we measured disparities in: (1) the proportion of visits for which indicated diagnostic imaging studies for child abuse were obtained; (2) the proportion of positive tests. SETTING: The Pediatric Health Information System (PHIS) administrative database encompassing 49 tertiary children's hospitals during 2017-2019...
January 22, 2024: Child Abuse & Neglect
https://read.qxmd.com/read/38259013/a-prospective-epidemiological-survey-of-paediatric-trauma-in-africa-a-cross-sectional-study
#23
JOURNAL ARTICLE
Abdelbasit Elsayed Ali, Adesoji O Ademuyiwa, Kokila Lakhoo, John Kefas, Esperance Houmenou, Moruf Abdulsalam, Azakpa Leopold, Rouma Bankole, Seraphin Gbenou, Pautin Covi
BACKGROUND: Trauma is a leading cause of morbidity and mortality in children worldwide. There is a need for development and provision of efficient paediatric trauma services based on adequate information and funding which are lacking in low- and middle-income countries. AIMS: This study was carried out to assess the scale of the problem, identify the most common causes of trauma in Pan African Paediatric Surgical Association (PAPSA) zone and to define the limiting factors for provision of the necessary services required to reduce the potential mortality and disability...
January 1, 2024: African Journal of Paediatric Surgery: AJPS
https://read.qxmd.com/read/38231379/spontaneous-splenic-rupture-in-a-neonate-a-case-report-and-literature-review
#24
JOURNAL ARTICLE
Kyle Schwartz, Rekha Krishnasarma, Elizabeth Snyder, Sumit Pruthi, Lindsey Johnstone, Alexandra Foust, Asha Sarma
Splenic rupture in a neonate is a rare but potentially fatal condition that may trigger evaluation for child abuse. It is a diagnosis of exclusion that has been reported in the surgical literature but may be underrecognized by pediatric radiologists. We report a case of a newborn with an unremarkable prenatal, delivery, and nursery course who presented with anemia, abdominal distension, and lethargy. Abdominal ultrasound with Doppler and computed tomography (CT) of the head, cervical spine, chest, abdomen, and pelvis without contrast showed findings of splenic rupture and anoxic brain injury...
January 17, 2024: Emergency Radiology
https://read.qxmd.com/read/38227782/computer-simulation-to-assess-emergency-department-length-of-stay-in-pediatric-traumatic-brain-injury
#25
JOURNAL ARTICLE
Tianshu Feng, Ali Ajdari, Linda Ng Boyle, Nithya Kannan, Randall Burd, Jonathan I Groner, R Austin Farneth, Monica S Vavilala
OBJECTIVES: Our study aimed to identify how emergency department (ED) arrival rate, process of care, and physical layout can impact ED length of stay (LOS) in pediatric traumatic brain injury care. METHODS: Process flows and value stream maps were developed for 3 level I pediatric trauma centers. Computer simulation models were also used to examine "what if" scenarios based on ED arrival rates. RESULTS: Differences were observed in prearrival preparation time, ED physical layouts, and time spent on processes...
January 16, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38214531/caregiver-report-of-social-emotional-functioning-in-infants-and-young-children-after-inflicted-traumatic-brain-injury
#26
JOURNAL ARTICLE
Amy K Connery, Angela H Lee, Robin L Peterson, Mike Dichiaro, Antonia Chiesa
Social-emotional difficulties are common sequelae of traumatic brain injury (TBI). Children who have experienced inflicted TBI (iTBI) may be at increased risk for social-emotional problems due to the risk factors associated with both early neurologic injury and with child maltreatment. We characterized the associations among injury severity, caregiver type (i.e., biological parents, non-kinship, kinship), and child social-emotional functioning in 41 infants and young children who had sustained iTBI and were seen in a large, regional children's hospital...
January 12, 2024: Child Neuropsychology: a Journal on Normal and Abnormal Development in Childhood and Adolescence
https://read.qxmd.com/read/38174708/fatigue-in-young-patients-with-acquired-brain-injury-in-the-outpatient-rehabilitation-setting-a-2-year-follow-up-study
#27
JOURNAL ARTICLE
Florian Allonsius, Frederike van Markus-Doornbosch, Arend de Kloet, Daniël Opschoor, Thea Vliet Vlieland, Menno van der Holst
Acquired brain injury (ABI) may cause fatigue and participation restrictions in young patients. However, knowledge regarding the course of these problems over time is lacking. This study aims to describe the course of fatigue and participation and their relationship over time in an observational two-year follow-up study among patients(5-24 years) with ABI referred for outpatient rehabilitation and their parents. Patients/parents completed the PedsQL™Multidimensional-Fatigue-Scale(PedsQL™MFS, totalscore/3-domains) and the Child/Adolescent-Scale of Participation(CASP, totalscore/4-domains)...
January 4, 2024: Neuropsychological Rehabilitation
https://read.qxmd.com/read/38166467/effects-of-inpatient-rehabilitation-after-acute-care-on-motor-neuropsychological-and-behavioral-outcomes-in-children-with-severe-traumatic-brain-injury
#28
JOURNAL ARTICLE
Shiyao Gao, Amery Treble-Barna, Anthony Fabio, Sue R Beers, M Kathleen Kelly, Bedda L Rosario, Michael J Bell, Stephen R Wisniewski
PURPOSE: An observational study of children with severe traumatic brain injury (TBI) (Approaches and Decisions in Acute Pediatric TBI [ADAPT] Trial) demonstrated the benefits of inpatient rehabilitation on functional outcomes for those with more severely impaired consciousness when medically stable. We conducted a secondary analysis to assess whether using an inpatient rehabilitation or skilled nursing facility after acute hospitalization was associated with better motor, neuropsychological, and behavioral outcomes compared to receiving only non-inpatient rehabilitation among children with severe TBI...
January 3, 2024: Disability and Rehabilitation
https://read.qxmd.com/read/38160605/from-unequal-injuries-to-unequal-learning-socioeconomic-gradients-in-childhood-concussions-and-the-impact-on-children-s-academic-performance
#29
JOURNAL ARTICLE
Ea Hoppe Blaabæk, Lars Højsgaard Andersen, Peter Fallesen
Previous research identifies stark socioeconomic disparities in child injuries, yet research on the repercussions hereof on other aspects of children's lives remains sparse. This paper tests whether social gradients in minor traumatic brain injuries (mTBIs or concussions) contribute to corresponding inequalities in children's academic performance. Previous research on this topic is mostly based on small samples and confounded by non-random selection into experiencing mTBIs. We improve on prior research by using high quality, large N, administrative registry data...
December 23, 2023: Social Science & Medicine
https://read.qxmd.com/read/38159209/pediatric-head-injuries-particularities-and-neurosurgical-experience-in-a-lower-middle-income-country
#30
JOURNAL ARTICLE
Amine Trifa, Mouna Rkhami, Kais Maamri, Ghassen Elkahla, Ihsen Zammel, Mehdi Darmoul
PURPOSE: To the best of our knowledge, this is the first study conducted in Tunisia on the neurosurgical management of child cranial trauma. The objectives of the present work were to identify the causes of pediatric head injuries, explore epidemiological and clinical specificities, and analyze the short- and long-term postoperative evolution. METHODS: A retrospective review was conducted on one hundred children with head injuries over a five-year period at one of the largest neurosurgery departments in Tunisia...
December 30, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38156082/follow-up-after-picu-discharge-for-patients-with-acquired-brain-injury-the-role-of-an-abbreviated-neuropsychological-evaluation-and-a-return-to-school-program
#31
JOURNAL ARTICLE
Cydni N Williams, Trevor A Hall, Victoria A Baker, Daniel J Chertow, W Michael Vanderlind, Christopher C Bosworth, Mary E Hartman
OBJECTIVE: To present the results of an abbreviated testing protocol used to screen for neurocognitive and psychological sequelae of critical illness among pediatric intensive care unit (PICU) survivors with acquired brain injury in our post-discharge follow-up programs, and describe our process for facilitating this population's return to academic life. DESIGN: Retrospective cohort study. SETTING: Neurocritical care follow-up programs at two U...
October 2023: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38147105/the-significance-of-admission-blood-lactate-and-fibrinogen-in-pediatric-traumatic-brain-injury-a-single-center-clinical-study
#32
JOURNAL ARTICLE
Kun-Yuan Zhang, Pei-Long Li, Peng Yan, Cheng-Jian Qin, Hao He, Chang-Pin Liao
BACKGROUND: Traumatic brain injury (TBI) is a significant cause of morbidity and mortality in pediatric patients, leading to long-term physical, cognitive, and psychological impairments. Blood lactate and fibrinogen levels have emerged as potential biomarkers associated with tissue hypoperfusion and coagulation dysfunction, respectively. However, limited research has specifically focused on the significance of these biomarkers in pediatric TBI. This study aimed to investigate the clinical significance of blood lactate and fibrinogen levels upon admission in pediatric patients with traumatic brain injury...
December 26, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38136115/a-systematic-review-and-meta-analysis-on-the-management-and-outcome-of-isolated-skull-fractures-in-pediatric-patients
#33
REVIEW
Lucca B Palavani, Raphael Bertani, Leonardo de Barros Oliveira, Sávio Batista, Gabriel Verly, Filipi Fim Andreão, Marcio Yuri Ferreira, Wellingson Silva Paiva
BACKGROUND: The impact of traumatic brain injury (TBI) on the pediatric population is profound. The aim of this study is to unveil the state of the evidence concerning acute neurosurgical intervention, hospitalizations after injury, and neuroimaging in isolated skull fractures (ISF). MATERIALS AND METHODS: This systematic review was conducted in accordance with PRISMA guidelines. PubMed, Cochrane, Web of Science, and Embase were searched for papers until April 2023...
December 12, 2023: Children
https://read.qxmd.com/read/38135327/social-prescribing-for-children-and-young-people-with-neurodisability-and-their-families-initiated-in-a-hospital-setting-a-systematic-review
#34
JOURNAL ARTICLE
Katie Gordon, Laura Gordon, Anna Purna Basu
OBJECTIVES: Social prescribing (SP) is a non-medical intervention in which professionals refer patients to a link worker (LW), who connects them with appropriate support. Children and young people (CYP) with neurodisability often have unmet needs and may bypass community initiatives. We undertook a review of hospital-initiated SP for CYP with neurodisability. DESIGN: Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance and using Mixed Methods Appraisal Tool...
December 21, 2023: BMJ Open
https://read.qxmd.com/read/38134727/retinal-hemorrhage-variation-in-inertial-versus-contact-head-injuries
#35
JOURNAL ARTICLE
Michael Sokoloff, Kenneth W Feldman, Alex V Levin, Adam Rockter, Veronica Armijo-Garcia, Matthew Musick, Kerri Weeks, Suzanne B Haney, Mark Marinello, Bruce E Herman, Terra N Frazier, Christopher L Carroll, Kent P Hymel
BACKGROUND: Abusive head trauma (AHT) is frequently accompanied by dense/extensive retinal hemorrhages to the periphery with or without retinoschisis (complex retinal hemorrhages, cRH). cRH are uncommon without AHT or major trauma. OBJECTIVE: The study objectives were to determine whether cRH are associated with inertial vs. contact mechanisms and are primary vs. secondary injuries. PARTICIPANTS AND SETTING: This retrospective study utilized a de-identified PediBIRN database of 701 children <3-years-old presenting to intensive care for head trauma...
December 21, 2023: Child Abuse & Neglect
https://read.qxmd.com/read/38124009/impact-of-an-injury-hospital-admission-on-childhood-academic-performance-a-welsh-population-based-data-linkage-study
#36
JOURNAL ARTICLE
Joanna F Dipnall, Jane Lyons, Ronan A Lyons, Shanthi Ameratunga, Mariana Brussoni, Fiona E Lecky, Ben Beck, Amy Schneeberg, James E Harrison, Belinda J Gabbe
BACKGROUND: While injuries can impact on children's educational achievements (with threats to their development and employment prospects), these risks are poorly quantified. This population-based longitudinal study investigated the impact of an injury-related hospital admission on Welsh children's academic performance. METHODS: The Secure Anonymised Information Linkage databank, 55 587 children residing in Wales from 2006 to 2016 who had an injury hospital admission (58...
December 19, 2023: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://read.qxmd.com/read/38122809/effectiveness-of-neuropediatric-inpatient-rehabilitation
#37
JOURNAL ARTICLE
Hannah Stadler, Kristina Müller, Gerhard Kurlemann, Michael Lendt
AIM:  Inpatient rehabilitation plays an important role in treating neurological diseases in children and adolescents. However, there is a lack of current research concerning this matter. This retrospective study aims to analyze the effectiveness of neuropediatric inpatient rehabilitation, to identify influencing factors, and to examine the importance of inpatient rehabilitation programs. METHODS:  We reviewed medical records of patients, diagnosed with cerebral palsy, traumatic brain injury (TBI), or stroke who had an inpatient rehabilitation at the Department of Neuropediatrics of St...
December 20, 2023: Neuropediatrics
https://read.qxmd.com/read/38100747/brain-functional-connectivity-in-children-with-a-mild-traumatic-brain-injury-a-scoping-review
#38
JOURNAL ARTICLE
F Duquette-Laplante, M Macaskill, B Jutras, B Jemel, A Koravand
INTRODUCTION: The occurrence of mild traumatic brain injury(mTBI) is estimated at 0,2-0,3% cases annually. Following a mTBI, some children experience persistent symptoms, and functional connectivity(FC) changes may be implicated. However, characteristics of FC have not been widely described in this population. This scoping review aimed to identify and understand the impacts of mTBI on EEG-measured FC in children, provide an overview of the available literature, detail analysis techniques, and describe gaps in the research...
December 15, 2023: Applied Neuropsychology. Child
https://read.qxmd.com/read/38090238/predictors-of-quality-of-life-among-omani-family-caregivers-of-patients-with-traumatic-brain-injury
#39
JOURNAL ARTICLE
Devakirubai Jacob, Joshua K Muliira, Eilean R Lazarus, Hema Roslin
OBJECTIVES: This study aimed to explore the quality of life (QoL) of Omani family caregivers (FCs) of patients with traumatic brain injury (TBI). After acute care, the burden of caring for patients with TBI is mainly shouldered by FCs. METHODS: This cross-sectional study was conducted at Khoula Hospital, Muscat, Oman. Patient data were collected at the time of discharge and 8 weeks post-discharge between April 2019 and December 2021. The SF-12 General Health Survey and Preparedness for Caregiving scale were used to measure the caregivers' QoL and preparedness, respectively...
November 2023: Sultan Qaboos University Medical Journal
https://read.qxmd.com/read/38088760/new-functional-impairment-after-hospital-discharge-by-traumatic-brain-injury-mechanism-in-younger-than-3-years-old-admitted-to-the-picu-in-a-single-center-retrospective-study
#40
JOURNAL ARTICLE
Caitlin R McNamara, Anne Kalinowski, Christopher M Horvat, Barbara A Gaines, Ward M Richardson, Dennis W Simon, Patrick M Kochanek, Rachel P Berger, Ericka L Fink
OBJECTIVES: Children who suffer traumatic brain injury (TBI) are at high risk of morbidity and mortality. We hypothesized that in patients with TBI, the abusive head trauma (AHT) mechanism vs. accidental TBI (aTBI) would be associated with higher frequency of new functional impairment between baseline and later follow-up. DESIGN: Retrospective single center cohort study. SETTING AND PATIENTS: Children younger than 3 years old admitted with TBI to the PICU at a level 1 trauma center between 2014 and 2019...
December 13, 2023: Pediatric Critical Care Medicine
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