Citation

Woodward H, Winterhalther K, Donders J, Hackbarth R, Kuldanek A, Sanfilippo D. J. Head Trauma Rehabil. 1999; 14(4): 351-359.

Affiliation

Psychology Service Mary Free Bed Hospital, Grand Rapids, Michigan 49503, USA.

Copyright

(Copyright © 1999, Lippincott Williams and Wilkins)

DOI

unavailable

PMID

10407208

Abstract

OBJECTIVE: To examine the neurobehavioral status of children with traumatic head injury (THI) and to identify variables that predict outcome. DESIGN: Retrospective chart review, with follow-up 1-5 years after injury. Outcome predictor variables were identified through stepwise regression analysis. SETTING: Level one trauma center and pediatric rehabilitation program. PATIENTS: 71 Children with THI, selected from a four-year series of consecutive admissions. Measure: Vineland Adaptive Behavior Scales-Survey Edition. RESULTS: Significant predictors of better neurobehavioral status at follow-up included absence of a premorbid learning problem (p <.01), older age at injury (p <.01), and normal pupillary response (p <.001) and higher cerebral perfusion pressure (p <.0001) during critical care management. CONCLUSIONS: Neurobehavioral outcome after THI is influenced by premorbid psychosocial variables as well as by critical care management.

Language: en