@article{ref1,
title="The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries",
journal="Neuropsychiatric disease and treatment",
year="2008",
author="Arnarson, Eirikur Orn and Gudmundsson, Kristinn R. and Tómasson, K. and Arnkelsson, Gudmundur B. and Flekkoy, Kjell M. and Halldorsson, Jonas G.",
volume="4",
number="2",
pages="405-412",
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 &lt; 0.001). The event location had prognostic value (p &lt; 0.05). Overall, 72% of patients with moderate/severe motor vehicle-related THI reported symptoms. There was a curvilinear age effect (p &lt; 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 significantly 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.   <p>Language: en</p>",
language="en",
issn="1176-6328",
doi="",
url="http://dx.doi.org/"
}