TY  - JOUR
PY  - 2016//
TI  - The UCLA study of predictors of cognitive functioning following moderate/severe pediatric traumatic brain injury
JO  - Journal of the International Neuropsychological Society
A1  - Moran, Lisa M.
A1  - Babikian, Talin
A1  - Del Piero, Larissa
A1  - Ellis, Monica U.
A1  - Kernan, Claudia L.
A1  - Newman, Nina
A1  - Giza, Christopher C.
A1  - Mink, Richard
A1  - Johnson, Jeffrey
A1  - Babbitt, Christopher J.
A1  - Asarnow, Robert
SP  - 512
EP  - 519
VL  - 22
IS  - 5
N2  - OBJECTIVES: Following pediatric moderate-to-severe traumatic brain injury (msTBI), few predictors have been identified that can reliably identify which individuals are at risk for long-term cognitive difficulties. This study sought to determine the relative contribution of detailed descriptors of injury severity as well as demographic and psychosocial factors to long-term cognitive outcomes after pediatric msTBI. <br><br>METHODS: Participants included 8- to 19-year-olds, 46 with msTBI and 53 uninjured healthy controls (HC). Assessments were conducted in the post-acute and chronic stages of recovery. Medical record review provided details regarding acute injury severity. Parents also completed a measure of premorbid functioning and behavioral problems. The outcome of interest was four neurocognitive measures sensitive to msTBI combined to create an index of cognitive performance. <br><br>RESULTS: Results indicated that none of the detailed descriptors of acute injury severity predicted cognitive performance. Only the occurrence of injury, parental education, and premorbid academic competence predicted post-acute cognitive functioning. Long-term cognitive outcomes were best predicted by post-acute cognitive functioning. <br><br>DISCUSSION: The findings suggest that premorbid factors influence cognitive outcomes nearly as much as the occurrence of a msTBI. Furthermore, of youth with msTBI who initially recover to a level of moderate disability or better, a brief cognitive battery administered within several months after injury can best predict which individuals will experience poor long-term cognitive outcomes and require additional services. (JINS, 2016, 22, 1-8).<p />  <p>Language: en</p>
LA  - en
SN  - 1355-6177
UR  - http://dx.doi.org/10.1017/S1355617716000175
ID  - ref1
ER  -