TY - JOUR PY - 2024// TI - Prevalence and correlates of suspected and diagnosed traumatic brain injuries among US school-aged children JO - Journal of pediatrics. Clinical practice A1 - Haarbauer-Krupa, Juliet A1 - Wray, Allison P. A1 - Lebrun-Harris, Lydie A. A1 - Cree, Robyn A. A1 - Womack, Lindsay S. SP - e200117 EP - e200117 VL - 14 IS - N2 - OBJECTIVE: To (1) estimate the lifetime prevalence of suspected and diagnosed traumatic brain injury (TBI) based on parent report overall and select sociodemographic characteristics; and (2) describe differences in prevalence of health conditions and health-related risk factors by whether a child had a lifetime history of diagnosed TBI. STUDY DESIGN: We analyzed data from the 2020 National Survey of Children's Health, a cross-sectional address-based survey of US households. A categorical variable was created on the basis of parent responses to 3 questions inquiring about their suspicion of their child having a brain injury, if they sought medical care, and if the health care provider provided a diagnosis. Parents also were asked to report on their child's additional health conditions, functional indicators, school and social factors, and health care access and service use.

RESULTS: The prevalence of lifetime diagnosed TBI was 4.2% (95% CI 3.8-4.5). Children with a parent-reported lifetime history of diagnosed TBI were more likely to have a variety of health conditions, special health care needs, disabilities, activity limitations, missed days of school, and unmet care coordination needs, compared with those without a history. However, they were more likely to have a usual source of sick care and to receive more health-related services.

CONCLUSIONS: For school-aged children, a history of TBI is associated with parent-reported health needs and conditions, as well as missed days from school. It is particularly important for parents to seek care when they suspect their child has experienced a TBI to receive a diagnosis and monitor the impacts of the TBI.

Language: en

LA - en SN - 2950-5410 UR - http://dx.doi.org/10.1016/j.jpedcp.2024.200117 ID - ref1 ER -