Incidence of Disability Among Children 12 Months After Traumatic Brain Injury

Bibliographic Data

ID11021660
AuthorsFrederick P Rivara (0000-0003-1427-0637, Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...), Thomas D Koepsell (Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...), Jin Wang (0009-0007-2219-6293, Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...), Nancy Temkin (0000-0002-6392-5292, Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...), Andrea Dorsch (Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...), Monica S Vavilala (0000-0002-2354-5279, Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...), Dennis R Durbin (0000-0003-2849-1545, University of Washington), Dennis Durbin (Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...), Kenneth M Jaffe (Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle. Thomas D. Koepsell is with the Departments of Epidemiology and Health Services, University of Washington. Jin Wang is with the Department of Pediatrics, University of Washington. Nancy Temkin is with the Departments of Neurologic Surgery and Biostatistics, University of Washington. Andrea Dorsch is with the Department of Rehabilitation Medicine, Seattle Children’s Hospital, Seattle, WA. Monica S...)
Year2012
Volume102
Issue11
Pages2074-2079
Publication date2012-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300696
PMID22994196
PMCIDPMC3477965
OpenAlexW2153081516
LanguageEN
Citations received10
References cited22

Objectives. We examined the burden of disability resulting from traumatic brain injuries (TBIs) among children younger than 18 years. Methods. We derived our data from a cohort study of children residing in King County, Washington, who were treated in an emergency department for a TBI or for an arm injury during 2007–2008. Disabilities 12 months after injury were assessed according to need for specialized educational and community-based services and scores on standardized measures of adaptive functioning and social–community participation. Results. The incidence of children receiving new services at 12 months was about 10-fold higher among those with a mild TBI than among those with a moderate or severe TBI. The population incidence of disability (defined according to scores below the norm means on the outcome measures included) was also consistently much larger (2.8-fold to 28-fold) for mild TBIs than for severe TBIs. Conclusions. The burden of disability caused by TBIs among children is primarily accounted for by mild injuries. Efforts to prevent these injuries as well as to decrease levels of disability following TBIs are warranted

Cohort · Cohort study · Environmental health · Incidence (geometry) · Injury prevention · Occupational safety and health · Poison control · Population · Psychiatry · Suicide prevention · Traumatic brain injury · Emergency Medicine · Injury Epidemiology and Prevention · Internal Medicine · Medicine · Traumatic Brain Injury and Neurovascular Disturbances · Traumatic Brain Injury Research · Pediatrics

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