The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries

Jonas G Halldorsson1, Kjell M Flekkoy2, Gudmundur B Arnkelsson3, Kristinn Tomasson4, Kristinn R Gudmundsson5, Eirikur Orn Arnarson1,61Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, and Department of Geriatric Medicin...

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Autores principales:	Jonas G Halldorsson, Kjell M Flekkoy, Gudmundur B Arnkelsson, Kristinn Tomasson, Kristinn R Gudmundsson, Eirikur Orn Arnarson
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/5690103055764770b22f563d4c354484
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spelling	oai:doaj.org-article:5690103055764770b22f563d4c3544842021-12-02T01:28:10ZThe prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries1176-63281178-2021https://doaj.org/article/5690103055764770b22f563d4c3544842008-04-01T00:00:00Zhttp://www.dovepress.com/the-prognostic-value-of-injury-severity-location-of-event-and-age-at-i-a1033https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Jonas G Halldorsson1, Kjell M Flekkoy2, Gudmundur B Arnkelsson3, Kristinn Tomasson4, Kristinn R Gudmundsson5, Eirikur Orn Arnarson1,61Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, and Department of Geriatric Medicine, Ulleval University Hospital, Oslo, Norway; 3Department of Psychology, University of Iceland, Reykjavik, Iceland; 4Administration of Occupational Safety and Health, Reykjavik, Iceland; 5Department of Neurosurgery, Landspitali University Hospital, Reykjavik, Iceland; 6Faculty of Medicine, University of Iceland, Reykjavik, IcelandAims: 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&ndash;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&ndash;4 years, and most frequent in the age group 5&ndash;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.Keywords: follow-up, pediatric, symptoms, traumatic head injury Jonas G HalldorssonKjell M FlekkoyGudmundur B ArnkelssonKristinn TomassonKristinn R GudmundssonEirikur Orn ArnarsonDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2008, Iss Issue 2, Pp 405-412 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Jonas G Halldorsson Kjell M Flekkoy Gudmundur B Arnkelsson Kristinn Tomasson Kristinn R Gudmundsson Eirikur Orn Arnarson The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
description	Jonas G Halldorsson1, Kjell M Flekkoy2, Gudmundur B Arnkelsson3, Kristinn Tomasson4, Kristinn R Gudmundsson5, Eirikur Orn Arnarson1,61Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, and Department of Geriatric Medicine, Ulleval University Hospital, Oslo, Norway; 3Department of Psychology, University of Iceland, Reykjavik, Iceland; 4Administration of Occupational Safety and Health, Reykjavik, Iceland; 5Department of Neurosurgery, Landspitali University Hospital, Reykjavik, Iceland; 6Faculty of Medicine, University of Iceland, Reykjavik, IcelandAims: 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&ndash;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&ndash;4 years, and most frequent in the age group 5&ndash;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.Keywords: follow-up, pediatric, symptoms, traumatic head injury
format	article
author	Jonas G Halldorsson Kjell M Flekkoy Gudmundur B Arnkelsson Kristinn Tomasson Kristinn R Gudmundsson Eirikur Orn Arnarson
author_facet	Jonas G Halldorsson Kjell M Flekkoy Gudmundur B Arnkelsson Kristinn Tomasson Kristinn R Gudmundsson Eirikur Orn Arnarson
author_sort	Jonas G Halldorsson
title	The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
title_short	The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
title_full	The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
title_fullStr	The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
title_full_unstemmed	The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
title_sort	prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/5690103055764770b22f563d4c354484
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The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries

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