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Pediatric Radiology
Published in: Pediatric Radiology 8/2012

01-08-2012 | Original Article

Association of initial CT findings with quality-of-life outcomes for traumatic brain injury in children

Authors: Jonathan O. Swanson, Monica S. Vavilala, Jin Wang, Sumit Pruthi, James Fink, Kenneth M. Jaffe, Dennis Durbin, Thomas Koepsell, Nancy Temkin, Frederick P. Rivara

Published in: Pediatric Radiology | Issue 8/2012

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Abstract

Background

Traumatic brain injury (TBI) is a leading cause of acquired disability in children and adolescents.

Objective

To demonstrate the association between specific findings on initial noncontrast head CT and long-term outcomes in children who have suffered TBI.

Materials and methods

This was an IRB-approved prospective study of children ages 2–17 years treated in emergency departments for TBI and who underwent a head CT as part of the initial work-up (n = 347). The change in quality of life at 12 months after injury was measured by the PedsQL scale.

Results

Children with TBI who had intracranial injuries identified on the initial head CT had a significantly lower quality-of-life scores compared to children with TBI whose initial head CTs were normal. In multivariate analysis, children whose initial head CT scans demonstrated intraventricular hemorrhage, parenchymal injury, midline shift ≥5 mm, hemorrhagic shear injury, abnormal cisterns or subdural hematomas ≥3 mm had lower quality of life scores 1 year after injury than children whose initial CTs did not have these same injuries.

Conclusion

Associations exist between findings from the initial noncontrast head CT and quality of life score 12 months after injury in children with TBI.
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Metadata
Title
Association of initial CT findings with quality-of-life outcomes for traumatic brain injury in children
Authors
Jonathan O. Swanson
Monica S. Vavilala
Jin Wang
Sumit Pruthi
James Fink
Kenneth M. Jaffe
Dennis Durbin
Thomas Koepsell
Nancy Temkin
Frederick P. Rivara
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 8/2012
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-012-2372-8

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