Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic

M C Choe¹, H Valino², J Fischer³, M Zeiger³, J Breault⁴, D L McArthur⁵, M Leung⁵, A Madikians⁶, S Yudovin⁷, J T Lerner³, C C Giza⁷

Affiliations

¹ UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA Both authors contributed equally to the article. mchoe@mednet.ucla.edu.
² University of California Davis School of Medicine, Los Angeles, CA, USA Both authors contributed equally to the article.
³ Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.
⁴ Ross University School of Medicine, Los Angeles, CA, USA.
⁵ UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA.
⁶ Division of Pediatric Critical Care, Los Angeles, CA, USA.
⁷ UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.

PMID: 25795464
DOI: 10.1177/0883073815572685

Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic

M C Choe et al. J Child Neurol. 2016 Jan.

. 2016 Jan;31(1):109-15.

doi: 10.1177/0883073815572685. Epub 2015 Mar 20.

Authors

M C Choe¹, H Valino², J Fischer³, M Zeiger³, J Breault⁴, D L McArthur⁵, M Leung⁵, A Madikians⁶, S Yudovin⁷, J T Lerner³, C C Giza⁷

Affiliations

¹ UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA Both authors contributed equally to the article. mchoe@mednet.ucla.edu.
² University of California Davis School of Medicine, Los Angeles, CA, USA Both authors contributed equally to the article.
³ Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.
⁴ Ross University School of Medicine, Los Angeles, CA, USA.
⁵ UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA.
⁶ Division of Pediatric Critical Care, Los Angeles, CA, USA.
⁷ UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.

PMID: 25795464
DOI: 10.1177/0883073815572685

Abstract

Traumatic brain injury is a major public health problem in the pediatric population. Previously, management was acute emergency department/primary care evaluation with follow-up by primary care. However, persistent symptoms after traumatic brain injury are common, and many do not have access to a specialized traumatic brain injury clinic to manage chronic issues. The goal of this study was to determine the factors related to outcomes, and identify the interventions provided in this subspecialty clinic. Data were extracted from medical records of 151 retrospective and 403 prospective patients. Relationships between sequelae, injury characteristics, and clinical interventions were analyzed. Most patients returning to clinic were not fully recovered from their injury. Headaches were more common after milder injuries, and seizures were more common after severe. The majority of patients received clinical intervention. The presence of persistent sequelae for traumatic brain injury patients can be evaluated and managed by a specialty concussion/traumatic brain injury clinic ensuring that medical needs are met.

Keywords: postconcussive syndrome; traumatic brain injury clinic; traumatic brain injury management.

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Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic

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Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic

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