Caregiver-report of symptoms following traumatic brain injury in a small clinical sample of preschool-aged children

Research output: Contribution to journalArticle

Abstract

PURPOSE: Preschool-aged children have a high rate of traumatic brain injuries (TBI). Anecdotally, caregivers of young children describe symptoms not typically associated with TBI. The objective of this study was to preliminarily describe symptoms reported following TBI in an outpatient sample of preschool-aged children. METHODS: Retrospective chart review was completed of the first specialty clinic visit by 28 children ages 3 through 5 years with TBI (32% mild, 50% moderate, 18% severe) to identify post-injury symptoms elicited by caregiver interview including querying of symptoms listed on the Acute Concussion Evaluation (ACE) plus an open-ended request to describe any other symptoms. RESULTS: Visits occurred on average 38 days post-injury. Caregivers endorsed typical post-concussive symptoms, with headache being most common. In addition, caregivers described other symptoms not captured by the ACE which were grouped into the following categories: Appetite Changes, Behavioral Dysregulation, Decreased Engagement, Disrupted Sleep, Enuresis, Increased Dependence, and Stomachaches. CONCLUSIONS: Caregivers of preschool-aged children with TBI endorse that young children experience many typical post-concussive symptoms but also a range of other symptoms which may not be typically associated with TBI. Additional work is needed to determine whether specialized evaluation tools and educational materials may be useful for this age group.

Original languageEnglish (US)
Pages (from-to)7-14
Number of pages8
JournalJournal of Pediatric Rehabilitation Medicine
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Preschool Children
Caregivers
Post-Concussion Syndrome
Brain Concussion
Enuresis
Wounds and Injuries
Appetite
Ambulatory Care
Headache
Sleep
Outpatients
Age Groups
Traumatic Brain Injury
Interviews

Keywords

  • behavior
  • Preschool child
  • traumatic brain injury

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

@article{0b870e4d42ac45518988adcb12070f16,
title = "Caregiver-report of symptoms following traumatic brain injury in a small clinical sample of preschool-aged children",
abstract = "PURPOSE: Preschool-aged children have a high rate of traumatic brain injuries (TBI). Anecdotally, caregivers of young children describe symptoms not typically associated with TBI. The objective of this study was to preliminarily describe symptoms reported following TBI in an outpatient sample of preschool-aged children. METHODS: Retrospective chart review was completed of the first specialty clinic visit by 28 children ages 3 through 5 years with TBI (32{\%} mild, 50{\%} moderate, 18{\%} severe) to identify post-injury symptoms elicited by caregiver interview including querying of symptoms listed on the Acute Concussion Evaluation (ACE) plus an open-ended request to describe any other symptoms. RESULTS: Visits occurred on average 38 days post-injury. Caregivers endorsed typical post-concussive symptoms, with headache being most common. In addition, caregivers described other symptoms not captured by the ACE which were grouped into the following categories: Appetite Changes, Behavioral Dysregulation, Decreased Engagement, Disrupted Sleep, Enuresis, Increased Dependence, and Stomachaches. CONCLUSIONS: Caregivers of preschool-aged children with TBI endorse that young children experience many typical post-concussive symptoms but also a range of other symptoms which may not be typically associated with TBI. Additional work is needed to determine whether specialized evaluation tools and educational materials may be useful for this age group.",
keywords = "behavior, Preschool child, traumatic brain injury",
author = "Suskauer, {Stacy Jennifer M} and Shruti Rane and Jennifer Reesman and Slomine, {Beth S}",
year = "2018",
month = "1",
day = "1",
doi = "10.3233/PRM-160424",
language = "English (US)",
volume = "11",
pages = "7--14",
journal = "Journal of Pediatric Rehabilitation Medicine",
issn = "1874-5393",
publisher = "IOS Press",
number = "1",

}

TY - JOUR

T1 - Caregiver-report of symptoms following traumatic brain injury in a small clinical sample of preschool-aged children

AU - Suskauer, Stacy Jennifer M

AU - Rane, Shruti

AU - Reesman, Jennifer

AU - Slomine, Beth S

PY - 2018/1/1

Y1 - 2018/1/1

N2 - PURPOSE: Preschool-aged children have a high rate of traumatic brain injuries (TBI). Anecdotally, caregivers of young children describe symptoms not typically associated with TBI. The objective of this study was to preliminarily describe symptoms reported following TBI in an outpatient sample of preschool-aged children. METHODS: Retrospective chart review was completed of the first specialty clinic visit by 28 children ages 3 through 5 years with TBI (32% mild, 50% moderate, 18% severe) to identify post-injury symptoms elicited by caregiver interview including querying of symptoms listed on the Acute Concussion Evaluation (ACE) plus an open-ended request to describe any other symptoms. RESULTS: Visits occurred on average 38 days post-injury. Caregivers endorsed typical post-concussive symptoms, with headache being most common. In addition, caregivers described other symptoms not captured by the ACE which were grouped into the following categories: Appetite Changes, Behavioral Dysregulation, Decreased Engagement, Disrupted Sleep, Enuresis, Increased Dependence, and Stomachaches. CONCLUSIONS: Caregivers of preschool-aged children with TBI endorse that young children experience many typical post-concussive symptoms but also a range of other symptoms which may not be typically associated with TBI. Additional work is needed to determine whether specialized evaluation tools and educational materials may be useful for this age group.

AB - PURPOSE: Preschool-aged children have a high rate of traumatic brain injuries (TBI). Anecdotally, caregivers of young children describe symptoms not typically associated with TBI. The objective of this study was to preliminarily describe symptoms reported following TBI in an outpatient sample of preschool-aged children. METHODS: Retrospective chart review was completed of the first specialty clinic visit by 28 children ages 3 through 5 years with TBI (32% mild, 50% moderate, 18% severe) to identify post-injury symptoms elicited by caregiver interview including querying of symptoms listed on the Acute Concussion Evaluation (ACE) plus an open-ended request to describe any other symptoms. RESULTS: Visits occurred on average 38 days post-injury. Caregivers endorsed typical post-concussive symptoms, with headache being most common. In addition, caregivers described other symptoms not captured by the ACE which were grouped into the following categories: Appetite Changes, Behavioral Dysregulation, Decreased Engagement, Disrupted Sleep, Enuresis, Increased Dependence, and Stomachaches. CONCLUSIONS: Caregivers of preschool-aged children with TBI endorse that young children experience many typical post-concussive symptoms but also a range of other symptoms which may not be typically associated with TBI. Additional work is needed to determine whether specialized evaluation tools and educational materials may be useful for this age group.

KW - behavior

KW - Preschool child

KW - traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=85045198551&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045198551&partnerID=8YFLogxK

U2 - 10.3233/PRM-160424

DO - 10.3233/PRM-160424

M3 - Article

C2 - 29630559

AN - SCOPUS:85045198551

VL - 11

SP - 7

EP - 14

JO - Journal of Pediatric Rehabilitation Medicine

JF - Journal of Pediatric Rehabilitation Medicine

SN - 1874-5393

IS - 1

ER -