dents and 2% as a result of assault. In 8% of cases there was some other cause. Most controls were also
injured as a result of falls (33%), sporting injuries (36%), or other causes (31%). An earlier article based on the study has focusedon factors influencing outcome 1 week and 3 months after injury. 37 To summarize these findings, 1 week after injury, children with mild TBI reported signif icantly more frequent headaches, dizziness, and fa tigue (all
.01) than did controls. Children with mild TBI also demonstrated a modest but significant slowing on the Wechsler Intelligence Scale for Chil dren III coding subtest(97)2.15.03. No other significant differences were apparent on other
cognitive measures. By 3 months after injury, the differences between the combined mild TBI and the combined control groups in symptom reporting were small. The mild TBI groups were reporting greater memory prob lems,
(186) 2.13.03. On the other hand controls were reporting greater anxiety (186 2.03904. The only significant impairment evident on neuropsychological measures was on the CHIPASAT in the 10- to 12-year age group (58) 2.15,.03. No significant differences were evi dent on the Rowe BRI or the CBCL.However, a subgroup of 24 children with mild TBI
(20%) showed significant ongoing difficulties at thi time. They did not have more severe injuries, as measured by PTA duration, or perform more poorly than the rest of the group on neuropsychological measures. However, there was a significantly higher incidence of previous head injury in this problem subgroup and a higher incidence of premorbid stressors, such as family breakdown, preexisting psychiatric or neurologic problems, and learning difficulties.
Only 7 children from either mild TBI group had sought or received additional help in relation to the mild head injury before the 3-month review. Three of these participants sought additional medical assis tance on 1 occasion within the first week after injury because of persisting symptoms such as vomiting, headache, or dizziness (2 from the intervention group and 1 from the nonintervention group). The symptoms subsequently resolved. Two participants
(1 intervention, 1 nonintervention) sustained a sec ond mild head injury between 2 and 3 months after
dents and 2% as a result of assault. In 8% of cases there was some other cause. Most controls were alsoinjured as a result of falls (33%), sporting injuries (36%), or other causes (31%). An earlier article based on the study has focusedon factors influencing outcome 1 week and 3 months after injury. 37 To summarize these findings, 1 week after injury, children with mild TBI reported signif icantly more frequent headaches, dizziness, and fa tigue (all.01) than did controls. Children with mild TBI also demonstrated a modest but significant slowing on the Wechsler Intelligence Scale for Chil dren III coding subtest(97)2.15.03. No other significant differences were apparent on othercognitive measures. By 3 months after injury, the differences between the combined mild TBI and the combined control groups in symptom reporting were small. The mild TBI groups were reporting greater memory prob lems,(186) 2.13.03. On the other hand controls were reporting greater anxiety (186 2.03904. The only significant impairment evident on neuropsychological measures was on the CHIPASAT in the 10- to 12-year age group (58) 2.15,.03. No significant differences were evi dent on the Rowe BRI or the CBCL.However, a subgroup of 24 children with mild TBI(20%) showed significant ongoing difficulties at thi time. They did not have more severe injuries, as measured by PTA duration, or perform more poorly than the rest of the group on neuropsychological measures. However, there was a significantly higher incidence of previous head injury in this problem subgroup and a higher incidence of premorbid stressors, such as family breakdown, preexisting psychiatric or neurologic problems, and learning difficulties.Only 7 children from either mild TBI group had sought or received additional help in relation to the mild head injury before the 3-month review. Three of these participants sought additional medical assis tance on 1 occasion within the first week after injury because of persisting symptoms such as vomiting, headache, or dizziness (2 from the intervention group and 1 from the nonintervention group). The symptoms subsequently resolved. Two participants(1 intervention, 1 nonintervention) sustained a sec ond mild head injury between 2 and 3 months after
การแปล กรุณารอสักครู่..
