Document Detail


Cognitive recovery and development after traumatic brain injury in childhood: a person-oriented, longitudinal study.
MedLine Citation:
PMID:  23025803     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Influence of childhood traumatic brain injury (TBI) on cognitive recovery and subsequent development is poorly understood. In this longitudinal study we used cluster analysis to explore acute stage individual profiles of injury age and cognition in 118 children with traumatic brain injury. Repeated measures of cognitive function were conducted at 30 months, indicating recovery, and 10 years post-injury, indicating development. Nine clusters were identified. Recovery was evident in three clusters, two of them with low functioning profiles. Developmental gains occurred for three clusters and an acute profile of higher freedom from distractibility (FFD) and lower processing speed (PS) was related to positive differences. One cluster, average low functioning and especially low verbal comprehension, demonstrated a slower development than peers. This suggests that developmental change after TBI in childhood takes place on a continuum, with both chance of long-term catching up, and risk of poor development. An acute profile of higher FFD and lower PS seemed to reflect injury consequences and were followed by developmental gains. These results challenge previous findings, and warrant further investigation.
Authors:
Catherine Aaro Jonsson; Cathy Catroppa; Celia Godfrey; Ann-Charlotte Smedler; Vicki Anderson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of neurotrauma     Volume:  30     ISSN:  1557-9042     ISO Abbreviation:  J. Neurotrauma     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-09     Completed Date:  2013-07-22     Revised Date:  2014-01-24    
Medline Journal Info:
Nlm Unique ID:  8811626     Medline TA:  J Neurotrauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  76-83     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Brain Injuries / complications*
Child
Child, Preschool
Cluster Analysis
Cognition Disorders / epidemiology*,  etiology*
Female
Growth and Development
Humans
Longitudinal Studies
Male
Recovery of Function*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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