The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries
Jonas G Halldorsson1, Kjell M Flekkoy2, Gudmundur B Arnkelsson3, Kristinn Tomasson4, Kristinn R Gudmundsson5, Eirikur Orn Arnarson1,61Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, and Department of Geriatric Medicin...
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ftdovepress:oai:dovepress.com/1033 2023-05-15T16:45:06+02:00 The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries Halldorsson,Jonas G Flekkoy,Kjell M Arnkelsson,Gudmundur B Tomasson,Kristinn Gudmundsson,Kristinn R Arnarson,Eirikur Orn 2008-04-11 text/html https://www.dovepress.com/the-prognostic-value-of-injury-severity-location-of-event-and-age-at-i-peer-reviewed-fulltext-article-NDT en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/NDT.S2035 https://www.dovepress.com/the-prognostic-value-of-injury-severity-location-of-event-and-age-at-i-peer-reviewed-fulltext-article-NDT info:eu-repo/semantics/openAccess Neuropsychiatric Disease and Treatment Original Research info:eu-repo/semantics/article 2008 ftdovepress https://doi.org/10.2147/NDT.S2035 2022-12-27T21:16:38Z Jonas G Halldorsson1, Kjell M Flekkoy2, Gudmundur B Arnkelsson3, Kristinn Tomasson4, Kristinn R Gudmundsson5, Eirikur Orn Arnarson1,61Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, and Department of Geriatric Medicine, Ulleval University Hospital, Oslo, Norway; 3Department of Psychology, University of Iceland, Reykjavik, Iceland; 4Administration of Occupational Safety and Health, Reykjavik, Iceland; 5Department of Neurosurgery, Landspitali University Hospital, Reykjavik, Iceland; 6Faculty of Medicine, University of Iceland, Reykjavik, IcelandAims: To estimate the prognostic value of injury severity, location of event, and demographic parameters, for symptoms of pediatric traumatic head injury (THI) 4 years later.Methods: Data were collected prospectively from Reykjavik City Hospital on all patients age 0–19 years, diagnosed with THI (n = 408) during one year. Information was collected on patient demographics, location of traumatic event, cause of injury, injury severity, and ICD-9 diagnosis. Injury severity was estimated according to the Head Injury Severity Scale (HISS). Four years post-injury, a questionnaire on late symptoms attributed to the THI was sent.Results: Symptoms reported were more common among patients with moderate/severe THI than among others (p < 0.001). The event location had prognostic value (p < 0.05). Overall, 72% of patients with moderate/severe motor vehicle-related THI reported symptoms. There was a curvilinear age effect (p < 0.05). Symptoms were least frequent in the youngest age group, 0–4 years, and most frequent in the age group 5–14 years. Gender and urban/rural residence were not significantly related to symptoms.Conclusions: Motor vehicle related moderate/severe THI resulted in a high rate of late symptoms. Location had a prognostic value. Patients with motor vehicle-related THI need special consideration regardless of injury severity.Keywords: follow-up, pediatric, symptoms, traumatic ... Article in Journal/Newspaper Iceland Dove Medical Press Norway Neuropsychiatric Disease and Treatment 405 |
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Neuropsychiatric Disease and Treatment |
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Neuropsychiatric Disease and Treatment Halldorsson,Jonas G Flekkoy,Kjell M Arnkelsson,Gudmundur B Tomasson,Kristinn Gudmundsson,Kristinn R Arnarson,Eirikur Orn The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries |
topic_facet |
Neuropsychiatric Disease and Treatment |
description |
Jonas G Halldorsson1, Kjell M Flekkoy2, Gudmundur B Arnkelsson3, Kristinn Tomasson4, Kristinn R Gudmundsson5, Eirikur Orn Arnarson1,61Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, and Department of Geriatric Medicine, Ulleval University Hospital, Oslo, Norway; 3Department of Psychology, University of Iceland, Reykjavik, Iceland; 4Administration of Occupational Safety and Health, Reykjavik, Iceland; 5Department of Neurosurgery, Landspitali University Hospital, Reykjavik, Iceland; 6Faculty of Medicine, University of Iceland, Reykjavik, IcelandAims: To estimate the prognostic value of injury severity, location of event, and demographic parameters, for symptoms of pediatric traumatic head injury (THI) 4 years later.Methods: Data were collected prospectively from Reykjavik City Hospital on all patients age 0–19 years, diagnosed with THI (n = 408) during one year. Information was collected on patient demographics, location of traumatic event, cause of injury, injury severity, and ICD-9 diagnosis. Injury severity was estimated according to the Head Injury Severity Scale (HISS). Four years post-injury, a questionnaire on late symptoms attributed to the THI was sent.Results: Symptoms reported were more common among patients with moderate/severe THI than among others (p < 0.001). The event location had prognostic value (p < 0.05). Overall, 72% of patients with moderate/severe motor vehicle-related THI reported symptoms. There was a curvilinear age effect (p < 0.05). Symptoms were least frequent in the youngest age group, 0–4 years, and most frequent in the age group 5–14 years. Gender and urban/rural residence were not significantly related to symptoms.Conclusions: Motor vehicle related moderate/severe THI resulted in a high rate of late symptoms. Location had a prognostic value. Patients with motor vehicle-related THI need special consideration regardless of injury severity.Keywords: follow-up, pediatric, symptoms, traumatic ... |
format |
Article in Journal/Newspaper |
author |
Halldorsson,Jonas G Flekkoy,Kjell M Arnkelsson,Gudmundur B Tomasson,Kristinn Gudmundsson,Kristinn R Arnarson,Eirikur Orn |
author_facet |
Halldorsson,Jonas G Flekkoy,Kjell M Arnkelsson,Gudmundur B Tomasson,Kristinn Gudmundsson,Kristinn R Arnarson,Eirikur Orn |
author_sort |
Halldorsson,Jonas G |
title |
The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries |
title_short |
The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries |
title_full |
The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries |
title_fullStr |
The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries |
title_full_unstemmed |
The prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries |
title_sort |
prognostic value of injury severity, location of event, and age at injury in pediatric traumatic head injuries |
publisher |
Dove Press |
publishDate |
2008 |
url |
https://www.dovepress.com/the-prognostic-value-of-injury-severity-location-of-event-and-age-at-i-peer-reviewed-fulltext-article-NDT |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/NDT.S2035 https://www.dovepress.com/the-prognostic-value-of-injury-severity-location-of-event-and-age-at-i-peer-reviewed-fulltext-article-NDT |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/NDT.S2035 |
container_title |
Neuropsychiatric Disease and Treatment |
container_start_page |
405 |
_version_ |
1766035318503374848 |