Long-term outcome of medically confirmed and self-reported early traumatic brain injury in two nationwide samples.

To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. To assess long-term effects of early traumatic brain injury (TBI) on mental health, cognition, behaviour and adjustment and to identify prognostic factors. A 1-year nationwide cohor...

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Bibliographic Details
Published in:Brain Injury
Main Authors: Halldorsson, Jonas G, Arnkelsson, Gudmundur B, Tomasson, Kristinn, Flekkoy, Kjell M, Magnadottir, Hulda Bra, Arnarson, Eirikur Orn
Other Authors: Univ Iceland, Fac Med, Reykjavik, Iceland, Landspitali Univ Hosp, Psychol Serv, IS-108 Reykjavik, Iceland, Univ Iceland, Dept Psychol, Reykjavik, Iceland, Adm Occupat Safety & Hlth, Reykjavik, Iceland, Univ Oslo, Oslo, Norway, Upper Valley Neurol & Neurosurg, Lebanon, NH USA
Format: Article in Journal/Newspaper
Language:English
Published: Informa Healthcare 2013
Subjects:
Heilaskaði
Börn
Adaptation
Psychological
Adolescent
Age Distribution
Analysis of Variance
Brain Injuries
Child
Preschool
Cognition Disorders
Disabled Persons
Early Diagnosis
Female
Humans
Iceland
Infant
Newborn
Longitudinal Studies
Male
Mental Disorders
Mental Health
Parents
Prevalence
Prospective Studies
Questionnaires
Self Report
Severity of Illness Index
Sex Distribution
Time Factors
Young Adult
Online Access:http://hdl.handle.net/2336/317060
https://doi.org/10.3109/02699052.2013.765599
Description
Summary:To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. To assess long-term effects of early traumatic brain injury (TBI) on mental health, cognition, behaviour and adjustment and to identify prognostic factors. A 1-year nationwide cohort of all 0-19 year old Icelandic children and adolescents diagnosed with TBI in 1992-1993 (n = 550) received a questionnaire with clinical outcome scales and questions on TBI and socio-economic status (SES) by mail ∼16 years post-injury. A control group (n = 1232), newly selected from the National Registry, received the same questionnaire. Non-respondents answered a shorter version by telephone. Overall participation was 67%. Medically confirmed and self-reported TBI was reflected in worse outcome. Force of impact, number and severity of TBIs predicted poorer results. Parental SES and demographic factors had limited effects. Not reporting early, medically confirmed TBI did not exclude cognitive sequelae. In self-reported disability, absence of evaluation for compensation was not linked to outcome. Clinical outcome was consistent with late complaints attributed to early TBI. TBI-related variables had greater prognostic value than other factors. Self-reporting of TBI sustained very early in life needs supplementary information from parents and medical records. More consistency in compensation evaluations following paediatric TBI is indicated. University of Iceland Doctoral Fund Landspitali University Hospital Science Fund Margret Bjorgolfsdottir Memorial Fund Olafia Jonsdottir Memorial Fund Helga Jonsdotti Sigurlidi Kristjansson Memorial Fund Alcan Iceland Community Fund

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