| Titre : | Investigating the Variability in Mild Traumatic Brain Injury Definitions: A Prospective Cohort Study (2018) |
| Auteurs : | Louise M. Crowe ; Stephen Hearps ; Vicki Anderson |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 7, 2018) |
| Article en page(s) : | p. 1360-1369 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Rééducation et réadaptation |
| Mots-clés: | Brain injuries ; traumatic ; Lésions traumatiques de l'encéphale ; Child |
| Résumé : |
Objective To prospectively compare the proportion of traumatic brain injuries (TBIs) that would be classified as mild by applying different published definitions of mild TBI to a large prospectively collected dataset, and to examine the variability in the proportions included by various definitions. Design Prospective observational study. Setting Hospital emergency departments. Participants Children (N=11,907) aged 3 to 16 years (mean age, 8.2+3.9y). Of the participants, 3868 (32.5%) were girls, and 7374 (61.9%) of the TBIs were the result of a fall. Median Glasgow Coma Scale score was 15. Main Outcome Measures We applied 17 different definitions of mild TBI, identified through a published systematic review, to children aged 3 to 16 years. Adjustments and clarifications were made to some definitions. The number and percentage identified for each definition is presented. Results Adjustments had to be made to the 17 definitions to apply to the dataset: none in 7, minor to substantial in 10. The percentage classified as mild TBI across definitions varied from 7.1% (n=841) to 98.7% (n=11,756) and varied by age group. Conclusions When applying the 17 definitions of mild TBI to a large prospective multicenter dataset of TBI, there was wide variability in the number of cases classified. Clinicians and researchers need to be aware of this variability when examining literature concerning children with mild TBI. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931830042X |
Bibliothèques HE Vinci
