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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Long-term impact of abusive head trauma in young children: Outcomes at 5 and 11 years old
Journal of pediatric surgery, v 56(12), pp 2318-2325
01 Dec 2021
PMID: 33714452
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•Abusive head trauma imposes long-term burden on children and their caregivers.•Long-term neurodevelopmental disability increased as children aged to 11 years.•Age at time of abusive head trauma was associated with an increased risk of long-term disability.•Efforts to improve comprehensive follow-up throughout childhood is imperative.
: Abusive head trauma (AHT) is a leading cause of morbidity and mortality among young children. We aimed to evaluate the long-term impact of AHT.
: Using administrative claims from 2000–2018, children <3 years old with documented AHT who had follow-up through ages 5 and 11 years were identified. The primary outcome was incidence of neurodevelopmental disability and the secondary outcome was the effect of age at time of AHT on long-term outcomes.
: 1,165 children were identified with follow-up through age 5; 358 also had follow-up through age 11. The incidence of neurodevelopmental disability was 68.0% (792/1165) at 5 years of age and 81.6% (292/358) at 11 years of age. The incidence of disability significantly increased for the 358 children followed from 5 to 11 years old (+14.3 percentage points, p<0.0001). Children <1 year old at the time of AHT were more likely to develop disabilities when compared to 2 year olds.
: AHT is associated with significant long-term disability by age 5 and the incidence increased by age 11 years. There is an association between age at time of AHT and long-term outcomes. Efforts to improve comprehensive follow-up as children continue to age is important.
: IV
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Details
- Title
- Long-term impact of abusive head trauma in young children: Outcomes at 5 and 11 years old
- Creators
- Jordan E Jackson - University of California Davis Medical CenterAlana L Beres - University of California Davis Medical CenterChristina M Theodorou - University of California Davis Medical CenterBeatrice Ugiliweneza - University of LouisvilleMaxwell Boakye - University of LouisvilleMiriam Nuño - University of California Davis Medical Center
- Publication Details
- Journal of pediatric surgery, v 56(12), pp 2318-2325
- Publisher
- Elsevier
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000756155000029
- Scopus ID
- 2-s2.0-85106314675
- Other Identifier
- 991021969588004721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Surgery