Traumatic Brain Injury
Recommendations have been developed for the diagnosis and management of pediatric sport-related concussion.
Postconcussion syndromes persisted at 12 months after mild traumatic brain injury (mTBI) in 39% of children.
In this systematic review and meta-analysis, history of concussion or mild traumatic brain injury was associated with a two-fold increased risk of suicide.
Repetitive head impact exposure appears to be a predisposing factor for the onset of concussion.
Concussion-related serum biomarkers vary by sex and race, which may complicate their interpretation.
Sub-concussive head impacts suffered over the course of a single season of youth tackle football may not be associated with neurocognitive functional outcomes.
CT neuroimaging did not decrease from 2007 to 2015 among pediatric patients evaluated in the emergency department for head injury.
A 2016 experimental rule change in National Collegiate Athletic Association (NCAA) Division I Ivy League play has been linked to a reduction in concussions among players.
A jugular vein compression collar can prevent white matter alterations associated with head impact exposure among female high school soccer players.
Age, sex, and family factors play a role in the persistence of post-concussion symptoms one year after injury.
The prevalence of traumatic brain injury is 2.5% among US children, and TBI is associated with several health conditions.
Percentile-Based Systolic Blood Pressure Targets Better Identify Hypotension in Severe Pediatric TBIOctober 08, 2018
The investigators observed an increased risk for in-hospital mortality among patients with systolic blood pressure in the <75th percentile across all ages.
Female soccer players exhibit more widespread evidence of microstructural white matter alteration than males, despite having similar exposure to heading.
Use of a decision aid can improve parent knowledge for children with minor head injury at intermediate risk of clinically important traumatic brain injury.
For children with traumatic epidural hematomas (EDHs), repeated computed tomography imaging is common, but rarely impacts management.
Intracranial injuries were detected on head CT in 6% of patients, whereas neurosurgically manageable injuries were found in <1% of patients.
The Pediatric Emergency Care Applied Research Network published clinical prediction rules in 2009 to identify children with head trauma for whom computed tomography neuroimaging can be avoided.
Routine X-rays and blood tests should not be used to diagnose children's concussions, new US government guidelines say.
Gradually increasing academic pursuits requires careful planning among the medical, school, and family units to enable prompt return and avoidance of prolonging school absence.
The use of helmets may not protect alpine sports participants from traumatic brain injury.
Individuals with medical contact for traumatic brain injury have increased risk of suicide.
In this retrospective study, Traumatic Brain Injury (TBI) was associated with a doubling in deaths by suicide, especially within the 6 months post-TBI.
A combined test of ubiquitin C-terminal hydrolase-L1 and glial fibrillary acidic protein assay results has high sensitivity for detection of intracranial injury among patients with TBI.
Following the close of the 2018 World Cup, FIFA must consider how to better handle concussions moving forward.
The prevalence of concussion among US high school students related to playing a sport or being physically active is 15.1% per year.
There are considerable gaps in follow-up care for patients with mild traumatic brain injury who have been discharged from the hospital.
There was a shorter mean time from the index date to the dementia diagnosis among those with traumatic brain injury vs those without traumatic brain injury.
Children hospitalized for traumatic brain injury tend to have unmet needs for educational and rehabilitation services approximately 2 years after a traumatic brain injury event.
Approximately 16% of patients who met the WHO's concussion criteria did not receive a concussion diagnosis.
Patients with TBI had a higher incidence of PD compared with patients without TBI.
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