Cognitive and Behavioral Outcome Following Mild Traumatic Head Injury in Children
Abstract
Objectives To investigate outcome in children with mild traumatic head injury (THI) at 1 week and 3 months postinjury and to identify factors associated with persisting problems. Design Postconcussional symptomatology, behavior ratings, and neuropsychological test performance were examined at 1 week and 3 months postinjury. Setting Participants were recruited from successive presentations to emergency departments of two major hospitals. Participants 130 Children with mild THI were compared with 96 children having other minor injuries as controls. Results Children with mild THI experienced headaches, dizziness, and fatigue but exhibited no cognitive impairments, relative to controls, at 1 week postinjury. By 3 months, symptoms had resolved. However, 17% of children showed significant ongoing problems. They were more likely to have a history of previous head injury, learning difficulties, neurological or psychiatric problems, or family stressors. Conclusions Persisting problems following mild head injury in children are more common in those with previous head injury, preexisting learning difficulties, or neurological, psychiatric, or family problems. These "at-risk" children should be identified in the emergency department and monitored.
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Uncomplicated mild traumatic brain injury is typically not expected to be associated with significant lasting cognitive impairment in children who do not have compromised psychosocial backgrounds.
“This investigation was limited to patients who had at least complicated mild or moderate TBI (as evidenced by the presence of intracranial lesions on neuroimaging), because uncomplicated mild TBI is typically not expected to be associated with significant lasting cognitive impairment in children who do not have compromised psychosocial backgrounds (Ponsford et al., 1999; Satz et al., 1997).”
From Criterion validity of the Wechsler Intelligence Scale for Children–Fourth Edition after pediatric traumatic brain injury (2008) · cites this paper as Ponsford et al., 1999
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- Authors
- Ponsford, J., Willmott, C., Rothwell, A., Cameron, P., Ayton, G., Nelms, R., Curran, C., & Ng, K. T.
- Affiliations
- The Royal Melbourne Hospital (AU)
- Corresponding author
- Ponsford, Jennie
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 1999-08
- Volume
- 14
- Issue
- 4
- Pages
- 360-372
- ISSN
- 0885-9701 (ISSN-L)
- OpenAlex
- W2066016680
- Cited by
- 299
- References
- 24
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 5 · 2022: 5 · 2021: 9 · 2020: 9 · 2019: 13 · 2018: 76 · 2017: 16 · 2016: 16 · 2015: 24 · 2014: 16 · 2013: 15 · 2012: 6
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Head Trauma Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Keywords
- concussion, children, cognitive outcomes, behavioral effects, learning difficulties, family stress, risk factors
- MeSH terms
- Adolescent, Adolescent Behavior, Mental Disorders, Brain Concussion, Brain Diseases, Child, Child Behavior, Cognition, Dizziness, Family Relations, Fatigue, Follow-Up Studies, Craniocerebral Trauma, Headache, Humans, Learning Disabilities, Recurrence, Risk Factors, Outcome Assessment, Health Care
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