Cited by 299Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesAutomotive and Human Injury Biomechanics

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Cognitive and Behavioral Outcome Following Mild Traumatic Head Injury in Children

Ponsford, Jennie, Willmott, Catherine, Rothwell, Andrew, Cameron, Peter, Ayton, Gary, Nelms, Robyn, Curran, Carolyn, Ng, Kim T·1999·Journal of Head Trauma Rehabilitation

DOI 10.1097/00001199-199908000-00005

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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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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
ORCID: Willmott, Catherine
Cameron, Peter
Venue: Journal of Head Trauma Rehabilitation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1999-08
Volume: 14
Issue: 4
Pages: 360-372
ISSN: 0885-9701 (ISSN-L)
DOI: 10.1097/00001199-199908000-00005
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 › Clinical Neurology › Traumatic Brain Injury Research
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Physical Sciences › Engineering › Biomedical Engineering › 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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Cognitive and Behavioral Outcome Following Mild Traumatic Head Injury in Children

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