The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.
Cognitive Fatigue in Pediatric Traumatic Brain Injury: A Meta-Analysis and Scoping Review
Abstract
Objective: To review the evidence available on cognitive fatigue (ie, increase in mental exhaustion after prolonged cognitive activity) in childhood traumatic brain injury (TBI), including rates, associated factors and effects, and management strategies. Methods: A meta-analysis and scoping review of the literature were conducted following the PRISMA guidelines. Terms were searched in relevant databases and through hand-searching. Articles were included and excluded based on specific criteria and methods were evaluated for risk of bias. Results: Of 2579 initially eligible articles, 4 studies with 6 effect sizes (due to reporting of data by group in 2 studies) were included for a meta-analysis and 11 for a scoping review. Cognitive fatigue was a common symptom in children after TBI of varying severities and times post-injury. Few studies investigated factors or effects associated with cognitive fatigue, although emerging evidence indicates some relations with family and injury factors and postinjury functioning. Active rehabilitation was investigated by 2 studies and could be a safe management strategy for cognitive fatigue, but additional investigation is needed on this and other possible assessment and treatment approaches. Conclusions: Cognitive fatigue is a common symptom in children who experience a TBI of any severity. Additional research is needed to determine the course of cognitive fatigue, elucidate the relations between cognitive fatigue and secondary factors, and to build clinically useful assessment and treatment methods.
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Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., et al. (2018) · Annals of Internal Medicine · doi:10.7326/m18-0850 · Cited by 43,565
Rayyan-a web and mobile app for systematic reviews.
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016) · Systematic Reviews · doi:10.1186/s13643-016-0384-4 · Cited by 26,092
Scottish Intercollegiate Guidelines Network
Twaddle, S., & Qureshi, S. (2005) · Evidence-based Healthcare and Public Health · doi:10.1016/j.ehbc.2005.09.008 · Cited by 4,084
Evaluation of the Quality of Prognosis Studies in Systematic Reviews
Hayden, J. A., Côté, P., & Bombardier, C. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-6-200603210-00010 · Cited by 1,452
Sensitivity and specificity of the ImPACT Test Battery for concussion in athletes
SCHATZ, P., PARDINI, J., LOVELL, M., COLLINS, M., & PODELL, K. (2006) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2005.08.001 · Cited by 575
Defining and Measuring Fatigue
Aaronson, L. S., Teel, C. S., Cassmeyer, V., Neuberger, G. B., Pallikkathayil, L., Pierce, J., Press, A. N., Williams, P. D., & Wingate, A. (1999) · Image: the Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1999.tb00420.x · Cited by 565
Interpreting Change on ImPACT Following Sport Concussion
Iverson, G. L., Lovell, M. R., & Collins, M. W. (2003) · The Clinical Neuropsychologist · doi:10.1076/clin.17.4.460.27934 · Cited by 518
Neuropsychological Assessment of the College Football Player
Lovell, M. R., & Collins, M. W. (1998) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-199804000-00004 · Cited by 452
Chronic Aspects of Pediatric Traumatic Brain Injury: Review of the Literature
Babikian, T., Merkley, T., Savage, R. C., Giza, C. C., & Levin, H. (2015) · Journal of Neurotrauma · doi:10.1089/neu.2015.3971 · Cited by 276
Research works printed but not linked: 1
- Schenider, 2007, Post-Concussion Symptom Inventory (PCSI) in school age children, Dev Neurorehabilitation, 10, 282
Cited by
Paediatric post-concussive symptoms: symptom clusters and clinical phenotypes
Lyons, T. W., Mannix, R., Tang, K., Yeates, K. O., Sangha, G., Burns, E., Beer, D. L., Dubrovsky, A. S., Gagnon, I. J., Gravel, J., et al. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-105193 · Cited by 34
Deleterious effect of sustained neuroinflammation in pediatric traumatic brain injury
Jacquens, A., Csaba, Z., Soleimanzad, H., Bokobza, C., Delmotte, P.-R., Userovici, C., Boussemart, P., Chhor, V., Bouvier, D., van de Looij, Y., et al. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.04.029 · Cited by 16
Back to School: Academic Functioning and Educational Needs among Youth with Acquired Brain Injury
Vanderlind, W. M., Demers, L. A., Engelson, G., Fowler, R. C., & McCart, M. (2022) · Children · doi:10.3390/children9091321 · Cited by 14
Cognitive Fatigue Among Santri in Dual-Curriculum Islamic Boarding Schools
Rohani, R., Gunawan, M. A., Suroyya, C. F., & Suciptono (2026) · Tafkir Interdisciplinary Journal of Islamic Education · doi:10.31538/tijie.v6i4.2082 · Cited by 12
Sargénius, H. L., Andersson, S., Haugen, I., Hypher, R. E., Brandt, A. E., Finnanger, T. G., Rø, T. B., Risnes, K. R., & Stubberud, J. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1173480 · Cited by 11
Metadata
- Authors
- Riccardi, J. S., & Ciccia, A.
- Affiliations
- Case Western Reserve University (US)
- Corresponding author
- Riccardi, Jessica Salley
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2021-02-22
- Volume
- 36
- Issue
- 4
- Pages
- 226-241
- ISSN
- 0885-9701 (ISSN-L)
- OpenAlex
- W3133997771
- Cited by
- 27
- References
- 47
- Citations by year
- 2026: 9 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 2
- FWCI
- 0.50
- 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
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- mental fatigue, pediatric traumatic brain injury, children, psychological exhaustion, cognitive rehabilitation, family factors, injury severity, symptom prevalence, fatigue management
- MeSH terms
- Brain Injuries, Traumatic, Child, Cognition, Humans
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- CoChat. (2026). Citation check: Cognitive Fatigue in Pediatric Traumatic Brain Injury: A Meta-Analysis and Scoping Review. https://app.cochat.ai/papers/10.1097/htr.0000000000000644
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- Riccardi, J. S., & Ciccia, A. (2021). Cognitive Fatigue in Pediatric Traumatic Brain Injury: A Meta-Analysis and Scoping Review. Journal of Head Trauma Rehabilitation. https://doi.org/10.1097/htr.0000000000000644
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
