title: Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic.
abstract: Traumatic brain injury is a major public health problem in the pediatric population. Previously, management was acute emergency department/primary care evaluation with follow-up by primary care. However, persistent symptoms after traumatic brain injury are common, and many do not have access to a specialized traumatic brain injury clinic to manage chronic issues. The goal of this study was to determine the factors related to outcomes, and identify the interventions provided in this subspecialty clinic. Data were extracted from medical records of 151 retrospective and 403 prospective patients. Relationships between sequelae, injury characteristics, and clinical interventions were analyzed. Most patients returning to clinic were not fully recovered from their injury. Headaches were more common after milder injuries, and seizures were more common after severe. The majority of patients received clinical intervention. The presence of persistent sequelae for traumatic brain injury patients can be evaluated and managed by a specialty concussion/traumatic brain injury clinic ensuring that medical needs are met.
authors: UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA Both authors contributed equally to the article. mchoe@mednet.ucla.edu.
authors: M C
authors: MC
authors: Choe
authors: University of California Davis School of Medicine, Los Angeles, CA, USA Both authors contributed equally to the article.
authors: H
authors: H
authors: Valino
authors: Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.
authors: J
authors: J
authors: Fischer
authors: Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.
authors: M
authors: M
authors: Zeiger
authors: Ross University School of Medicine, Los Angeles, CA, USA.
authors: J
authors: J
authors: Breault
authors: UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA.
authors: D L
authors: DL
authors: McArthur
authors: UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA.
authors: M
authors: M
authors: Leung
authors: Division of Pediatric Critical Care, Los Angeles, CA, USA.
authors: A
authors: A
authors: Madikians
authors: UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.
authors: S
authors: S
authors: Yudovin
authors: Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.
authors: J T
authors: JT
authors: Lerner
authors: UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA.
authors: C C
authors: CC
authors: Giza
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001930:Brain Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D057286:Electronic Health Records / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D016896:Treatment Outcome; D055815:Young Adult
keywords: postconcussive syndrome; traumatic brain injury clinic; traumatic brain injury management