Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/33750
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dc.contributor.authorCrowe, Louise M-
dc.contributor.authorRausa, Vanessa C-
dc.contributor.authorAnderson, Vicki-
dc.contributor.authorBorland, Meredith L-
dc.contributor.authorKochar, Amit-
dc.contributor.authorLyttle, Mark D-
dc.contributor.authorGilhotra, Yuri-
dc.contributor.authorDalziel, Stuart R-
dc.contributor.authorOakley, Ed-
dc.contributor.authorFuryk, Jeremy-
dc.contributor.authorNeutze, Jocelyn-
dc.contributor.authorBressan, Silvia-
dc.contributor.authorDavis, Gavin A-
dc.contributor.authorBabl, Franz E-
dc.date2023-
dc.date.accessioned2023-09-20T07:00:06Z-
dc.date.available2023-09-20T07:00:06Z-
dc.date.issued2024-01-
dc.identifier.citationArchives of Physical Medicine and Rehabilitation 2024-01; 105(1)en_US
dc.identifier.issn1532-821X-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/33750-
dc.description.abstractTo investigate if preschool children differ to school age children with mild traumatic brain injury (TBI) with respect to injury causes, clinical presentation, and medical management. A secondary analysis of a dataset from a large, prospective and multisite cohort study on TBI in children aged 0-18 years, the Australian Paediatric Head Injury Rules Study. Nine pediatric emergency departments (ED) and 1 combined adult and pediatric ED located across Australia and New Zealand. 7080 preschool aged children (2-5 years) were compared with 5251 school-age children (6-12 years) with mild TBI (N= (N=12,331) MAIN OUTCOME MEASURES: Clinical report form on medical symptoms, injury causes, and management. Preschool children were less likely to be injured with a projectile than school age children (P<.001). Preschool children presented with less: loss of consciousness (P<.001), vomiting (P<.001), drowsiness (P=.002), and headache (P<.001), and more irritability and agitation (P=.003), than school-age children in the acute period after mild TBI. Preschool children were less likely to have neuroimaging of any kind (P<.001) or to be admitted for observation than school age children (P<.001). Our large prospective study has demonstrated that preschool children with mild TBI experience a different acute symptom profile to older children. There are significant clinical implications with symptoms post-TBI used in medical management to aid decisions on neuroimaging and post-acute intervention.en_US
dc.language.isoeng-
dc.subjectAdolescenten_US
dc.subjectBrain concussionen_US
dc.subjectBrain injuriesen_US
dc.subjectChilden_US
dc.subjectPreschoolen_US
dc.subjectRehabilitationen_US
dc.subjectTraumaticen_US
dc.titleMild Traumatic Brain Injury Characteristics and Symptoms in Preschool Children: How Do They Differ to School Age Children? A Multicenter Prospective Observational Study.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleArchives of Physical Medicine and Rehabilitationen_US
dc.identifier.affiliationClinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia; School of Psychological Sciences, University of Melbourne, Melbourne, Australia.en_US
dc.identifier.affiliationClinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.en_US
dc.identifier.affiliationClinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia; School of Psychological Sciences, University of Melbourne, Melbourne, Australia.en_US
dc.identifier.affiliationEmergency Department, Perth Children's Hospital, Perth, Australia; School of Medicine, Divisions of Emergency Medicine and Paediatrics, University of Western Australia, Perth, Australia.en_US
dc.identifier.affiliationEmergency Department, Women's & Children's Hospital, Adelaide, Australia.en_US
dc.identifier.affiliationFaculty of Health & Life Sciences, University of the West of England, Bristol, UK.en_US
dc.identifier.affiliationEmergency Medicine Education and Training, Retrieval Services, Queensland, Australia.en_US
dc.identifier.affiliationEmergency Department, Starship Children's Health, Auckland, New Zealand; Departments of Surgery and Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand.en_US
dc.identifier.affiliationDepartment of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia; Emergency Department, Royal Children's Hospital, Melbourne, Australia.en_US
dc.identifier.affiliationEmergency Department, The Townsville Hospital, Townsville, Australia; Emergency Department, University Hospital Geelong, Geelong, Australia; School of Medicine, Faculty of Health, Deakin University, Geelong, Australia.en_US
dc.identifier.affiliationEmergency Department, Kidzfirst Middlemore Hospital, Auckland, New Zealand.en_US
dc.identifier.affiliationDepartment of Women's and Children's Health, University of Padova, Padova, Italy.en_US
dc.identifier.affiliationNeurosurgeryen_US
dc.identifier.affiliationEmergency Department, Royal Children's Hospital, Melbourne, Australia; Department of Critical Care Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.en_US
dc.identifier.affiliation\abrini Hospitals, Melbourne, Australia.en_US
dc.identifier.doi10.1016/j.apmr.2023.08.008en_US
dc.type.contentTexten_US
dc.identifier.pubmedid37715760-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.languageiso639-1en-
crisitem.author.deptNeurosurgery-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
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