Functional status after childhood traumatic brain injury

Barbara Wechsler, Heakyung Kim, Paul R. Gallagher, Carla DiScala, Margaret G. Stineman

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Background: Identification of children after traumatic brain injury (TBI) likely to have functional deficits at trauma center discharge will facilitate care. Methods: Two logistic regression models were derived from data on 4,439 children after TBI 7 to 14 years old enrolled in the National Pediatric Trauma Registry between 1994 and 2001 to predict physical and cognitive disabilities. Results: Children with open or multiple fractures or closed fractures or injured by motor vehicles were 8.2, 3.5, or 2.5 times more likely, respectively, than those without those circumstances to have discharge physical disabilities. Likelihood of cognitive impairment was increased by factors of 3.2 and 5.8 in children obtunded or comatose on arrival. Preexisting cognitive deficits, injury severity, and intubation predicted physical and cognitive disabilities. The C statistic was 0.862 for the motor model and 0.860 for the cognitive model. Conclusion: Predicting the likelihood of morbidity after acute management of childhood TBI can provide information pertinent to providing effective care.

Original languageEnglish (US)
Pages (from-to)940-949
Number of pages10
JournalJournal of Trauma - Injury, Infection and Critical Care
Issue number5
StatePublished - May 2005
Externally publishedYes


  • Children
  • Functional Independence Measure
  • Injury Severity Score
  • National Pediatric Trauma Registry
  • Outcome prediction
  • PRM
  • Traumatic brain injury

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine


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