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dc.contributor.authorJones, Kellyen_NZ
dc.contributor.authorBarker-Collo, Suzanneen_NZ
dc.contributor.authorParmar, Priyaen_NZ
dc.contributor.authorStarkey, Nicola J.en_NZ
dc.contributor.authorTheadom, Aliceen_NZ
dc.contributor.authorAmeratunga, Shanthien_NZ
dc.contributor.authorFeigin, Valery L.en_NZ
dc.date.accessioned2019-07-03T04:29:39Z
dc.date.available2018-03-01en_NZ
dc.date.available2019-07-03T04:29:39Z
dc.date.issued2018en_NZ
dc.identifier.citationJones, K. M., Barker-Collo, S., Parmar, P., Starkey, N. J., Theadom, A., Ameratunga, S., & Feigin, V. L. (2018). Trajectories in health recovery in the 12 months following a mild traumatic brain injury in children: Findings from the BIONIC Study. Journal of Primary Health Care, 10(1), 81–89. https://doi.org/10.1071/HC17038en
dc.identifier.issn1172-6164en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/12677
dc.description.abstractIntroduction: There is growing consensus that adverse child outcomes may be evident in the early recovery phase following mild traumatic brain injury (TBI). However, controversy remains around the nature of children's longer-term recovery. Aim: To examine child cognitive, behavioural and quality-of-life outcomes over 12 months following mild injury, and to identify prognostic factors associated with outcomes. Methods: A prospective sample of 222 children (aged 2-15 years at injury) with mild TBI was assessed using a cognitive testing battery and parent-report questionnaires at ≤ 14 days, 1, 6 and/or 12-months post-injury. RESULTS Parents reported significant improvements in their child's behavioural adjustment between baseline and 6 months (P = 0.003), with further improvements at 12 months following inju ry (P = 0.001). Cognitive recovery and quality-of-life improvements were more gradual with minimal changes in the first month (P > 0.05), but significant improvements by 12-months post-injury (P = 0.03, P = 0.02, respectively). Time since injury, male gender, living rurally and parent anxiety were associated with extent of recovery beyond the acute period. CONCLUSIONS Children's recovery from mild TBI continues beyond the initial 6 months following injury. Health-care providers need to be vigilant about the varying trajectories in children's recovery from TBI. On-going monitoring of children following injury will enable timely and proactive responses to persistent difficulties, with a view to minimising longer-term adverse consequences.en_NZ
dc.format.mimetypeapplication/pdf
dc.language.isoen
dc.rightsThis is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
dc.subjectHealth research
dc.subjectpaediatrics
dc.subjectpopulation health
dc.subjectcarers
dc.titleTrajectories in health recovery in the 12 months following a mild traumatic brain injury in children: Findings from the BIONIC Studyen_NZ
dc.typeJournal Article
dc.identifier.doi10.1071/HC17038en_NZ
dc.relation.isPartOfJournal of Primary Health Careen_NZ
pubs.begin-page81
pubs.elements-id221022
pubs.end-page89
pubs.issue1en_NZ
pubs.publication-statusPublisheden_NZ
pubs.volume10en_NZ
dc.identifier.eissn1172-6156en_NZ


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