Long-term impact of abusive head trauma in young children: outcomes at 5 and 11 years old
Journal of Pediatric Surgery Feb 26, 2021
Jackson JE, Beres AL, Theodorou CM, et al. - Among young children, a leading cause of morbidity and mortality is abusive head trauma (AHT). Researchers here examined how AHT impacts in the long-term. Using administrative claims from 2000-2018, they identified 1,165 children with documented AHT with follow-up through age 5; follow-up through age 11 was available for 358 children. At 5 years of age and at 11 years of age, the incidence of neurodevelopmental disability was 68.0% (792/1165) and 81.6% (292/358), respectively. For the 358 children followed from 5 to 11 years old, significantly increased incidence of disability was observed. Relative to 2 year olds, children < 1 year old at the time of AHT more frequently exhibited development of disabilities. Findings thereby suggest correlation of AHT with significant long-term disability. An association was herein observed between age at time of AHT and long-term outcomes. Hence, they emphasize making efforts to improve comprehensive follow-up as children continue to age.
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