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Natural sequence of recovery from child post-traumatic amnesia: A retrospective cohort study

Rachel Briggs1,2, Jason Birse3, Robyn Tate4,5

  • 1a School of Psychology , The University of Sydney , Sydney , NSW , Australia.

Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence
|June 13, 2015
PubMed

Insights

Children with moderate to severe traumatic brain injuries (TBIs) typically regain orientation to person and place before regaining orientation to time and memory. This skill recovery sequence is crucial for TBI rehabilitation and discharge planning.

Area of Science:

  • Pediatric Neurology
  • Neurorehabilitation
  • Trauma Care

Background:

  • Traumatic brain injuries (TBIs) in children can lead to post-traumatic amnesia (PTA), affecting cognitive recovery.
  • Understanding the sequence of skill recovery during PTA is vital for effective rehabilitation.

Purpose of the Study:

  • To determine the specific order of skills recovery during post-traumatic amnesia (PTA) in children aged 8-15 years with moderate to severe TBIs.
  • To assess the developmental appropriateness of the Westmead PTA Scale (WPTAS) for this pediatric population.

Main Methods:

  • A retrospective cohort study involving 50 children (aged 8-15) admitted with TBI and PTA > 24 hours.
  • Utilized the Westmead PTA Scale (WPTAS) to measure the recovery of orientation (person, place, time) and memory.

Main Results:

  • Children recovered orientation to person and place before orientation to time and memory in 94% of cases.
  • Orientation to time recovery was more closely aligned with memory recovery than with orientation to person and place.
  • No significant correlation was found between age and the duration of skill recovery.

Conclusions:

  • The sequence of skill recovery in pediatric TBI involves regaining orientation to person and place first, followed by time and memory.
  • The WPTAS is a developmentally appropriate tool for assessing PTA recovery in children aged 8-15 years.
  • These findings have significant clinical implications for acute care rehabilitation and discharge planning for pediatric TBI patients.
Abstract

Keywords:
AmnesiaPediatricRehabilitationTraumatic brain injuries

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