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Rehabilitation and school services following traumatic brain injury in young children

Juliet Haarbauer-Krupa1, Jennifer P Lundine2,3, Roberta DePompei4

  • 1Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.

Neurorehabilitation
|April 18, 2018
PubMed

Insights

Young children with traumatic brain injuries (TBI) often lack follow-up services. This study found limited service access and no systematic care for preschoolers with TBI, highlighting a gap in care coordination.

Area of Science:

  • Pediatric Traumatic Brain Injury Research
  • Healthcare Service Access Studies
  • Childhood Injury Outcomes

Background:

  • Preschool children experience high rates of traumatic brain injury (TBI) emergency visits.
  • Most young TBI patients are discharged home without clear follow-up care pathways.
  • This study investigates family experiences accessing services post-TBI in preschoolers.

Purpose of the Study:

  • To document parent-reported service utilization after preschool TBI.
  • To identify factors predicting service access for young children with TBI.
  • To understand the service landscape for pediatric TBI survivors.

Main Methods:

  • Longitudinal study involving 80 preschool children with TBI.
  • Parental interviews collected data on service history.
  • Logistic regression analyzed injury factors and service utilization.

Main Results:

  • 83% of TBI cases were mild injuries.
  • No inpatient rehabilitation was provided; only 26% received outpatient treatment.
  • Shorter hospital stays correlated with reduced service access (p=0.040).

Conclusions:

  • A significant gap exists in the continuum of care for preschool TBI.
  • Existing healthcare, education, and state resources are not systematically integrated for TBI.
  • Healthcare providers should educate parents on TBI's learning impacts to improve follow-up.
Abstract

Keywords:
Traumatic brain injuryrehabilitationschool serviceyoung children

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