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Prevalence of Brain Injuries among Children with Special Healthcare Needs

Lydie A Lebrun-Harris1, Sarika Rane Parasuraman1, Rebecca Desrocher2

  • 1Office of Epidemiology and Research, Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD.

The Journal of Pediatrics
|June 11, 2018
PubMed

Insights

Children with special healthcare needs (CSHCN) have a nearly 3 times higher prevalence of brain injury compared to their peers. This highlights a critical disparity in pediatric brain injury rates and associated health conditions.

Area of Science:

  • Pediatric Health
  • Neurology
  • Public Health

Background:

  • Children with special healthcare needs (CSHCN) often experience complex health conditions.
  • Understanding brain injury prevalence in this population is crucial for targeted interventions.
  • Sociodemographic and family factors may influence brain injury risk.

Purpose of the Study:

  • To investigate brain injury prevalence differences between CSHCN and non-CSHCN in the US.
  • To identify sociodemographic and family characteristics associated with brain injury in children.
  • To examine health conditions correlated with brain injury among CSHCN.

Main Methods:

  • Cross-sectional analysis of the 2016 National Survey of Children's Health (n=50,212).
  • CSHCN status determined using a validated 5-item tool assessing functional limitations and healthcare needs.
  • Brain injury history reported by caregivers based on healthcare provider diagnosis; bivariate and multivariable analyses performed.

Main Results:

  • Lifetime brain injury prevalence was significantly higher in CSHCN (6.7%) versus non-CSHCN (2.3%).
  • CSHCN represent 19% of US children but account for 42% of all childhood brain injuries.
  • CSHCN with brain injury showed higher prevalence of comorbid conditions and functional limitations.

Conclusions:

  • Brain injury is nearly 3 times more prevalent among CSHCN.
  • Comorbid conditions in CSHCN are significantly associated with a history of brain injury.
  • Further research is needed to understand the interplay between brain injury and other conditions in CSHCN.
Abstract

Keywords:
National Survey of Children's Healthbrain injurychildren with special healthcare needs

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