Suskauer Stacy J, Rane Shruti, Reesman Jennifer, Slomine Beth S
Kennedy Krieger Institute, Baltimore, MD, USA.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Pediatr Rehabil Med. 2018;11(1):7-14. doi: 10.3233/PRM-160424.
Preschool-aged children have a high rate of traumatic brain injuries (TBI). Anecdotally, caregivers of young children describe symptoms not typically associated with TBI. The objective of this study was to preliminarily describe symptoms reported following TBI in an outpatient sample of preschool-aged children.
Retrospective chart review was completed of the first specialty clinic visit by 28 children ages 3 through 5 years with TBI (32% mild, 50% moderate, 18% severe) to identify post-injury symptoms elicited by caregiver interview including querying of symptoms listed on the Acute Concussion Evaluation (ACE) plus an open-ended request to describe any other symptoms.
Visits occurred on average 38 days post-injury. Caregivers endorsed typical post-concussive symptoms, with headache being most common. In addition, caregivers described other symptoms not captured by the ACE which were grouped into the following categories: Appetite Changes, Behavioral Dysregulation, Decreased Engagement, Disrupted Sleep, Enuresis, Increased Dependence, and Stomachaches.
Caregivers of preschool-aged children with TBI endorse that young children experience many typical post-concussive symptoms but also a range of other symptoms which may not be typically associated with TBI. Additional work is needed to determine whether specialized evaluation tools and educational materials may be useful for this age group.
学龄前儿童创伤性脑损伤（TBI）的发生率很高。据传闻，幼儿的照顾者描述了一些通常与TBI无关的症状。本研究的目的是初步描述在一组学龄前儿童门诊样本中TBI后报告的症状。
对28名3至5岁患有TBI的儿童（32%为轻度，50%为中度，18%为重度）首次专科门诊就诊情况进行回顾性病历审查，以确定照顾者访谈中引出的伤后症状，包括询问急性脑震荡评估（ACE）列出的症状以及一个开放式要求，即描述任何其他症状。
就诊平均发生在受伤后38天。照顾者认可典型的脑震荡后症状，其中头痛最为常见。此外，照顾者描述了ACE未涵盖的其他症状，这些症状分为以下几类：食欲变化、行为失调、参与度降低、睡眠中断、遗尿、依赖性增加和腹痛。
患有TBI的学龄前儿童的照顾者认可幼儿会经历许多典型的脑震荡后症状，但也会出现一系列其他可能通常与TBI无关的症状。需要进一步开展工作来确定专门的评估工具和教育材料对这个年龄组是否有用。
