Departments of Emergency Medicine and Pediatrics, Hasbro Children's Hospital and the Alpert Medical School of Brown University, Providence, Rhode Island, USA.
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Brain Inj. 2021 Sep 19;35(11):1371-1381. doi: 10.1080/02699052.2021.1972141. Epub 2021 Sep 16.
While prior studies have found parental socioeconomic status (SES) affects the outcomes of pediatric traumatic brain injury (TBI), the longitudinal trajectory of this effect is not well understood.
This prospective cohort study included children 8-18 years of age admitted to six sites with a complicated mild (n = 123) or moderate-severe TBI (n = 47). We used caregiver education and household poverty level as predictors, and multiple quality of life and health behavior domains as outcomes. Differences at 6, 12, and 24 months from baseline ratings of pre-injury functioning were compared by SES. We examined the association between measures of SES and domains of functioning over the 24 months post-injury in children with a complicated mild or moderate- severe TBI, and determined how this association varied over time.
Parental education was associated with recovery among children with complicated mild TBI; outcomes at 6, 12, and 24 months were substantially poorer than at baseline for children with the least educated parents. After moderate-severe TBI, children in households with lower incomes had poorer outcomes compared to baseline across time.
Parental education and household income were associated with recovery trajectories for children with TBI of varying severity.
尽管先前的研究发现父母的社会经济地位（SES）会影响儿科创伤性脑损伤（TBI）的结果，但这种影响的纵向轨迹尚不清楚。
本前瞻性队列研究纳入了 6 个地点因复杂轻度（n=123）或中重度 TBI（n=47）入院的 8-18 岁儿童。我们使用照顾者教育和家庭贫困水平作为预测指标，以多个生活质量和健康行为领域作为结果。根据 SES，比较基线前损伤功能评定后 6、12 和 24 个月时的差异。我们研究了 SES 指标与受伤后 24 个月内中重度 TBI 儿童功能领域之间的关系，并确定了这种关系随时间的变化。
父母的教育程度与患有复杂轻度 TBI 的儿童的恢复有关；与基线相比，受教育程度最低的父母的孩子在 6、12 和 24 个月时的结果明显较差。在中重度 TBI 后，收入较低的家庭的孩子在整个时间内的结果比基线差。
父母的教育程度和家庭收入与不同严重程度 TBI 儿童的恢复轨迹有关。
