Evidence map›Paper›PMID 29674358›Full record

ArticlePediatrics2018

Unmet Rehabilitation Needs After Hospitalization for Traumatic Brain Injury.

Molly M Fuentes, Jin Wang, Juliet Haarbauer-Krupa, Keith Owen Yeates, Dennis Durbin, Mark R Zonfrillo, Kenneth M Jaffe, Nancy Temkin, David Tulsky, Hilary Bertisch and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients: A Randomized Controlled Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019
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  6. Trial
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  8. Article
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  10. Observational
  11. Article
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  13. Healthcare Self-Management, Executive Functioning, and Social Determinants of Health in Young Adults with Pediatric-Onset Disabilities: a Pilot Study.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
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  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Molly M FuentesDepartments of Rehabilitation Medicine, molly.fuentes@seattlechildrens.org.
Jin WangThe Harborview Injury Prevention and Research Center, Seattle, Washington.
Juliet Haarbauer-KrupaNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Keith Owen YeatesDepartment of Psychology, University of Calgary, Hotchkiss Brain Institute, and Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada.
Dennis DurbinDivision of Emergency Medicine and.
Mark R ZonfrilloDepartments of Pediatrics and.
Kenneth M JaffeDepartments of Rehabilitation Medicine.
Nancy TemkinThe Harborview Injury Prevention and Research Center, Seattle, Washington.
David TulskyDepartments of Physical Therapy and.
Hilary BertischRusk Rehabilitation, School of Medicine, New York University, New York, New York.
Frederick P RivaraThe Harborview Injury Prevention and Research Center, Seattle, Washington.

Funding

Rehabilitation Medicine Scientist Training (RMST) ProgramK12HD001097 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BONINGER, MICHAEL L. · 1995 to 2016
$14.1M
Pediatric Injury Research Training ProgramT32HD057822 · NICHD · UNIVERSITY OF WASHINGTON · PI CAROLYN A MC CARTY, Ali Rowhani-Rahbar · 2010 to 2026
$4.0M
Effect of treatment on outcome after TBI in children and adolescentsU01CE002196 · CE · UNIVERSITY OF WASHINGTON · PI RIVARA, FREDERICK P. · 2012 to 2015
$1.8M
NCIPC CDC HHS U01 CE002196NICHD NIH HHS K12 HD001097NICHD NIH HHS T32 HD057822
6 · The paper itself

Abstract

objectivesIn this study, we describe unmet service needs of children hospitalized for traumatic brain injury (TBI) during the first 2 years after injury and examine associations between child, family, and injury-related characteristics and unmet needs in 6 domains (physical therapy, occupational therapy, speech therapy, mental health services, educational services, and physiatry).

methodsProspective cohort study of children age 8 to 18 years old admitted to 6 hospitals with complicated mild or moderate to severe TBI. Service need was based on dysfunction identified via parent-report compared with retrospective baseline at 6, 12, and 24 months. Needs were considered unmet if the child had no therapy services in the previous 4 weeks, no physiatry services since the previous assessment, or no educational services since injury. Analyses were used to compare met and unmet needs for each domain and time point. Generalized multinomial logit models with robust SEs were used to assess factors associated with change in need from pre-injury baseline to each study time point.

resultsUnmet need varied by injury severity, time since injury, and service domain. Unmet need was highest for physiatry, educational services, and speech therapy. Among children with service needs, increased time after TBI and complicated mild TBI were associated with a higher likelihood of unmet rather than met service needs.

conclusionsChildren hospitalized for TBI have persistent dysfunction with unmet needs across multiple domains. After initial hospitalization, children with TBI should be monitored for functional impairments to improve identification and fulfillment of service needs.

Indexed as

Health Services Needs and DemandHospitalizationAdolescentBrain Injuries, TraumaticChildEducation, SpecialFemaleHumansLongitudinal StudiesMaleMental Health ServicesOccupational TherapyPhysical Therapy ModalitiesRetrospective StudiesSpeech TherapyTrauma Severity Indices

Identifiers

PMID29674358
PMCPMC5914497

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.