Evidence map›Paper›PMID 31246877›Full record

ArticleThe Journal of head trauma rehabilitation

Changing Healthcare and School Needs in the First Year After Traumatic Brain Injury.

Heather T Keenan, Amy E Clark, Richard Holubkov, Linda Ewing-Cobbs

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

4 authors.

Heather T KeenanDivision of Critical Care, Department of Pediatrics, The University of Utah, Salt Lake City (Drs Keenan and Holubkov and Ms Clark); and Department of Pediatrics and Children's Learning Institute, University of Texas McGovern Medical School, Houston (Dr Ewing-Cobbs).
Amy E Clark
Richard Holubkov
Linda Ewing-Cobbs

Funding

Developmental Consequences of Pediatric TBIU01CE002188 · CE · UNIVERSITY OF UTAH · PI EWING-COBBS, LINDA, KEENAN, HEATHER T. · 2012 to 2016
$2.7M
Primary Care after Hospitalization for Pediatric Traumatic Brain InjuryK24HD072984 · NICHD · UNIVERSITY OF UTAH · PI KEENAN, HEATHER T. · 2012 to 2016
$935k
NCIPC CDC HHS U01 CE002188NICHD NIH HHS K24 HD072984
6 · The paper itself

Abstract

objectiveTo examine children's unmet and unrecognized healthcare and school needs following traumatic brain injury (TBI).

settingTwo pediatric trauma centers.

participantsChildren with all severity of TBI aged 4 to 15 years.

designProspective cohort. MAIN MEASURES: Caregivers provided child health and school service use 3 and 12 months postinjury. Unmet and unrecognized needs were categorized compared with norms on standardized physical, cognitive, socioemotional health, or academic competence measures in conjunction with caregiver report of needs and services. Modified Poisson models examined child and family predictors of unmet and unrecognized needs.

resultsOf 322 children, 28% had unmet or unrecognized healthcare or school needs at 3 months, decreasing to 24% at 12 months. Unmet healthcare needs changed from primarily physical (79%) at 3 months to cognitive (47%) and/or socioemotional needs (68%) at 12 months. At 3 months, low social capital, preexisting psychological diagnoses, and 6 to 11 years of age predicted higher healthcare needs and severe TBI predicted higher school needs. Twelve months postinjury, prior inpatient rehabilitation, low income, and preexisting psychological diagnoses were associated with higher healthcare needs; family function was important for school and healthcare needs.

conclusionsTargeted interventions to provide family supports may increase children's access to services.

Indexed as

Health Services Needs and DemandNeeds AssessmentAdolescentAge FactorsBrain Injuries, TraumaticChildChild, PreschoolCohort StudiesFemaleGlasgow Coma ScaleHumansMaleTime Factors

Identifiers

PMID31246877
PMCPMC6930363

What OpenQuestion holds

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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.