Children's brain injury: a postal follow-up of 525 children from one health region in the UK

Brain Inj. 2002 Nov;16(11):969-85. doi: 10.1080/02699050210147239.


Primary objectives: To follow-up a population of children admitted to one Hospital Trust with traumatic brain injury (TBI), and compare outcomes following mild TBI with outcomes following moderate or severe TBI.

Research design: Population-based postal questionnaire survey.

Methods and procedures: Questionnaires were mailed to parents of all 974 surviving children on a register of paediatric TBI admissions, 525 completed questionnaires were returned (56.2%). Most children (419) had suffered mild TBI, 57 moderate, and 49 severe.

Main outcomes and results: Thirty per cent of parents received no information on post-injury symptoms, and clinical follow-up was limited. Statistically significant differences were observed between mild and moderate/severe groups for cognitive, social, emotional, and mobility problems. Nevertheless, approximately 20% of the mild group suffered from poor concentration, personality change and educational problems post-injury. Few schools (20%) made special provision for children returning after injury.

Conclusions: Children can have long-lasting and wide-ranging sequelae following TBI. Information should be routinely given to parents and schools after brain injury.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Brain Injuries / complications*
  • Brain Injuries / rehabilitation*
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Needs Assessment / statistics & numerical data
  • Outcome Assessment, Health Care / statistics & numerical data*
  • Surveys and Questionnaires*
  • Time Factors
  • Trauma Severity Indices
  • United Kingdom