OTSLPNarrative ReviewThe Journal of head trauma rehabilitation2020

From Early Childhood to Adolescence: Lessons About Traumatic Brain Injury From the Ohio Head Injury Outcomes Study.

Christine L Petranovich, Julia Smith-Paine, Shari L Wade and 4 others

PMID 31996606

WHAT IT FOUND

Children with early childhood TBI had lasting cognitive, language, behavior, and school difficulties, often unmet.

Family stress, parenting, and genetics were related to outcomes. This review reports associations, not treatment effects.

Key findings

01Severe TBI was associated with weaknesses in executive functions, higher-order language, pragmatics, and theory of mind, and with later cognitive and adaptive functioning problems.

02Family factors were repeatedly associated with child problems: caregiver distress related to academic, behavior, and adaptive difficulties; lower socioeconomic status, family burden, and permissive parenting related to executive problems.

03Unmet needs were common: 46.2% to 63.6% across groups had unmet academic needs at 82 months, and 77% had unmet clinical need at that time.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The supplied text does not give the total number of children enrolled, analysed, or retained, because recruitment and retention are in a figure and table that are not available. This is a narrative review, not a systematic review or new analysis, so it may not capture all OHIO findings or weigh evidence consistently. It is observational and review-based, so associations with parenting, family stress, socioeconomic status, and genetics cannot show cause and effect. The cohort included children aged 3 to 7 years at injury, hospitalized for at least one night, with no pre-injury neurological or developmental problems, no child abuse as the cause, and English as the home language; most papers excluded a small mild TBI or concussion subgroup, so findings may not apply to outpatient mild TBI, other languages, or children with pre-existing conditions. Baseline pre-injury functioning relied on retrospective parent ratings, which may be biased, and some executive and social outcomes relied on parent or teacher reports rather than direct observation. Time points and subsets varied across papers, so comparisons between domains and across studies may not be exact.

Declared interests

The supplied text does not include a conflicts-of-interest or funding declaration. The publication types list NIH extramural and non-U.S. government research support.

The easy way to misread this

Do not conclude that any treatment or parenting style caused these outcomes. This is a review of observational cohort findings, so family, genetic, and injury factors are associated with outcomes but not tested as interventions.

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