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Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury?

Moran, Lisa M.
http://rave.ohiolink.edu/etdc/view?acc_num=osu1250198689

Abstract Details

2009, Master of Arts, Ohio State University, Psychology.
Several studies in the pediatric literature have demonstrated that increases in post-concussive symptoms (PCS) are correlated with worse outcomes or greater neurological damage following mild traumatic brain injury (mTBI). This study assessed whether it is possible to predict injury severity from PCS presentation in children. The sample included 285 children ages 8 to 15, 186 with mTBI and a comparison group of 99 with orthopedic injuries (OI). Both parent and child rated frequency and severity of PCS at baseline (within 2 weeks post-injury) and follow-up visits at 3 and 12 months post-injury. The mTBI group was divided into high and low injury severity using either the incidence of LOC or the presence of intracranial abnormalities on MRI. A series of discriminant function analyses revealed that ratings of PCS collected at baseline differentiated children with mTBI from OI while those at later time points could not. Somatic PCS accounted for most of the discriminatory power. Only parent ratings as baseline were able to discriminate between all three groups. Overall, predicted group classification was poor with a large proportion of false negatives. While it is clear that children with mTBI endorse more PCS than children with OI, accurate prediction of injury severity from symptom presentation is not yet possible.
Keith Yeates, PhD (Advisor)
Steven Beck, PhD (Committee Member)
Michael Vasey, PhD (Committee Member)
Psychology
child brain injury; mild traumatic brain injury; everyday functioning

Recommended Citations

Citations

  • Moran, L. M. (2009). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1250198689

    APA Style (7th edition)

  • Moran, Lisa. Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? 2009. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1250198689.

    MLA Style (8th edition)

  • Moran, Lisa. "Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury?" Master's thesis, Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1250198689

    Chicago Manual of Style (17th edition)

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© 2009, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.