Symposium

Pediatric Rehabilitation

Brain Injury

Measurement

Time to Follow Commands & Post-traumatic Amnesia as Predictors of Outcome Following Pediatric Traumatic Brain Injury (848394)

Presenter(s)

• 

  Jennifer P. Lundine, PhD, CCC-SLP

  Assistant Professor; Research Scientist
  The Ohio State University; Nationwide Children's Hospital
  Columbus, Ohio

  Presentation Slides
• KD

  Kimberly C. Davis, PhD

  Pediatric Neuropsychologist
  Baylor College of Medicine/Texas Children's Hospital
  Houston, Texas
• 

  Stacy J. Suskauer, MD

  Co-Director Brain Injury Research Center
  Kennedy Krieger Institute
  Johns Hopkins University School of Medicine
  Baltimore, Maryland

Non-presenting Author(s)

• 

  Christine Koterba, PhD, ABPP

  Pediatric Neuropsychologist
  Nationwide Children's Hospital
  Columbus, Ohio

Accurate and timely prediction of long-term outcome is essential to better inform families about the possible implications of an injury on their child’s development. It is also necessary for the identification and implementation of necessary supports as the child transitions from the hospital back into their home, school, and community. The multidisciplinary panel will describe data collected at two large pediatric institutions which aimed to examine the utility of the Glasgow Coma Scale (GCS), time-to-follow commands (TFC), and post-traumatic amnesia (PTA) in the clinical prediction of later outcomes of children with traumatic brain injury (TBI). Results will be discussed to highlight similarities and differences between findings at the two institutions. Recommendations for assessment, data tracking, interdisciplinary medical team collaboration, and education of families across the continuum of recovery (PICU to Inpatient Rehabilitation) will be highlighted along with opportunities to establish standardized data collection in order to facilitate collaboration across sites.

Learning Objectives:

• 1. Describe how time to follow commands and duration of post-traumatic amnesia are measured following childhood TBI.
• Describe findings from two large pediatric institutions regarding the use of time to follow commands and duration of post-traumatic amnesia as predictors of later outcome following TBI.
• 3. Describe recommendations regarding use of time to follow commands and duration of post-traumatic amnesia for acute and rehabilitation care following pediatric TBI.