AI Article Synopsis
- A study on abusive head trauma (AHT) found that it significantly impacts long-term neurodevelopmental outcomes in children under 3 years old, with a high incidence of disability observed.
- The research analyzed administrative claims data from 2000-2018, identifying 1,165 children, revealing that 68.0% had disabilities by age 5 and 81.6% by age 11, indicating a concerning increase over time.
- Results showed that younger children (under 1 year) at the time of AHT were more likely to develop disabilities than those who were 2 years old, highlighting the need for improved follow-up care as these children grow.
Article Abstract
Background: Abusive head trauma (AHT) is a leading cause of morbidity and mortality among young children. We aimed to evaluate the long-term impact of AHT.
Methods: Using administrative claims from 2000-2018, children <3 years old with documented AHT who had follow-up through ages 5 and 11 years were identified. The primary outcome was incidence of neurodevelopmental disability and the secondary outcome was the effect of age at time of AHT on long-term outcomes.
Results: 1,165 children were identified with follow-up through age 5; 358 also had follow-up through age 11. The incidence of neurodevelopmental disability was 68.0% (792/1165) at 5 years of age and 81.6% (292/358) at 11 years of age. The incidence of disability significantly increased for the 358 children followed from 5 to 11 years old (+14.3 percentage points, p<0.0001). Children <1 year old at the time of AHT were more likely to develop disabilities when compared to 2 year olds.
Conclusions: AHT is associated with significant long-term disability by age 5 and the incidence increased by age 11 years. There is an association between age at time of AHT and long-term outcomes. Efforts to improve comprehensive follow-up as children continue to age is important.
Level Of Evidence: IV.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8374003 | PMC |
| http://dx.doi.org/10.1016/j.jpedsurg.2021.02.019 | DOI Listing |
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