Brain-Injury Recovery Varies Widely Among Children

MONDAY, June 18 (HealthDay News) — Although survival rates for
children who sustain brain injuries have improved significantly, it
remains difficult to predict how well these children will do in the long
term, according to a new evidence review.

The recovery of children with brain injuries is complex, and outcomes
may vary widely, the British researchers noted. Protecting these
brain-injured children from infections and accidents should be a priority,
they said.

The research, published online June 18 in CMAJ: Canadian Medical
Association Journal
, also found the age at which children sustain a
brain injury will have an effect on their recovery. The authors suggested
that the common belief that children’s developing brains are more
resilient may be naive.

“There is no single best approach to describing outcome after acquired
brain injury during childhood, and the one chosen must be appropriate to
the purpose at hand,” Dr. Rob Forsyth, of the Institute of Neuroscience at
Newcastle University and Great North Children’s Hospital in
Newcastle-Upon-Tyne, and colleagues wrote in a journal news release.

The researchers looked at pertinent English-language medical literature
from 1966 to the present.

Not enough information is available to help doctors and families decide
how to proceed with the children’s treatment or, in some cases, withdraw
care, the researchers said. Challenges to providing care for children with
brain injuries should be considered, as should the cause of the
injury.

Outcomes often are better following traumatic brain injuries than
injuries sustained from oxygen deprivation, such as drowning or
suffocation, the analysis found. The researchers said psychological issues
these children may face later on could be masked by the initial recovery
of their motor skills.

“Early injury alters the entire developmental trajectory, and effects
can compound through childhood,” the researchers wrote. “This is
particularly clear in the literature surrounding pediatric brain injury,
where sometimes impressive early motor recoveries obscure the
characteristic emergence of cognitive and psychological [effects] in
subsequent years.”

The researchers concluded that although advanced imaging tests can help
doctors determine the severity of brain injuries and improve recovery
predictions among adults, these techniques have not been adequately
studied for use with children.

More information

The Brain Injury Association of America has more about brain injuries in children.

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