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A history of low birth weight alters recovery following a future head injury: a case series.
- Source :
-
Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence [Child Neuropsychol] 2014; Vol. 20 (5), pp. 495-508. Date of Electronic Publication: 2013 Aug 20. - Publication Year :
- 2014
-
Abstract
- Objective: Low birth weight (LBW; below 2500 grams) is a general risk factor for a variety of neurodevelopmental difficulties. However, these children may remain more vulnerable to neurologic and environmental insults occurring years later. This prospective case series reports on children who sustained a mild, moderate, or severe traumatic brain injury (TBI) in middle childhood but who had also been born with birth weights below 2500 grams.<br />Participants: PARTICIPANTS were 14 children with mild, moderate, or severe traumatic brain injury (TBI), 5 of whom had birth weights under 2500 grams (LBW) and 9 children with normal birth weight (NBW). All participants were drawn from a larger study on the long-term cognitive and behavioral impact of pediatric TBI and were matched on age, estimated socioeconomic status (SES), and severity of TBI (with NBW children actually having a slightly worse overall injury severity).<br />Results: At baseline, both groups exhibited similar scores on WJ-R Letter Word Identification and Calculations, Tower of London number solved, and CVLT-C total correct. Baseline group differences were observed on the CELF-III Formulated Sentences (NBW > LBW) and on the VABS Adaptive Behavior Composite and Socialization subdomain (LBW > NBW). Over 2 years, relative to the NBW group, the LBW group evidenced declines on both WJ-R subtests, CVLT-C total correct, CELF-III Formulated Sentences, and VABS Adaptive Behavior Composite and Socialization.<br />Conclusions: Although preliminary in nature due to small sample size, findings suggest a history of LBW influences the recovery trajectory following childhood TBI. Academic and adaptive functioning and verbal memory appeared particularly affected.
- Subjects :
- Brain Injuries therapy
California
Child
Confounding Factors, Epidemiologic
Educational Status
Female
Humans
Infant, Newborn
Male
Ontario
Prospective Studies
Recovery of Function
Sample Size
Texas
Verbal Learning
Adaptation, Psychological
Brain Injuries psychology
Infant, Low Birth Weight
Memory
Reading
Speech
Subjects
Details
- Language :
- English
- ISSN :
- 1744-4136
- Volume :
- 20
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence
- Publication Type :
- Academic Journal
- Accession number :
- 23961997
- Full Text :
- https://doi.org/10.1080/09297049.2013.822059