Outcome of head and other injuries among Israeli children: Physical limitations and stress symptoms

Rosa Gofin, Malka Avitzour

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Head injuries, especially in young children, are frequent and may cause long-lasting impairments. Objectives: To investigate the outcome of head and other injuries caused by diverse mechanisms and of varied severity. Methods: The study population consisted of Jews and Arabs (n=792), aged 0-17 years old, hospitalized for injuries in six hospitals in Israel. Caregivers were interviewed during hospitalization regarding circumstances of the injury and sociodemographic variables. Information on Injury mechanism, profile and severity, and length of hospitalization was gathered from the medical files. Five months post-injury the caregivers were interviewed by phone regarding physical limitations and stress symptoms. Results: Head injuries occurred in 60% of the children, and of these, 22.2% suffered traumatic brain injury with loss of consciousness (type 1). Among the rest, 22% of Jewish children and 28% of Arab children remained with at least one activity limitation, and no statistically significant differences were found among those with head or other injuries. The odds ratio for at least two stress symptoms was higher for children involved in transport-related injuries (OR 2.70, 95% confidence interval 1.38-5.28) than for other mechanisms, controlling for injury profile. No association was found between stress symptoms and injury severity. Conclusions: Most children had recovered by 5 months after the injury. Residual activity limitations were no different between those with head or with other injuries. Stress symptoms were related to transport-related injuries, but not to the presence of TBI or injury severity.

Original languageEnglish (US)
Pages (from-to)531-536
Number of pages6
JournalIsrael Medical Association Journal
Volume9
Issue number7
StatePublished - Jul 1 2007

Fingerprint

Craniocerebral Trauma
Brain
Wounds and Injuries
Caregivers
Hospitalization
Head
Jews
Unconsciousness
Israel
Odds Ratio
Confidence Intervals

Keywords

  • Activity limitations
  • Stress symptoms
  • Traumatic brain injury

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Outcome of head and other injuries among Israeli children : Physical limitations and stress symptoms. / Gofin, Rosa; Avitzour, Malka.

In: Israel Medical Association Journal, Vol. 9, No. 7, 01.07.2007, p. 531-536.

Research output: Contribution to journalArticle

@article{497791d17b434256a1695377e1a0763f,
title = "Outcome of head and other injuries among Israeli children: Physical limitations and stress symptoms",
abstract = "Background: Head injuries, especially in young children, are frequent and may cause long-lasting impairments. Objectives: To investigate the outcome of head and other injuries caused by diverse mechanisms and of varied severity. Methods: The study population consisted of Jews and Arabs (n=792), aged 0-17 years old, hospitalized for injuries in six hospitals in Israel. Caregivers were interviewed during hospitalization regarding circumstances of the injury and sociodemographic variables. Information on Injury mechanism, profile and severity, and length of hospitalization was gathered from the medical files. Five months post-injury the caregivers were interviewed by phone regarding physical limitations and stress symptoms. Results: Head injuries occurred in 60{\%} of the children, and of these, 22.2{\%} suffered traumatic brain injury with loss of consciousness (type 1). Among the rest, 22{\%} of Jewish children and 28{\%} of Arab children remained with at least one activity limitation, and no statistically significant differences were found among those with head or other injuries. The odds ratio for at least two stress symptoms was higher for children involved in transport-related injuries (OR 2.70, 95{\%} confidence interval 1.38-5.28) than for other mechanisms, controlling for injury profile. No association was found between stress symptoms and injury severity. Conclusions: Most children had recovered by 5 months after the injury. Residual activity limitations were no different between those with head or with other injuries. Stress symptoms were related to transport-related injuries, but not to the presence of TBI or injury severity.",
keywords = "Activity limitations, Stress symptoms, Traumatic brain injury",
author = "Rosa Gofin and Malka Avitzour",
year = "2007",
month = "7",
day = "1",
language = "English (US)",
volume = "9",
pages = "531--536",
journal = "Israel Medical Association Journal",
issn = "1565-1088",
publisher = "Israel Medical Association",
number = "7",

}

TY - JOUR

T1 - Outcome of head and other injuries among Israeli children

T2 - Physical limitations and stress symptoms

AU - Gofin, Rosa

AU - Avitzour, Malka

PY - 2007/7/1

Y1 - 2007/7/1

N2 - Background: Head injuries, especially in young children, are frequent and may cause long-lasting impairments. Objectives: To investigate the outcome of head and other injuries caused by diverse mechanisms and of varied severity. Methods: The study population consisted of Jews and Arabs (n=792), aged 0-17 years old, hospitalized for injuries in six hospitals in Israel. Caregivers were interviewed during hospitalization regarding circumstances of the injury and sociodemographic variables. Information on Injury mechanism, profile and severity, and length of hospitalization was gathered from the medical files. Five months post-injury the caregivers were interviewed by phone regarding physical limitations and stress symptoms. Results: Head injuries occurred in 60% of the children, and of these, 22.2% suffered traumatic brain injury with loss of consciousness (type 1). Among the rest, 22% of Jewish children and 28% of Arab children remained with at least one activity limitation, and no statistically significant differences were found among those with head or other injuries. The odds ratio for at least two stress symptoms was higher for children involved in transport-related injuries (OR 2.70, 95% confidence interval 1.38-5.28) than for other mechanisms, controlling for injury profile. No association was found between stress symptoms and injury severity. Conclusions: Most children had recovered by 5 months after the injury. Residual activity limitations were no different between those with head or with other injuries. Stress symptoms were related to transport-related injuries, but not to the presence of TBI or injury severity.

AB - Background: Head injuries, especially in young children, are frequent and may cause long-lasting impairments. Objectives: To investigate the outcome of head and other injuries caused by diverse mechanisms and of varied severity. Methods: The study population consisted of Jews and Arabs (n=792), aged 0-17 years old, hospitalized for injuries in six hospitals in Israel. Caregivers were interviewed during hospitalization regarding circumstances of the injury and sociodemographic variables. Information on Injury mechanism, profile and severity, and length of hospitalization was gathered from the medical files. Five months post-injury the caregivers were interviewed by phone regarding physical limitations and stress symptoms. Results: Head injuries occurred in 60% of the children, and of these, 22.2% suffered traumatic brain injury with loss of consciousness (type 1). Among the rest, 22% of Jewish children and 28% of Arab children remained with at least one activity limitation, and no statistically significant differences were found among those with head or other injuries. The odds ratio for at least two stress symptoms was higher for children involved in transport-related injuries (OR 2.70, 95% confidence interval 1.38-5.28) than for other mechanisms, controlling for injury profile. No association was found between stress symptoms and injury severity. Conclusions: Most children had recovered by 5 months after the injury. Residual activity limitations were no different between those with head or with other injuries. Stress symptoms were related to transport-related injuries, but not to the presence of TBI or injury severity.

KW - Activity limitations

KW - Stress symptoms

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=34547610538&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34547610538&partnerID=8YFLogxK

M3 - Article

C2 - 17710785

AN - SCOPUS:34547610538

VL - 9

SP - 531

EP - 536

JO - Israel Medical Association Journal

JF - Israel Medical Association Journal

SN - 1565-1088

IS - 7

ER -