P. Rivara, M.D., M. S. Vavilala, M.D.
Importance: This population-based information is important for the appropriate planning and delivery of services to children disabled by TBI.
In this project, we will conduct a population-based surveillance of children and adolescents with TBI. From this surveillance, we will identify a sample of pediatric patients with TBI who will be recruited and enrolled in the study. This sample will be stratified by severity and age to allow adequate numbers of individuals at each severity level and each age group for study. Initial and baseline measurements will be obtained, and patients will be followed over time to determine outcomes from TBI. Setting: Subjects will be identified in Emergency Departments, Hospitals and Medical Examiners in King County, Washington, and Philadelphia County, Pennsylvania. Participants: 1000 patients 0-18 years of age with mild, moderate or severe TBI.
We will examine patient and family disability pre-injury and at 3, 12, 24, and 36 months post-TBI. This will include quality of life, social, emotional, behavioral and academic disability in patients and family functioning and parenting stress.