Growth monitoring following traumatic brain injury
Moon, R.J., Wilson, P., Kirkham, F.J. and Davies, J.H. (2009) Growth monitoring following traumatic brain injury. Archives of Disease in Childhood, 94, (9), 699-701. (doi:10.1136/adc.2008.145235). (PMID:19036759).
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Hypopituitarism is an important consequence of traumatic brain injury (TBI). Growth monitoring can be used as an indicator of pituitary function in children. A retrospective audit of case notes of 123 children, who required intensive care unit admission with TBI found that only 71 (33%) of 212 attendances in 38 of 85 children followed up had documented height and weight measurements. Children were reviewed in 11 different specialty clinics, which showed a wide variation in the frequency of growth monitoring. Serial growth measurements were available for only 22 patients (17%), which showed a reduction in height standard deviation scores (SDS) (0.17+/-0.33, p=0.017) over a mean follow-up period of 25.2+/-21.6 months. In conclusion, growth monitoring following TBI was poorly performed in this cohort, highlighting the need for a coordinated approach by primary and secondary care and all departments in tertiary centres involved in the follow-up of children with TBI.
|Digital Object Identifier (DOI):||doi:10.1136/adc.2008.145235|
|Keywords:||patients, children, secondary, hypopituitarism, weight, growth, brain, injuries, height, cohort, hospitals|
|Subjects:||R Medicine > RB Pathology
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
|Divisions:||University Structure - Pre August 2011 > School of Medicine > Clinical Neurosciences
|Date Deposited:||05 Mar 2010|
|Last Modified:||09 Dec 2015 11:31|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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