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.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1136/adc.2008.145235
ISSNs: 0003-6888 (print)
1468-2044 (electronic)
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
ePrint ID: 70210
Accepted Date and Publication Date:
26 November 2009Published
Date Deposited: 05 Mar 2010
Last Modified: 31 Mar 2016 12:59

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