Growth monitoring following traumatic brain injury
Growth monitoring following traumatic brain injury
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.
patients, children, secondary, hypopituitarism, weight, growth, brain, injuries, height, cohort, hospitals
699-701
Moon, R.J.
954fb3ed-9934-4649-886d-f65944985a6b
Wilson, P.
7171df7c-46e3-4f3b-ac2d-ae5bd0458dac
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Davies, J.H.
9f18fcad-f488-4c72-ac23-c154995443a9
26 November 2009
Moon, R.J.
954fb3ed-9934-4649-886d-f65944985a6b
Wilson, P.
7171df7c-46e3-4f3b-ac2d-ae5bd0458dac
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Davies, J.H.
9f18fcad-f488-4c72-ac23-c154995443a9
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), .
(doi:10.1136/adc.2008.145235).
(PMID:19036759)
Abstract
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.
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Published date: 26 November 2009
Keywords:
patients, children, secondary, hypopituitarism, weight, growth, brain, injuries, height, cohort, hospitals
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Local EPrints ID: 70210
URI: http://eprints.soton.ac.uk/id/eprint/70210
ISSN: 0003-9888
PURE UUID: e75c2710-704e-47ee-9032-92124a8f00f0
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Date deposited: 05 Mar 2010
Last modified: 14 Mar 2024 02:45
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Author:
R.J. Moon
Author:
P. Wilson
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