Improving access to pediatric neurorehabilitation for patients with moderate and severe head injuries

ABSTRACT

Introduction: The majority of severely injured children in England have a significant head injury and will be seen in Major Trauma Centers (MTCs). The period following brain injury represents an opportunity to influence recovery of neurological function. The study sought to determine whether children who had sustained a head injury were referred for neurorehabilitation. Method: The study was conducted over one year at one center. Children sustaining a moderate or severe head injury were identified and compared to those referred for neurorehabilitation. Results: A total of 41 patients were identified; 16/41 (39%) were referred for neurorehabilitation. Group comparison revealed significant associations between referral status and age (X²(3) = 8.35, p = 0.039), injury mechanism (X²(1) = 8.12, p = 0.017), injury severity (X²(1) = 21.3, p < 0.000), and imaging findings (X²(1) = 11.71, p = 0.001). Discussion: Data reveal concerns for access to neurorehabilitation. Improved access to neurorehabilitation permitting long-term follow-up is required. The establishment of MTCs provides an opportunity to enact this.

KEYWORDS:

• Evaluation
• head injury
• outcome
• pediatric
• quality improvement

Acknowledgments

The authors would like to thank Ian Barlow, Information and Audit Officer at The Leeds Teaching Hospitals NHS Trust, for his kind assistance with this work.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.