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Auteur Clément Le Fur
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Executive functions and attention 7 years after severe childhood traumatic brain injury: Results of the Traumatisme Grave de lEnfant (TGE) cohort / Clément Le Fur in Annals of physical and rehabilitation medicine, Vol. 63 n° 4 (July 2020)
[article] Executive functions and attention 7 years after severe childhood traumatic brain injury: Results of the Traumatisme Grave de lEnfant (TGE) cohort [texte imprimé] / Clément Le Fur, Auteur ; Hugo Câmara-Costa, Auteur ; Leila Francillette, Auteur . - 2020 . - p. 270-279.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 4 (July 2020) . - p. 270-279
Catégories : SANTÉ PHYSIQUE
AdolescentDe 13 à 18 ans., Enfant
Tags : Severe traumatic brain injury Child Adolescent Long-term outcome Executive functions Résumé : Objectives: Severe childhood traumatic brain injury (TBI) leads to long-standing executive function and attention deficits, with negative consequences for participation, academic outcome and independence. This study aimed to assess executive function and attention 7 years after severe childhood TBI in comparison with a matched control group and to investigate associated factors.
Methods: Children ( Results: Among the 27participants, mean (SD) age at injury was 7.7 (4.6)years, and mean length of coma 5.6 (4.6) days. Regarding the TAP, the number of errors was significantly higher (P= 0.003) and reaction time marginally slower (P= 0.08) in the TBI than control group. The BRIEF questionnaire completed by parents indicated significantly more executive difficulties in the TBI than control group (Behavior Regulation Index, P= 0.005; Metacognitive index, P= 0.02; Global Executive Composite, P= 0.012). Correlations between BRIEF and TAP scores did not reach statistical significance. BRIEF total score was correlated moderately with length of coma (r =0.40, P =0.037), and TAP scores were correlated with the Full-Scale Intellectual Quotient (total number of errors: r =-0.48; P= 0.01; mean reaction time: r =−0.51; P= 0.009).
Conclusions: Executive and attention deficits were evident 7 years after severe childhood TBI. Computerized tasks and questionnaires provide complementary and non-redundant information. Systematic long-term follow-up should be provided until the transition to adulthood, to assess ongoing development and to implement timely tailored interventions.
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