Abstract

The vast majority of traumatic brain injuries (TBI) in children are of mild severity. A small but significant proportion of children with mild TBI experience persistent postconcussive symptoms (PCS), with negative consequences for their broader and longer-term psychosocial functioning. A key issue for clinical management is how to predict which children with mild TBI will go on to display persistent PCS. This chapter reviews the existing literature regarding the prediction of PCS following mild TBI in children and adolescents, considering both injury-related and non-injury-related factors as possible prognostic indicators. The chapter summarizes conceptual and methodological issues that arise in research on the prediction of the outcomes of mild TBI. The chapter concludes with suggestions for future research, the long-term goal of which is to develop evidence-based decision rules that facilitate the identification of children at risk for poor outcomes after mild TBI.

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