PEDIATRICS Vol. 77 No. 2 February 1986, pp. 236-241
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Follow-up of Adolescent Trauma Victims: A New Model of Care

Marc S. Jacobson MD1, Elaine M. Rubenstein PhD, LCSW1, Wayne E. Bohannon PhD1, Diane L. Sondheimer MSN, CPNP1, Regina Cicci PhD1, Jacqueline Toner PhD1, Elizabeth Gong MPH1, and Felix P. Heald MD1

1 From the Division of Adolescent Medicine, Department of Pediatrics, University of Maryland School of Medicine, Baltimore

A comprehensive model of service delivery for the rehabilitative care of adolescents with closed head injuries is presented. Our data show that the Glasgow Coma Scale score on hospital admission correlates with the length of time required for follow-up. Adolescents with mild closed head injuries require more follow-up than adults with comparable injuries because of adolescent developmental stages that complicate the recovery process. Anticipatory guidance has helped the patient and family cope with stresses. Finally, we have identified a typical pattern of difficulties during the recovery process including: impaired judgment, reduced attention span, irritability, short-term memory loss, and ongoing memory deficits.

Key Words: adolescent • trauma • closed head injury • rehabilitation

Submitted on December 26, 1984
Accepted on June 3, 1985


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