Visit NavNeuro at: https://www.navneuro.com/

Episode 27 | Pediatric Traumatic Brain Injury - With Dr. Keith Yeates


Overview

We discussed INS leadership and research productivity with Keith Yeates, Ph.D., ABPP-CN, in a previous episode. As the most published investigator of pediatric traumatic brain injury (TBI) in the world over the last 10 years, he returns today to discuss the prevalence rates and causes, behavioral sequalae, differences in outcomes, and psychosocial interventions for children with TBI. We also discuss symptom rating scales and performance validity tests in the assessment and management of children with TBI, among many other topics.



apa-logo_white_screenThe International Neuropsychological Society is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Neuropsychological Society maintains responsibility for this program and its content.

Keith Yeates
Instructor Credentials

Keith Owen Yeates, Ph.D., ABPP-CN, is the Ronald and Irene Ward Chair in Pediatric Brain Injury, Professor and Head of the Department of Psychology, and Adjunct Professor of Pediatrics and Clinical Neurosciences at the University of Calgary, in Alberta, Canada. He leads the University’s Integrated Concussion Research Program. He has a 30 year track record of funded research focusing on the outcomes of childhood brain disorders, especially traumatic brain injury, and has published over 250 peer-reviewed journal articles, 40 book chapters, and 5 edited or co-authored books. According to SCOPUS, he is the most highly published investigator of pediatric TBI in the world over the last 10 years. Dr. Yeates was co-lead author of the report of the Centers for Disease Control (CDC) Expert Panel on Acute Diagnosis and Management of Mild Traumatic Brain Injury among Children and Adolescents, and an invited expert panel observer at the 5th International Consensus Conference on Concussion in Sport in Berlin. Dr. Yeates was previously Associate Editor of the Journal of the International Neuropsychological Society, and is currently the Editor of Neuropsychology. Dr. Yeates has served as President of the Society of Clinical Neuropsychology of the American Psychological Association, and is the sitting President of the International Neuropsychological Society (INS).


Topics Covered
  • Intro - defining terminology
  •  Characterization of traumatic brain injury (TBI) (5:32)
  •  Limitations of the Glasgow Coma Scale (6:01)
  •  Mild TBI (mTBI) vs. concussion (6:39)
  •  Complicated mTBI vs. moderate-to-severe TBI (8:23)
  • Outcome predictors in pediatric TBI (11:15)
  • Are mild, moderate, and severe TBI outcomes similar across children and adults? (13:52)
  • Prevalence of TBI in children (17:29)
  • Factors that explain the decline of moderate-to-severe TBI in children and adolescents (20:05)
  • When should parents take their post-concussed child to the hospital? (21:21)
  • Recent study (Yeates et al., 2019) identified factors that grouped children with concussion into distinct clinical phenotypes (23:34)
  • Clinical implications of translating research based on groups of people and to an individual person (26:32)
  • Can artificial intelligence (AI) be used to aid or replace clinical neuropsychology? (28:56)
  • Differences between adult and pediatric TBI (31:13)
  • Pros and cons of children undergoing neuroimaging (34:07)
  • Misconceptions of neuroplasticity and the Kennard principle (39:30)
  • Crowding effects in children with TBI (43:05)
  • Cognitive and emotional sequalae (46:35)
  • How has current research changed the clinical recommendations regarding rest and recovery following TBI? (51:04)
  • Differentiating second-impact syndrome from risk of additional concussions during the period of vulnerable recovery (52:41)
  • Is second-impact syndrome common? (54:33)
  • Return-to-play guidelines (56:26)
  • Post-concussive syndrome/symptoms (PCS) in children (1:00:54)
  • The complex factors associated with the symptom profiles in PCS (1:02:48)
  • The role of a neuropsychologist in predicting outcomes in the post-acute phase of TBI patients (1:07:01)
  • The utility of symptom rating scales and performance validity tests in the assessment and management of children with TBI (1:10:29)
  • Why failing a performance validity test does not necessarily indicate low effort (1:12:53)
  • Psychosocial interventions for kids with TBI (1:15:20)
Educational Objectives
  • List at least 3 ways of diagnosing mild, moderate, and severe traumatic brain injury (TBI)
  • Explain the distinctions between complicated mild TBI compared to mild TBI and moderate to severe TBI in pediatric populations
  • Compare the recommendations on safe return to school versus sports following mild TBI
Target Audience
  • Introductory
Availability
  • Date Available: 2019-03-15
  • You may obtain CE for this podcast at any time.
Offered for CE
  • Yes
Cost
  • Members $20
  • Non-Members $25
Refund Policy
  • This podcast is not eligible for refunds
CE Credits
  • 1.0 Credit(s)
Disclosures
  • N/A
Resources
  • N/A
Bibliography
  • Brooks, B. L., Low, T. A., Plourde, V., Virani, S., Jadavji, Z., MacMaster, F. P., et al. (2019). Cerebral blood flow in children and adolescents several years after concussion. Brain Inj, 33(2), 233-241.
  • Giza, C. C., Mink, R. B., & Madikians, A. (2007). Pediatric traumatic brain injury: not just little adults. Curr Opin Crit Care, 13(2), 143-152.
  • Harmon, K. G., Clugston, J. R., Dec, K., Hainline, B., Herring, S. A., Kane, S., et al. (2019). American Medical Society for Sports Medicine Position Statement on Concussion in Sport. Clin J Sport Med, 29(2), 87-100.
  • Harmon, K. G., Drezner, J., Gammons, M., Guskiewicz, K., Halstead, M., Herring, S., et al. (2013). American Medical Society for Sports Medicine position statement: concussion in sport. Clin J Sport Med, 23(1), 1-18.
  • Kuehn, B. (2019). Traumatic Brain Injuries Among Youth. JAMA, 321(16), 1559.
  • Leddy, J. J., Haider, M. N., Ellis, M. J., Mannix, R., Darling, S. R., Freitas, M. S., et al. (2019). Early Subthreshold Aerobic Exercise for Sport-Related Concussion: A Randomized Clinical Trial. JAMA Pediatr, 173(4), 319-325.
  • Lumba-Brown, A., Yeates, K. O., Sarmiento, K., Breiding, M. J., Haegerich, T. M., Gioia, G. A., et al. (2018a). Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children. JAMA Pediatr, 172(11), e182853.
  • Lumba-Brown, A., Yeates, K. O., Sarmiento, K., Breiding, M. J., Haegerich, T. M., Gioia, G. A., et al. (2018b). Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children. JAMA Pediatr, 172(11), e182853.
  • McCrory, P., Meeuwisse, W., Dvořák, J., Aubry, M., Bailes, J., Broglio, S., et al. (2017). Consensus statement on concussion in sport-the 5. Br J Sports Med, 51(11), 838-847.
  • Patricios, J. S., Ardern, C. L., Hislop, M. D., Aubry, M., Bloomfield, P., Broderick, C., et al. (2018). Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations. Br J Sports Med, 52(10), 635-641.
  • Rose, S. C., Yeates, K. O., Fuerst, D. R., Ercole, P. M., Nguyen, J. T., & Pizzimenti, N. M. (2019). Head Impact Burden and Change in Neurocognitive Function During a Season of Youth Football. J Head Trauma Rehabil, 34(2), 87-95.
  • Wade, S. L., Kaizar, E. E., Narad, M., Zang, H., Kurowski, B. G., Yeates, K. O., . . . Zhang, N. (2018). Online family problem-solving treatment for pediatric traumatic brain injury. Pediatrics, 142(6), e20180422.
  • Yeates, K. O., Tang, K., Barrowman, N., Freedman, S. B., Gravel, J., Gagnon, I., . . . Craig, W. (2019). Derivation and Initial Validation of Clinical Phenotypes of Children Presenting with Concussion Acutely in the Emergency Department: Latent Class Analysis of a Multi-Center, Prospective Cohort, Observational Study. Journal of neurotrauma, 36(11), 1758-1767.
Listen to Podcast
Continue To Test