{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:56:06Z","timestamp":1790934966606,"version":"4.1.0"},"reference-count":61,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Rehabilitation Medicine"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Most children hospitalized with traumatic brain injury (TBI) acquire new impairments that impact function and health-related quality of life. However, there is a lack of standardized, multidisciplinary, longitudinal rehabilitative services for children with TBI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single center, retrospective study evaluated rehabilitative services during acute hospitalization and identified the frequency of unmet needs, defined as new or untreated impairments at the first acquired brain injury (ABI) clinic visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Analysis was conducted for 148 children hospitalized for TBI (mild\/complicated mild [51%], moderate [14%], or severe [35%]) and evaluated at ABI clinic (median of 63 [43\u2013122] days post-hospitalization). Eighty-two (55%) patients had at least one unmet need at initial clinic assessment. Executive function impairments were found in children with mild\/complicated mild TBI (32%), despite only 5% of them receiving speech therapy (ST) prior to the clinic. Only 13% of children with severe TBI received outpatient ST at first clinic visit despite 26% and 20% identified as having executive function and communication impairments. Earlier consultation of physical therapy, occupational therapy, ST, and physiatry was associated with discharge home versus inpatient rehabilitation, all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates the importance of timely inpatient acute hospital rehabilitative care coordinated with longitudinal, multidisciplinary follow-up for children after TBI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18758894241312482","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T15:49:50Z","timestamp":1767628190000},"page":"75-85","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Multidisciplinary rehabilitation and follow-up for children hospitalized with traumatic brain injury"],"prefix":"10.1177","volume":"19","author":[{"given":"Lauren J","family":"Alessi","sequence":"first","affiliation":[{"name":"Division of Pediatric Critical Care Medicine, Helen DeVos Children's Hospital of Corewell Health, Grand Rapids, MI, USA"},{"name":"Department of Pediatrics, Michigan State University College of Human Medicine, Grand Rapids, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"MacCarthy","sequence":"additional","affiliation":[{"name":"Division of Pediatric Rehabilitation, Department of Pediatrics, Prisma Health Children's Hospital \u2013 Midlands, Columbia, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"McCormick","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Edinger","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy J","family":"Houtrow","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis W","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"},{"name":"Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara A","family":"Gaines","sequence":"additional","affiliation":[{"name":"Department of Surgery, UT Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M","family":"Horvat","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"},{"name":"Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ericka L","family":"Fink","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"},{"name":"Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2014.09.003"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0883073815572685"},{"key":"e_1_3_4_4_2","first-page":"1","article-title":"Deaths: leading causes for 2017 supplement","volume":"68","author":"Heron M","year":"2019","unstructured":"Heron M. 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