Retrospective Study on the Pathway and the Outcome of Children Victims of Acquired Brain Injury Accompanied By a Mobile Unit of School Reintegration

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Julia Hamonet-Torny justine allégret murielle girard hélène carriere piquard stanley borde


Objectives: to retrace the care pathways and the academic pathways of brain-damaged children supported a Mobile Unit of School Reintegration (MUSR) and to identify factors associated with their long-term outcome.

Patients and methods: Retrospective study from the medical files of 53 children followed by the MUSR, conducted between November 2018 and April 2019.

Results: The cerebro-lesions were mainly caused by a craniocerebral trauma (83% of cases), with an average age of onset of 9.8 years. The duration of the initial hospitalization was 39 days on average. The mean length of follow-up was 37 months.

Long-term medical outcome was marked by 18.5% of medical complications, 29.6% of behavioral disorders and 9.2% of judiciary complications. The factors associated with long-term behavioral disorders were the age of onset (p = 0.015), the initial Glasgow score (p = 0.025), a head trauma related to a traffic accident (p = 0.046), a poor therapeutic alliance with the parents (p <0.001), the absence of psychological follow-up (p = 0.040) and the existence of legal complications (p = 0.001). The factor associated with long-term legal complications was a poor therapeutic alliance with the parents (p = 0.017).

All the children followed were reintegrated into school, after an average of 6.4 months. A school reorientation was necessary in 49.9% of cases, associated with initial complications (p = 0.035), the existence of secondary brain aggressions of systemic origin (p <0.001), the existence of antecedents (p = 0.040), and the autonomy level (p = 0.023).

Conclusion: The MUSR offers multidisciplinary, integrative and mobile cares, based on coordination of the care pathway and the academic pathway of children victims of acquired brain injuries.

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How to Cite
HAMONET-TORNY, Julia et al. Retrospective Study on the Pathway and the Outcome of Children Victims of Acquired Brain Injury Accompanied By a Mobile Unit of School Reintegration. Medical Research Archives, [S.l.], v. 9, n. 3, p. 1-9, mar. 2021. ISSN 2375-1924. Available at: <>. Date accessed: 11 apr. 2021. doi:
Research Articles


1. Orliaguet G, Meyer P. Epidémiologie, physiopathologie et pronostic du traumatisme crânien chez l’enfant. SFAR, ed. Médecine d’urgence Paris: Elsevier, 1996:87-98.
2. Giroud M, Lemesle M, Gouyon JB, Nivelon JL, Milan C, Dumas R. Cerebrovascular disease in children under 16 years of age in the city of Dijon, France: a study of incidence and clinical features from 1985 to 1993. J Clin Epidemiol 1995;48:1343-8.
3. Lacour B, Guyot Goubin A, Guissou S, Bellec S, Desandes E, Clavel J. Incidence des cancers de l'enfant en France: données des registres pédiatriques nationaux, 2000-2004.
Bulletin Epidémiologique Hebdomadaire, 2010;49:497-500.
4. Mackelprang JL, Harpin SB, Grubenhoff JA, Rivara FP. Adverse outcomes among homeless adolescents and young adults who report a history of traumatic brain injury. Am J Public Health. 2014 Oct;104(10):1986-92.
5. Erickson SJ, Montague EQ, Gerstle MA. Health-related quality of life in children with moderate-to-severe traumatic brain injury. Dev Neurorehabil. 2010;13(3):175-81.
6. Ryan NP, Noone K, Godfrey C, Botchway EN, Catroppa C, Anderson V. Young adults' perspectives on health-related quality of life after paediatric traumatic brain injury: A prospective cohort study. Ann Phys Rehabil Med. 2019 Sep;62(5):342-350.
7. Anderson V, Brown S, Newitt H, Hoile H. Educational, vocational, psychosocial, and quality-of-life outcomes for adult survivors of childhood traumatic brain injury. J Head Trauma Rehabil. 2009 Sep-Oct;24(5):303-12.
8. Brown EA, Kenardy J, Chandler B, Anderson V, McKinlay L, Le Brocque R. Parent-Reported Health-Related Quality of Life in Children With Traumatic Brain Injury: A Prospective Study. J Pediatr Psychol. 2016 Mar;41(2):244-55.
9. Ryan NP, Noone K, Godfrey C, Botchway EN, Catroppa C, Anderson V. Young adults' perspectives on health-related quality of life after paediatric traumatic brain injury: A prospective cohort study.Ann Phys Rehabil Med. 2019 Sep;62(5):342-350.
10. Catroppa C, Anderson VA, Muscara F, Morse SA, Haritou F, Rosenfeld JV, Heinrich LM. Educational skills: long-term outcome and predictors following paediatric traumatic brain injury. Neuropsychol Rehabil. 2009 Oct;19(5):716-32.
11. Limond JA, Bull KS, Calaminus G, Kennedy CR, Spoudeas HA, Chevignard MP. Brain Tumour Quality of Survival Group, International Society of Paediatric Oncology (Europe) (SIOP-E). Quality of survival assessment in European childhood brain tumour trials, for children aged 5 years and over. Eur J Paediatr Neurol. 2015 Mar;19(2):202-10.
12. Limond J, Dorris L, McMillan TM. Quality of life in children with acquired brain injury: parent perspectives 1-5 years after injury. Brain Inj. 2009 Jul;23(7):617-22.
13. Li L, Liu J. The effect of pediatric traumatic brain injury on behavioral outcomes: a systematic review. Dev Med Child Neurol. 2013 Jan;55(1):37–45.
14. Grattan L, Eslinger P. Long-term psychological consequences of childhood frontal lobe lesion in patient DT. Brain and Cognition. 1992 Sep; 20 (1):185-195.
15. Luauté J, Hamonet J, Pradat-Diehl P, SOFMER. Behavioral and affective disorders after brain injury: French guidelines for prevention and community supports.Ann Phys Rehabil Med. 2016 Feb;59(1):68-73.
16. Ewing-Cobbs L, Prasad MR, Kramer L, Cox CS Jr, Baumgartner J, Fletcher S, Mendez D, Barnes M, Zhang X, Swank P. Late intellectual and academic outcomes following traumatic brain injury sustained during early childhood. J Neurosurg. 2006 Oct;105(4 Suppl):287-96.
17. Catroppa C, Godfrey C, Rosenfeld JV, Hearps SS, Anderson VA. Functional recovery ten years after pediatric traumatic brain injury: outcomes and predictors. J Neurotrauma. 2012 Nov 1;29(16):2539-47.
18. Di Battista A, Soo C, Catroppa C, Anderson V. Quality of life in children and adolescents post-TBI: a systematic review and meta-analysis. J Neurotrauma. 2012 Jun 10;29(9):1717-27.
19. Ryan NP, van Bijnen L, Catroppa C, Beauchamp MH, Crossley L, Hearps S, Anderson V. Longitudinal outcome and recovery of social problems after pediatric traumatic brain injury (TBI): Contribution of brain insult and family environment. Int J Dev Neurosci. 2016 Apr;49:23-30.
20. Chavez-Arana C, Catroppa C, Yáñez-Téllez G, Prieto-Corona B, de León MA, García A, Gómez-Raygoza R, Hearps SJC, Anderson V. Parenting and the dysregulation profile predict executive functioning in children with acquired brain injury. Child Neuropsychol. 2019 Nov;25(8):1125-1143.
21. Kingery KM, Narad ME, Taylor HG, Yeates KO, Stancin T, Wade SL. Do Children Who Sustain Traumatic Brain Injury in Early Childhood Need and Receive Academic Services 7 Years After Injury? J Dev Behav Pediatr. 2017 Nov/Dec;38(9):728-735.
22. Keenan HT, Clark AE, Holubkov R, Ewing-Cobbs L. Changing Healthcare and School Needs in the First Year After Traumatic Brain Injury. J Head Trauma Rehabil. Jan/Feb 2020;35(1):67-77 2019.
23. Laatsch L, Dodd J, Brown T, Ciccia A, Connor F, Davis K, Doherty M, Linden M, Locascio G, Lundine J, Murphy S, Nagele D, Niemeier J, Politis A, Rode C, Slomine B, Smetana R, Yaeger L. Evidence-based systematic review of cognitive rehabilitation, emotional, and family treatment studies for children with acquired brain injury literature: From 2006 to 2017. Neuropsychol Rehabil. 2020 Jan;30(1):130-161.

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