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Long-Term Outcome After Severe Brain Injury in Preschoolers is Worse than Expected Arch Pediatr Adolesc Med 149:249-254, Koskiniemi,M.,et al, 1995 See this aricle in Pubmed Article Abstract Twenty three(59%)of 39 children attended a typical school,eight(21%) attended a school for the physically disabled,and seven(18%)attended a school for the mentally retarded;information was not available for one child.In adulthood,nine patients(23%)were able to work full-time,10(26%) worked at sheltered workplaces,14(36%)lived independently at home,and six (15%)needed physical and/or psychotherapeutic support.The difference between normal school performance(59%)and capability to work full-time (23%)was significant(P<.05).In evaluating different aspects after the severe brain injury,the sense of identity was the best indicator of final outcome.The final evaluation of severe brain injury at preschool age should be performed in adulthood.Normal school performance or normal intelligence functioning is not a guarantee for good long-term prognosis. To let the child develop a firm identity is essential for good outcome.

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