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Marjaleena Koskiniemi, MD, PhD; Timo Kyykkä, MSc; Taina Nybo, MSc; Leo Jarho, MD, PhD
University of Helsinki Department of Virology Haartmaninkatu 3 SF 00290 Helsinki, Finland

Arch Pediatr Adolesc Med. 1996;150(2):228.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

We very much appreciate the interest in our article shown by Vigil-Sewell and Sargent. We wish to comment on their arguments. First: What kind of patients could have been used as a control group? "Worse than expected" refers to the injured children themselves. Initial recovery and school performance give a more optimistic expectation of the late outcome than was shown when the outcome was assessed in adulthood. A selection bias is possible though improbable because in our health care system, all patients injured in motor vehicle–related accidents are referred to the Rehabilitationcentre's outpatient department (Kauniainen, Finland) for follow-up, even those children with expected full recovery, when the initial brain injury is considered severe. The final outcome was worse in children who were less than 4 years of age at the time of injury. This conclusion is based on the fact that none of those children were able to . . . [Full Text PDF of this Article]

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