Epidemiology of traumatic brain injury in children receiving intensive care in the UK
UK Paediat Traumat Brain Injury St, Paediat Intens Care Soc Study Grp (Including: UNSPECIFIED). (2005) Epidemiology of traumatic brain injury in children receiving intensive care in the UK. ARCHIVES OF DISEASE IN CHILDHOOD, 90 (11). pp. 1182-1187. ISSN 0003-9888Full text not available from this repository.
Official URL: http://dx.doi.org/10.1136/adc.2005.072405
Aims: To describe the epidemiology of children with traumatic brain injury (TBI) admitted to paediatric intensive care units (PICUs) in the UK.
Methods: Prospective collection of clinical and demographic information from paediatric and adult intensive care units in the UK and Eire between February 2001 and August 2003.
Results: The UK prevalence rate for children ( 0-14 years) admitted to intensive care with TBI between February 2001 and August 2003 was 5.6 per 100 000 population per year ( 95% Poisson exact confidence intervals 5.17 to 6.05). Children admitted to PICUs with TBI were more deprived than the population as a whole ( mean Townsend score for TBI admissions 1.19 v 0). The commonest mechanism of injury was a pedestrian accident ( 36%), most often occurring in children over 10. There was a significant summer peak in admissions in children under 10 years. Time of injury peaked in the late afternoon and early evening, a pattern that remained constant across the days of the week. Injuries involving motor vehicles have the highest mortality rates ( 23% of vehicle occupants, 12% of pedestrians) compared with cyclists (8%) and falls (3%). In two thirds of admissions (65%) TBI was an isolated injury.
Conclusions: TBI in children requiring intensive care is more common in those from poorer backgrounds who have been involved in accidents as pedestrians. The summer peak in injury occurrence for 0-10 year olds and late afternoon timing give clear targets for community based injury prevention.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RJ Pediatrics|
|Journal or Publication Title:||ARCHIVES OF DISEASE IN CHILDHOOD|
|Publisher:||B M J PUBLISHING GROUP|
|Official Date:||November 2005|
|Number of Pages:||6|
|Page Range:||pp. 1182-1187|
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