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Epidemiology of traumatic brain injury in children receiving intensive care in the UK
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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 0003-9888
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Official URL: http://dx.doi.org/10.1136/adc.2005.072405
Abstract
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 |
| ISSN: | 0003-9888 |
| Date: | November 2005 |
| Volume: | 90 |
| Number: | 11 |
| Number of Pages: | 6 |
| Page Range: | pp. 1182-1187 |
| Identification Number: | 10.1136/adc.2005.072405 |
| Publication Status: | Published |
| URI: | http://wrap.warwick.ac.uk/id/eprint/34447 |
Data sourced from Thomson Reuters' Web of Knowledge
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