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Prevalence of traumatic brain injury amongst children admitted to hospital in one health district : a population-based study

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Hawley, Carol, Ward, Anthony B., Long, Julie, Owen, David (David W.) and Magnay, Andrew R.. (2002) Prevalence of traumatic brain injury amongst children admitted to hospital in one health district : a population-based study. Injury, Vol.34 (No.4). pp. 256-260. ISSN 0020-1383

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Official URL: http://dx.doi.org/10.1016/S0020-1383(02)00193-6

Abstract

There is a dearth of information regarding the prevalence of brain injury, serious enough to require hospital admission, amongst children in the United Kingdom. In North Staffordshire a register of all children admitted with traumatic brain injury (TBI) has been maintained since 1992 presenting an opportunity to investigate the incidence of TBI within the region in terms of age, cause of injury, injury severity and social deprivation. The register contains details of 1553 children with TBI, two thirds of whom are male. This population-based study shows that TBI is most prevalent amongst children from families living in more deprived areas, however, social deprivation was not related to the cause of injury. Each year, 280 per 100,000 children are admitted for ≥24 hours with a TBI, of these 232 will have a mild brain injury, 25 moderate, 17 severe, and 2 will die. The incidence of moderate and severe injuries is higher than previous estimates. Children under 2 years old account for 18.5% of all TBIs, usually due to falls, being dropped or non-accidental injuries. Falls account for 60% of TBIs in the under 5s. In the 10-15 age group road traffic accidents were the most common cause (185, 36.7%). These findings will help to plan health services and target accident prevention initiatives more accurately.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Children -- Wounds and injuries, Brain damaged children, Brain -- Wounds and injuries, Head -- Wounds and injuries
Journal or Publication Title: Injury
Publisher: Elsevier
ISSN: 0020-1383
Date: 20 September 2002
Volume: Vol.34
Number: No.4
Page Range: pp. 256-260
Identification Number: 10.1016/S0020-1383(02)00193-6
Status: Peer Reviewed
Access rights to Published version: Open Access
References: Kraus, J.F., Rock, A. and Hemyari, P. (1990). Brain injuries among infants, children, adolescents, and young adults. Americal Journal of Diseases in Children, 144, pp. 684-691. British Society of Rehabilitation Medicine. (1998). Rehabilitation after traumatic brain injury. London: British Society of Rehabilitation Medicine. (A Working Party Report of the British Society of Rehabilitation Medicine.) Sharples, P.M., Storey, A., Aynsley-Green, A. and Eyre, J.A. (1990). Avoidable factors contributing to the death of children with head injury. British Medical Journal, 300, pp. 87-91. House of Commons Select Committee on Health. (2001). Third report: Head injury: rehabilitation. London: HM Stationery Office. Parmelee, D.X. (1989). Neuropsychiatric sequelae of traumatic brain injury in children and adolescents. Psychiatric Medicine, 7(1), pp. 11-16. Ewing-Cobbs, L., Miner, M.E., and Fletcher, J.M., et al. (1989). Intellectual, motor, and language sequelae following closed head injury in infants and preschoolers. Journal of Pediatric Psychology, 14, pp. 531-537. Klonoff, H., Clark, C. and Klonoff, P.S. (1993). Long-term outcome of head injuries: a 23 year follow up study of children with head injuries. Journal of Neurology, Neurosurgery and Psychiatry, 56, pp. 410-415. Ewing-Cobbs, L., Thompson, N.M., and Miner, M.E., et al. (1994). Gunshot wounds to the brain in children and adolescents: age and neurobehavioural development. Neurosurgery, 35, pp. 225-233. Cicerone, K.D., Smith, L.C., Ellmo, W., Mangel, H.R., Nelson, P., Chase, R.F. and Kalmar, K. (1996). Neuropsychological rehabilitation of mild traumatic brain injury. Brain Injury, 10(4), pp. 277-286. Roberts, M.A., Manshadi, F.F., Bushnell, D.L. and Hines, M.E. (1995). Neurobehavioural dysfunction following mild traumatic brain injury in childhood: a case report with positive findings on positron emission tomography (PET). Brain Injury, 9(5), pp.427-436. Teasdale, G. and Jennett, B. (1974). Assessment of coma and impaired consciousness: a practical scale. Lancet, 2, pp. 81-83. Townsend, P., Phillimore, P. and Beattie, A. (1986). Inequalities in health in the Northern region. Newcastle upon Tyne: Northern Regional Health Authority and University of Bristol. North Staffordshire Health Authority. (1994). The health of North Staffordshire: annual report of the Director of Public Health 1993. Stoke-on-Trent: Public Health Medicine Directorate.
URI: http://wrap.warwick.ac.uk/id/eprint/68

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