Emergency Department Visits Owing to Intentional and Unintentional Traumatic Brain Injury among Infants in the United States: A Population-Based Assessment

Amanullah, Siraj; Schlichting, Lauren E.; Linakis, Seth W; Steele, Dale W.; Linakis, James G.

doi:10.1016/j.jpeds.2018.08.023

Cited by 8 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For CHIRPP, when only considering concussions, Several studies outside of Quebec have reported increases in mTBI rates in recent years, varying according to age and sex. [10][11][12][13][14][15]18 Within Quebec, mTBI rates increased 1.35-fold between 2008 (lowest rate) and 2014 (highest rate). Similarly, 2008 and 2014 were also the years of the lowest and highest CHIRPP rates, representing a 1.59fold increase when using all CHIRPP injuries or a 1.56-fold increase when using the population living within 5 km.…”

Section: Discussionmentioning

confidence: 99%

“…The representativeness of CHIRPP regarding mild traumatic brain injuries (mTBI) has never been studied; we wanted to see if CHIRPP captured the increase of mTBI in recent years that has been reported by several studies. [10][11][12][13][14][15] We also wanted to take advantage of a recently published article 16 that estimated population-based mTBI rates in Quebec's children and see if variations in rates of mTBI in CHIRPP would mirror those of the population.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Determining the accuracy of the Canadian Hospitals Injury Reporting and Prevention Program for the representation of the rates of mild traumatic brain injuries in Quebec

Keays

Friedman

Gagnon

et al. 2019

Health Promot Chronic Dis Prev Can

View full text Add to dashboard Cite

Introduction The recent rise in mild traumatic brain injuries (mTBI) in the pediatric population has been documented by many studies in Canada and the United States. The objective of our study was to compare mTBI rates from the Canadian Hospital Injury Reporting and Prevention Program (CHIRPP) in Montréal with population-based rates (Quebec mTBI rates). Methods We calculated CHIRPP’s mTBI rates via two methods: (1) using all CHIRPP injuries as the denominator; and (2) using the number of children aged 0 to 17 years living within 5 km of either of two CHIRPP centres in Montréal as the denominator. We plotted CHIRPP’s mTBI rates against the provincial rates and compared them according to sex and age. Results Whether using all CHIRPP injuries or the number of children aged 0 to 17 years living within 5 km of either CHIRPP centre in Montreal as the denominator, CHIRPP paralleled the fluctuations seen in Quebec’s rates between 2003 and 2016. When stratifying by sex and age, CHIRPP was better at estimating the population-based rates for the youngest (0 to 4 years) and the oldest (13 to 17 years) age groups. Conclusion CHIRPP in Montréal proved a valid tool for estimating the variations in rates of mTBI in the population. This suggests that CHIRPP could also be used to estimate population-based rates of other types of injuries.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determining the accuracy of the Canadian Hospitals Injury Reporting and Prevention Program for the representation of the rates of mild traumatic brain injuries in Quebec

Keays

Friedman

Gagnon

et al. 2019

Health Promot Chronic Dis Prev Can

View full text Add to dashboard Cite

show abstract

“…It can be used to (1) measure the magnitude and distribution of nonfatal injuries in the United States; (2) monitor unintentional and violence-related injuries over time; (3) discover emerging injury problems; and (4) set national priorities. Analysing and disseminating these surveillance data will help support the mission of reducing all types and causes of injuries in the United States [ 14 ]. However, as with any large-scale data collection effort, NEISS-AIP often contains missing data.…”

Section: Introductionmentioning

confidence: 99%

Addressing health disparities using multiply imputed injury surveillance data

Liu

Wolkin

Kresnow

et al. 2023

Int J Equity Health

View full text Add to dashboard Cite

Background Assessing disparities in injury is crucial for injury prevention and for evaluating injury prevention strategies, but efforts have been hampered by missing data. This study aimed to show the utility and reliability of the injury surveillance system as a trustworthy resource for examining disparities by generating multiple imputed companion datasets. Methods We employed data from the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) for the period 2014–2018. A comprehensive simulation study was conducted to identify the appropriate strategy for addressing missing data limitations in NEISS-AIP. To evaluate the imputation performance more quantitatively, a new method based on Brier Skill Score (BSS) was developed to assess the accuracy of predictions by different approaches. We selected the multiple imputations by fully conditional specification (FCS MI) to generate the imputed companion data to NEISS-AIP 2014–2018. We further assessed health disparities systematically in nonfatal assault injuries treated in U.S. hospital emergency departments (EDs) by race and ethnicity, location of injury and sex. Results We found for the first time that significantly higher age-adjusted nonfatal assault injury rates for ED visits per 100,000 population occurred among non-Hispanic Black persons (1306.8, 95% Confidence Interval [CI]: 660.1 – 1953.5), in public settings (286.3, 95% CI: 183.2 – 389.4) and for males (603.5, 95% CI: 409.4 – 797.5). We also observed similar trends in age-adjusted rates (AARs) by different subgroups for non-Hispanic Black persons, injuries occurring in public settings, and for males: AARs of nonfatal assault injury increased significantly from 2014 through 2017, then declined significantly in 2018. Conclusions Nonfatal assault injury imposes significant health care costs and productivity losses for millions of people each year. This study is the first to specifically look at health disparities in nonfatal assault injuries using multiply imputed companion data. Understanding how disparities differ by various groups may lead to the development of more effective initiatives to prevent such injury.

show abstract

“…One of the most distinctive aspects of severe TBI in infants is the high incidence of abusive head trauma (AHT) in this population. Abusive head trauma (AHT) is the leading cause of fatal head injuries in this age group, with an annual incidence of 33 to 38 per 100,000 infants [ 4 , 5 ] and high rates of mortality and long-term disability [ 6 , 7 , 8 , 9 ]. Diagnosing AHT is a clinical challenge that requires a combination of physical exam, detailed history and diagnostic studies including neuroimaging [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging Findings in Infants with Severe Traumatic Brain Injury and Associations with Abusive Head Trauma

et al. 2022

View full text Add to dashboard Cite

Young children with severe traumatic brain injury (TBI) have frequently been excluded from studies due to age and/or mechanism of injury. Magnetic resonance imaging (MRI) is now frequently being utilized to detect parenchymal injuries and early cerebral edema. We sought to assess MRI findings in infants with severe TBI, and to determine the association between specific MRI findings and mechanisms of injury, including abusive head trauma (AHT). MRI scans performed within the first 30 days after injury were collected and coded according to NIH/NINDS Common Data Elements (CDEs) for Neuroimaging in subjects age < 2 years old with severe TBI enrolled in the Approaches and Decisions in Acute Pediatric Traumatic Brain Injury Trial. Demographics and injury characteristics were analyzed. A total of 81 children were included from ADAPT sites with MRI scans. Median age was 0.77 years and 57% were male. Most common MRI finding was ischemia, present in 57/81 subjects (70%), in a median of 7 brain regions per subject. Contusion 46/81 (57%) and diffuse axonal injury (DAI) 36/81 (44.4%) subjects followed. Children were dichotomized based on likelihood of AHT with 43/81 subjects classified as AHT. Ischemia was found to be significantly associated with AHT (p = 0.001) and “inflicted” injury mechanism (p = 0.0003). In conclusion, the most common intracerebral injury seen on MRI of infants with severe TBI was ischemia, followed by contusion and DAI. Ischemia was associated with AHT, and ischemia affecting > 4 brain regions was predictive of AHT.

show abstract

Emergency Department Visits Owing to Intentional and Unintentional Traumatic Brain Injury among Infants in the United States: A Population-Based Assessment

Cited by 8 publications

References 25 publications

Determining the accuracy of the Canadian Hospitals Injury Reporting and Prevention Program for the representation of the rates of mild traumatic brain injuries in Quebec

Determining the accuracy of the Canadian Hospitals Injury Reporting and Prevention Program for the representation of the rates of mild traumatic brain injuries in Quebec

Addressing health disparities using multiply imputed injury surveillance data

Magnetic Resonance Imaging Findings in Infants with Severe Traumatic Brain Injury and Associations with Abusive Head Trauma

Contact Info

Product

Resources

About