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

Abstract

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

Factors Affecting Mortality In Falls From Height

“…In a retrospective study, Liu et al [11] reported a mortality rate of 22.70% in 66 patients falling from 6 meters or above. Hawley et al [23] reported a significantly increased mortality in patients falling from 6 meters and reported a threshold of 6 meters for fatal fall heights for individuals below 15 years of age. In our study, compared with mortality of falls from 3 m or below, the mortality rates associated with falls from 3-6 m, 6-10 m, and 10 m and above were increased 5, 6.50, and 13 times, respectively (Table 2).…”

Traumatismo craniencefálico em crianças e adolescentes na cidade do Salvador - Bahia

“…No que concerne à gravidade do trauma, segundo a escala de coma de Glasgow, observamos nos resultados atuais a preponderância do TCE leve (63,8%). O predomínio de vítimas com trauma leve em unidade de emergência é salientado em estudos anteriore s , independente da faixa etária analisada, podendo a maioria ser dispensada de um tratamento neurocirúrgico específico 10,15,16 .…”

Improving Client-Centered Brain Injury Rehabilitation Through Research-Based Theater

“…TBI has become a major global health epidemic and is the most common cause of death and disability for those aged 45 and younger (Caro, 2011;Langlois, Rutland-Brown, & Thomas, 2006;Ontario Brain Injury Association, 2005;Hawley, Ward, Long, Owen, & Magnay, 2003). TBI accounts for 1.4 million deaths, hospitalizations, and emergency department visits in the United States each year (Langlois et al, 2006), and the United Kingdom has an estimated incidence of 300 per 100,000 population for all age groups (Hawley et al, 2003).…”

“…TBI accounts for 1.4 million deaths, hospitalizations, and emergency department visits in the United States each year (Langlois et al, 2006), and the United Kingdom has an estimated incidence of 300 per 100,000 population for all age groups (Hawley et al, 2003). Incidence rates peak in the young adult population because of motor vehicle collisions, and rates then increase among older adults because of falls (Langlois et al, 2006).…”