Trend of Age-Adjusted Rates of Pediatric Traumatic Brain Injury in U.S. Emergency Departments from 2006 to 2013

: To use the 2006⁻2013 Nationwide Emergency Department Sample (NEDS) database to describe trends of age-adjusted rates of pediatric traumatic brain injuries (TBI) treated in U.S. emergency departments. : Time trend analysis was conducted on age-adjusted rates among children ≤17 years in the U.S. The...

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Bibliographic Details
Published in:International journal of environmental research and public health 2018-06, Vol.15 (6), p.1171
Main Authors: Chen, Cheng, Peng, Jin, Sribnick, Eric A, Zhu, Motao, Xiang, Henry
Format: Article
Language:English
Subjects:
Adolescent
Age
Age Factors
Brain
Brain Injuries, Traumatic - epidemiology
Brain research
Child
Child, Preschool
Children
Concussion
Databases, Factual
Departments
Disease control
Emergency medical care
Emergency medical services
Emergency Service, Hospital - statistics & numerical data
Epidemiology
Female
Females
Fractures
Government agencies
Head injuries
Health surveillance
Hospitals
Humans
Independent variables
Infant
Infant, Newborn
Male
Males
Pediatrics
Population
Prevention
Public health
Time Factors
Trauma
Traumatic brain injury
Trend analysis
Trends
United States - epidemiology
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Summary:: To use the 2006⁻2013 Nationwide Emergency Department Sample (NEDS) database to describe trends of age-adjusted rates of pediatric traumatic brain injuries (TBI) treated in U.S. emergency departments. : Time trend analysis was conducted on age-adjusted rates among children ≤17 years in the U.S. The annual percent change (APC) was calculated by fitting a least squares regression to the logarithm of the rates, using the calendar year as an independent variable. : In males, motor-vehicle-related trauma (APC -2.5%) and severe TBI (APC -3.6%) decreased over the study time period. Conversely, concussion (APC 5.1%), unspecified head injury (APC 6.6%), fall-related TBI (APC 7.1%), and mild TBI (APC 5.9%) increased. In females, severe TBI (APC -3.3%) decreased over the study time period and concussion (APC 6.5%), unspecified head injury (APC 7.2%), fall-related TBI (APC 7.6%), and mild TBI (APC 6.8%) increased. : The overall age-adjusted rates of pediatric TBI-related emergency department (ED) visits increased from 2006 to 2013, which is largely caused by pediatric mild TBIs, especially unspecified injury to the head (ICD-9-CM code 959.01) and concussion. In comparison, age-adjusted rates of pediatric severe TBIs decreased. A major contributing factor might be a reduced number of traffic-related head trauma.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph15061171