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

Article English OPEN
Hawley, Carol ; Ward, Anthony B. ; Long, Julie ; Owen, David ; Magnay, Andrew R.

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.
  • References (12)
    12 references, page 1 of 2

    1 Kraus JF, Rock A and Hemyari P. Brain injuries among infants, children, adolescents, and young adults. Americal Journal of Diseases in Children 1990; 144, 684-691.

    2 British Society of Rehabilitation Medicine. Rehabilitation after Traumatic Brain Injury. A Working Party Report of the British Society of Rehabilitation Medicine. London, 1998.

    3. Sharples PM, Storey A, Aynsley-Green A and Eyre JA. Avoidable factors contributing to the death of children with head injury. British Medical Journal 1990; 300, 87-91.

    4 House of Commons Select Committee on Health. Third report: Head Injury: Rehabilitation. London: HM Stationery Office, 2001.

    5 Parmelee DX. Neuropsychiatric sequelae of traumatic brain injury in children and adolescents. Psychiatric Medicine 1989; 7(1), 11-16.

    6 Ewing-Cobbs L, Miner ME, Fletcher and JM et al. Intellectual, motor, and language sequelae following closed head injury in infants and preschoolers. Journal of Pediatric Psychology 1989; 14, 531-537.

    7 Klonoff H, Clark C and Klonoff PS. Long-term outcome of head injuries: a 23 year follow up study of children with head injuries. Journal of Neurology, Neurosurgery and Psychiatry 1993; 56, 410-415.

    8 Ewing-Cobbs, L, Thompson, NM, Miner, and ME et al. Gunshot wounds to the brain in children and adolescents: age and neurobehavioural development. Neurosurgery 1994; 35, 225-233.

    9 Cicerone KD, Smith LC, Ellmo W, Mangel HR, Nelson P, Chase RF and Kalmar K. Neuropsychological rehabilitation of mild traumatic brain injury. Brain Injury 1996; 10(4), 277-286.

    10 Roberts MA, Manshadi FF, Bushnell DL and Hines ME. Neurobehavioural dysfunction following mild traumatic brain injury in childhood: a case report with positive findings on positron emission tomography (PET). Brain Injury 1995; 9(5), 427-436.

  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    169
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    Warwick Research Archives Portal Repository - IRUS-UK 0 169
Share - Bookmark