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

Cheng Chen, Jin Peng, Eric A. Sribnick, Motao Zhu and Henry Xiang
Additional contact information
Cheng Chen: Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
Jin Peng: Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
Eric A. Sribnick: Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
Motao Zhu: Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
Henry Xiang: Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA

IJERPH, 2018, vol. 15, issue 6, 1-10

Abstract: Objective : 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. Methods : 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. Results : 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. Conclusion : 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.

Keywords: traumatic brain injury; pediatric; emergency department; annual percent change (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/15/6/1171/pdf (application/pdf)
https://www.mdpi.com/1660-4601/15/6/1171/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:15:y:2018:i:6:p:1171-:d:150652

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().