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

Author

Listed:
  • Cheng Chen

    (Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
    Center for Injury Research and Policy, 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
    Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
    College of Public Health, The Ohio State University, Columbus, OH 43210, USA)

  • Eric A. Sribnick

    (Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
    Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH 43205, USA
    Department of Neurosurgery, Nationwide Children’s Hospital, Columbus, OH 43205, USA)

  • Motao Zhu

    (Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
    Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH 43205, USA)

  • Henry Xiang

    (Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
    Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USA
    College of Public Health, The Ohio State University, Columbus, OH 43210, USA
    Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH 43205, USA)

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.

Suggested Citation

  • Cheng Chen & Jin Peng & Eric A. Sribnick & Motao Zhu & Henry Xiang, 2018. "Trend of Age-Adjusted Rates of Pediatric Traumatic Brain Injury in U.S. Emergency Departments from 2006 to 2013," IJERPH, MDPI, vol. 15(6), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1171-:d:150652
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    References listed on IDEAS

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    1. Cheng Chen & Junxin Shi & Rachel M. Stanley & Eric A. Sribnick & Jonathan I. Groner & Henry Xiang, 2017. "U.S. Trends of ED Visits for Pediatric Traumatic Brain Injuries: Implications for Clinical Trials," IJERPH, MDPI, vol. 14(4), pages 1-13, April.
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