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


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

Cheng Chen et al. Int J Environ Res Public Health.


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: annual percent change; emergency department; pediatric; traumatic brain injury.

Conflict of interest statement

The authors declare no conflict of interest.


Figure 1
Figure 1
Age-adjusted rates of traumatic brain injury-related emergency department visits increased from 2006 to 2013 in both males and females in the U.S.

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