Analysis of Head Injury Admission Trends in an Urban American Pediatric Trauma Center
BACKGROUND:Head injury is the leading cause of death in children. Child safety legislation and risk-specific intervention programs have flourished to mitigate the incidence of injury to children. This analysis documents the trend in head injury to children in a specific institution. METHODS:Analysis...
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| Veröffentlicht in: | The Journal of trauma, injury, infection, and critical care injury, infection, and critical care, 2005-12, Vol.59 (6), p.1292-1297 |
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| container_title | The Journal of trauma, injury, infection, and critical care |
| container_volume | 59 |
| creator | Ponsky, Todd A. Eichelberger, Martin R. Cardozo, Eden Huang, Zhihuan J. Pratsch, Geraldine L. Thuma-Croom, Sara E. Newman, Kurt D. |
| description | BACKGROUND:Head injury is the leading cause of death in children. Child safety legislation and risk-specific intervention programs have flourished to mitigate the incidence of injury to children. This analysis documents the trend in head injury to children in a specific institution.
METHODS:Analysis of 5,003 head injury admissions to a pediatric trauma center over thirteen years was performed. Admission rates were calculated using the appropriate population denominator from census data. Poisson regression analysis was applied to estimate the relative risk of head injury admission by year in different age, sex, mechanism of injury and severity group.
RESULTS:There has been a 70% decline in the head injury admission rate since 1989, consistent with regional and national data. The decline was present in all mechanisms of injury and age groups except for less than 1 year of age. The decline in total trauma admissions over the same time period was 50% and the decline in total hospital admission was 10%.
CONCLUSION:Pediatric head injury has significantly declined in the last 13 years at a Level I pediatric trauma center. |
| doi_str_mv | 10.1097/01.ta.0000197439.19171.25 |
| format | Article |
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METHODS:Analysis of 5,003 head injury admissions to a pediatric trauma center over thirteen years was performed. Admission rates were calculated using the appropriate population denominator from census data. Poisson regression analysis was applied to estimate the relative risk of head injury admission by year in different age, sex, mechanism of injury and severity group.
RESULTS:There has been a 70% decline in the head injury admission rate since 1989, consistent with regional and national data. The decline was present in all mechanisms of injury and age groups except for less than 1 year of age. The decline in total trauma admissions over the same time period was 50% and the decline in total hospital admission was 10%.
CONCLUSION:Pediatric head injury has significantly declined in the last 13 years at a Level I pediatric trauma center.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/01.ta.0000197439.19171.25</identifier><identifier>PMID: 16394899</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Age Distribution ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Craniocerebral Trauma - epidemiology ; Craniocerebral Trauma - etiology ; Diseases of the osteoarticular system ; District of Columbia - epidemiology ; General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation ; Hospitals, Pediatric ; Hospitals, Urban ; Humans ; Incidence ; Infant ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Medical sciences ; Patient Admission - trends ; Trauma Centers ; Traumas. Diseases due to physical agents</subject><ispartof>The Journal of trauma, injury, infection, and critical care, 2005-12, Vol.59 (6), p.1292-1297</ispartof><rights>2005 Lippincott Williams & Wilkins, Inc.</rights><rights>2006 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4602-41d6e5e05a3d3f84b2fa5112438302014d0362d814deef3142b7bb418228519a3</citedby><cites>FETCH-LOGICAL-c4602-41d6e5e05a3d3f84b2fa5112438302014d0362d814deef3142b7bb418228519a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17400694$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16394899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ponsky, Todd A.</creatorcontrib><creatorcontrib>Eichelberger, Martin R.</creatorcontrib><creatorcontrib>Cardozo, Eden</creatorcontrib><creatorcontrib>Huang, Zhihuan J.</creatorcontrib><creatorcontrib>Pratsch, Geraldine L.</creatorcontrib><creatorcontrib>Thuma-Croom, Sara E.</creatorcontrib><creatorcontrib>Newman, Kurt D.</creatorcontrib><title>Analysis of Head Injury Admission Trends in an Urban American Pediatric Trauma Center</title><title>The Journal of trauma, injury, infection, and critical care</title><addtitle>J Trauma</addtitle><description>BACKGROUND:Head injury is the leading cause of death in children. Child safety legislation and risk-specific intervention programs have flourished to mitigate the incidence of injury to children. This analysis documents the trend in head injury to children in a specific institution.
METHODS:Analysis of 5,003 head injury admissions to a pediatric trauma center over thirteen years was performed. Admission rates were calculated using the appropriate population denominator from census data. Poisson regression analysis was applied to estimate the relative risk of head injury admission by year in different age, sex, mechanism of injury and severity group.
RESULTS:There has been a 70% decline in the head injury admission rate since 1989, consistent with regional and national data. The decline was present in all mechanisms of injury and age groups except for less than 1 year of age. The decline in total trauma admissions over the same time period was 50% and the decline in total hospital admission was 10%.
CONCLUSION:Pediatric head injury has significantly declined in the last 13 years at a Level I pediatric trauma center.</description><subject>Adolescent</subject><subject>Age Distribution</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - etiology</subject><subject>Diseases of the osteoarticular system</subject><subject>District of Columbia - epidemiology</subject><subject>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</subject><subject>Hospitals, Pediatric</subject><subject>Hospitals, Urban</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Medical sciences</subject><subject>Patient Admission - trends</subject><subject>Trauma Centers</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1r3DAQhkVoSbZp_0JRD83N7ow-bOm4LG0SCLSH7FmMLZk49Ucq2YT991WyCzuHmZfhmQ9exr4hlAi2_gFYLlRCDrS1krZEizWWQl-wDWphC2PAfmAbACEKLYy4Yp9Ses68UtJcsiuspFXG2g3bbycaDqlPfO74XSDP76fnNR741o99Sv088ccYJp94P3Ga-D42OW_HEPs2iz_B97RknSlaR-K7MC0hfmYfOxpS-HKq12z_6-fj7q54-H17v9s-FK2qQBQKfRV0AE3Sy86oRnSkEUV-UoIAVB5kJbzJIoROohJN3TQKjRBGoyV5zW6Oe1_i_G8NaXH56TYMA01hXpOrLGhlTZ1BewTbOKcUQ-deYj9SPDgE9-apA3QLubOn7t1TJ3Se_Xo6sjZj8OfJk4kZ-H4CKLU0dJGmtk9nrlYAlVWZU0fudR6ySenvsL6G6J4CDcvT-2kta1mIXDEnKN5aQv4H-XONcg</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Ponsky, Todd A.</creator><creator>Eichelberger, Martin R.</creator><creator>Cardozo, Eden</creator><creator>Huang, Zhihuan J.</creator><creator>Pratsch, Geraldine L.</creator><creator>Thuma-Croom, Sara E.</creator><creator>Newman, Kurt D.</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Analysis of Head Injury Admission Trends in an Urban American Pediatric Trauma Center</title><author>Ponsky, Todd A. ; Eichelberger, Martin R. ; Cardozo, Eden ; Huang, Zhihuan J. ; Pratsch, Geraldine L. ; Thuma-Croom, Sara E. ; Newman, Kurt D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4602-41d6e5e05a3d3f84b2fa5112438302014d0362d814deef3142b7bb418228519a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Age Distribution</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Craniocerebral Trauma - etiology</topic><topic>Diseases of the osteoarticular system</topic><topic>District of Columbia - epidemiology</topic><topic>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</topic><topic>Hospitals, Pediatric</topic><topic>Hospitals, Urban</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Medical sciences</topic><topic>Patient Admission - trends</topic><topic>Trauma Centers</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>online_resources</toplevel><creatorcontrib>Ponsky, Todd A.</creatorcontrib><creatorcontrib>Eichelberger, Martin R.</creatorcontrib><creatorcontrib>Cardozo, Eden</creatorcontrib><creatorcontrib>Huang, Zhihuan J.</creatorcontrib><creatorcontrib>Pratsch, Geraldine L.</creatorcontrib><creatorcontrib>Thuma-Croom, Sara E.</creatorcontrib><creatorcontrib>Newman, Kurt D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ponsky, Todd A.</au><au>Eichelberger, Martin R.</au><au>Cardozo, Eden</au><au>Huang, Zhihuan J.</au><au>Pratsch, Geraldine L.</au><au>Thuma-Croom, Sara E.</au><au>Newman, Kurt D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of Head Injury Admission Trends in an Urban American Pediatric Trauma Center</atitle><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle><addtitle>J Trauma</addtitle><date>2005-12</date><risdate>2005</risdate><volume>59</volume><issue>6</issue><spage>1292</spage><epage>1297</epage><pages>1292-1297</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>BACKGROUND:Head injury is the leading cause of death in children. Child safety legislation and risk-specific intervention programs have flourished to mitigate the incidence of injury to children. This analysis documents the trend in head injury to children in a specific institution.
METHODS:Analysis of 5,003 head injury admissions to a pediatric trauma center over thirteen years was performed. Admission rates were calculated using the appropriate population denominator from census data. Poisson regression analysis was applied to estimate the relative risk of head injury admission by year in different age, sex, mechanism of injury and severity group.
RESULTS:There has been a 70% decline in the head injury admission rate since 1989, consistent with regional and national data. The decline was present in all mechanisms of injury and age groups except for less than 1 year of age. The decline in total trauma admissions over the same time period was 50% and the decline in total hospital admission was 10%.
CONCLUSION:Pediatric head injury has significantly declined in the last 13 years at a Level I pediatric trauma center.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>16394899</pmid><doi>10.1097/01.ta.0000197439.19171.25</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of trauma, injury, infection, and critical care, 2005-12, Vol.59 (6), p.1292-1297 |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adolescent Age Distribution Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child Child, Preschool Craniocerebral Trauma - epidemiology Craniocerebral Trauma - etiology Diseases of the osteoarticular system District of Columbia - epidemiology General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation Hospitals, Pediatric Hospitals, Urban Humans Incidence Infant Injuries of the nervous system and the skull. Diseases due to physical agents Medical sciences Patient Admission - trends Trauma Centers Traumas. Diseases due to physical agents |
| title | Analysis of Head Injury Admission Trends in an Urban American Pediatric Trauma Center |
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