Document Detail


ED Utilization Trends in Sports-Related Traumatic Brain Injury.
MedLine Citation:
PMID:  24081999     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Emergency department (ED) visits for sports-related traumatic brain injuries (TBIs) have risen. This study evaluated how the number and severity of admissions have changed as ED visits for sports-related TBIs have increased.
METHODS: A retrospective study of children aged 0 to 19 years at a level 1 trauma center was performed. Patients from 2002 to 2011 with a primary or secondary diagnosis of TBI were identified from the hospital's inpatient and outpatient trauma registries. Frequencies were used to characterize the population, χ(2) analysis was performed to determine differences between groups, and regression analysis looked at relationship between year and injury severity score or length of stay.
RESULTS: Sport was responsible for injury in 3878 (15.4%) cases during the study period; 3506 (90.4%) were discharged from the hospital, and 372 (9.6%) were admitted. Seventy-three percent were male patients and 78% Caucasian; mean age was 13 ± 3.5 years. ED visits for sports-related TBIs increased 92% over the study period, yet there was no significant change (χ(2) = 9.8, df = 9, P = .37) in the percentage of children admitted. Mean injury severity score for those admitted decreased from 7.8 to 4.8 (β = -0.46; P = .006); length of stay trended downward (β = -0.05; P = .05).
CONCLUSIONS: The percentage of children being admitted from the ED with sports-related TBI has not changed over the past 10 years. The severity of admitted sports-related TBI is decreasing. Additional research is needed to correlate these trends with other TBI mechanisms.
Authors:
Holly R Hanson; Wendy J Pomerantz; Mike Gittelman
Related Documents :
22964569 - Chapter 11 clinical, haematological and biochemical parameters in patients receiving re...
19817339 - Diagnosis and management of dehydration in children.
2520619 - Evaluation of three oral rehydration solutions designed for use in developed communities.
10897889 - An outbreak of group c rotavirus gastroenteritis among children attending a day-care ce...
23227059 - Indirect revascularization surgery for moyamoya disease in children and its special con...
18295059 - Albuminuria and estimated gfr 5 years after escherichia coli o157 hemolytic uremic synd...
11676669 - Bronchopulmonary dysplasia: a comparative study of motor development to two years of age.
16416229 - Cecostomy in children with defecation disorders.
22901739 - Diabetic ketoacidosis at diabetes onset: still an all too common threat in youth.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-9-30
Journal Detail:
Title:  Pediatrics     Volume:  132     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  -    
Other Details:
Languages:  ENG     Pagination:  e859-e864     Citation Subset:  -    
Affiliation:
Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2008 Cincinnati, OH 45229. holly.hanson@cchmc.org.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Enhancing Pediatric Workforce Diversity and Providing Culturally Effective Pediatric Care: Implicati...
Next Document:  Nonmedical Vaccine Exemptions and Pertussis in California, 2010.