dc.date.accessioned | 2022-03-08T18:14:33Z | |
dc.date.available | 2022-03-08T18:14:33Z | |
dc.date.created | 2021-07-08T13:25:50Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | DAHL, HILDE MARGRETE Andelic, Nada Løvstad, Marianne Holthe, Ingvil Laberg Hestnes, Morten Diseth, Trond H Myhre, Mia Cathrine . Epidemiology of traumatic brain injury in children 15 years and younger in South-Eastern Norway in 2015–16. Implications for prevention and follow-up needs. European journal of paediatric neurology. 2021, 31, 70-77 | |
dc.identifier.uri | http://hdl.handle.net/10852/92123 | |
dc.description.abstract | Objective
This retrospective study aimed to describe the volume, severity, and injury mechanism of all hospital-admitted pediatric traumatic brain injury (pTBI) at Oslo University Hospital (OUH), emphasizing consequences for prevention and factors indicating a need for follow-up programs.
Method
Data were extracted from the OUH Trauma registry on 176 children, 0–15 years old, admitted to OUH in 2015 and 2016 with a pTBI diagnosis. The dataset contains demographic data, injury mechanism, type, and severity (Glasgow coma scale, GCS; abbreviated injury scale, AIS; injury severity score, ISS), ICD-10 diagnosis codes, level of treatment, and destination of discharge.
Results
79.5% had mild, 9% moderate, and 11.4% severe TBI. The incidence of hospital-treated pTBI in Oslo was 29 per 100,000 per year. The boy: girl ratio was 1.9:1, but in the young teenage group (14–15 years), the ratio was 1:1. Intracranial injury (ICI) identified on CT/MRI was associated with extended hospital stays, with a median of 6 days compared to 1 day for patients without ICI. 27% of the patients assessed as mild TBI at admission had ICI. Children below eight years of age had a higher incidence of moderate and severe ICI from trauma (53% v.s. 28% in children ≥ eight years).
Conclusion
The injury characteristics of hospital-treated pTBI are in line with other European countries, but we find the boy-girl ratio different as young teenage girls seem to be catching up with the boys. ICI and length of stay should be considered when deciding which patients need follow-up and rehabilitation. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.title | Epidemiology of traumatic brain injury in children 15 years and younger in South-Eastern Norway in 2015–16. Implications for prevention and follow-up needs | |
dc.type | Journal article | |
dc.creator.author | DAHL, HILDE MARGRETE | |
dc.creator.author | Andelic, Nada | |
dc.creator.author | Løvstad, Marianne | |
dc.creator.author | Holthe, Ingvil Laberg | |
dc.creator.author | Hestnes, Morten | |
dc.creator.author | Diseth, Trond H | |
dc.creator.author | Myhre, Mia Cathrine | |
cristin.unitcode | 185,53,46,10 | |
cristin.unitname | Pediatri | |
cristin.ispublished | true | |
cristin.fulltext | postprint | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1921023 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=European journal of paediatric neurology&rft.volume=31&rft.spage=70&rft.date=2021 | |
dc.identifier.jtitle | European journal of paediatric neurology | |
dc.identifier.volume | 31 | |
dc.identifier.startpage | 70 | |
dc.identifier.endpage | 77 | |
dc.identifier.doi | https://doi.org/10.1016/j.ejpn.2021.02.002 | |
dc.identifier.urn | URN:NBN:no-94706 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1090-3798 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/92123/1/310121%2BHMD%2BEpidemiology%2BTBI2.pdf | |
dc.type.version | AcceptedVersion | |