Evidence map›Paper›PMID 27398371›Full record

ArticleCMAJ open

Traumatic brain injury in a rural indigenous population in Canada: a community-based approach to surveillance.

Oliver Lasry, Roy W Dudley, Rebecca Fuhrer, Jill Torrie, Robert Carlin, Judith Marcoux

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Acute health care among Indigenous patients in Canada: a scoping review.International journal of circumpolar health · 2021
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Oliver LasryDepartment of Epidemiology, Biostatistics and Occupational Health (Lasry, Fuhrer), McGill University, Montréal, Que.; Department of Neurosurgery (Lasry, Marcoux), McGill University Health Centre - Montréal General Hospital, Montréal, Qué.; Department of Surgery (Dudley), Division of Neurosurgery, McGill University Health Centre - Montréal Children's Hospital, Montréal, Qué.; Department of Public Health (Torrie), Cree Board of Health and Social Services of James Bay, Mistissini, Qué.; Department of Public Health (Carlin), Cree Board of Health and Social Services of James Bay, Montréal, Qué.
Roy W DudleyDepartment of Epidemiology, Biostatistics and Occupational Health (Lasry, Fuhrer), McGill University, Montréal, Que.; Department of Neurosurgery (Lasry, Marcoux), McGill University Health Centre - Montréal General Hospital, Montréal, Qué.; Department of Surgery (Dudley), Division of Neurosurgery, McGill University Health Centre - Montréal Children's Hospital, Montréal, Qué.; Department of Public Health (Torrie), Cree Board of Health and Social Services of James Bay, Mistissini, Qué.; Department of Public Health (Carlin), Cree Board of Health and Social Services of James Bay, Montréal, Qué.
Rebecca FuhrerDepartment of Epidemiology, Biostatistics and Occupational Health (Lasry, Fuhrer), McGill University, Montréal, Que.; Department of Neurosurgery (Lasry, Marcoux), McGill University Health Centre - Montréal General Hospital, Montréal, Qué.; Department of Surgery (Dudley), Division of Neurosurgery, McGill University Health Centre - Montréal Children's Hospital, Montréal, Qué.; Department of Public Health (Torrie), Cree Board of Health and Social Services of James Bay, Mistissini, Qué.; Department of Public Health (Carlin), Cree Board of Health and Social Services of James Bay, Montréal, Qué.
Jill TorrieDepartment of Epidemiology, Biostatistics and Occupational Health (Lasry, Fuhrer), McGill University, Montréal, Que.; Department of Neurosurgery (Lasry, Marcoux), McGill University Health Centre - Montréal General Hospital, Montréal, Qué.; Department of Surgery (Dudley), Division of Neurosurgery, McGill University Health Centre - Montréal Children's Hospital, Montréal, Qué.; Department of Public Health (Torrie), Cree Board of Health and Social Services of James Bay, Mistissini, Qué.; Department of Public Health (Carlin), Cree Board of Health and Social Services of James Bay, Montréal, Qué.
Robert CarlinDepartment of Epidemiology, Biostatistics and Occupational Health (Lasry, Fuhrer), McGill University, Montréal, Que.; Department of Neurosurgery (Lasry, Marcoux), McGill University Health Centre - Montréal General Hospital, Montréal, Qué.; Department of Surgery (Dudley), Division of Neurosurgery, McGill University Health Centre - Montréal Children's Hospital, Montréal, Qué.; Department of Public Health (Torrie), Cree Board of Health and Social Services of James Bay, Mistissini, Qué.; Department of Public Health (Carlin), Cree Board of Health and Social Services of James Bay, Montréal, Qué.
Judith MarcouxDepartment of Epidemiology, Biostatistics and Occupational Health (Lasry, Fuhrer), McGill University, Montréal, Que.; Department of Neurosurgery (Lasry, Marcoux), McGill University Health Centre - Montréal General Hospital, Montréal, Qué.; Department of Surgery (Dudley), Division of Neurosurgery, McGill University Health Centre - Montréal Children's Hospital, Montréal, Qué.; Department of Public Health (Torrie), Cree Board of Health and Social Services of James Bay, Mistissini, Qué.; Department of Public Health (Carlin), Cree Board of Health and Social Services of James Bay, Montréal, Qué.
Montreal Children's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndigenous populations are disproportionately affected by traumatic brain injury. These populations rely on large jurisdiction surveillance efforts to inform their prevention strategies, which may not address their needs. We examined the incidence and determinants of traumatic brain injury in an indigenous population in the Terres-Cries-de-la-Baie-James health region of the province of Quebec and compared them with the incidence and determinants in 2 neighbouring health regions and in the province overall.

methodsWe conducted a retrospective population-based cohort study of patients in Quebec admitted to hospital with incident traumatic brain injury, stratified by health region (Terres-Cries-de-la-Baie-James, Nunavik and Nord-du-Québec), from 2000 to 2012. We used MED-ÉCHO administrative data for case-finding. A subgroup analysis of adults in the Terres-Cries-de-la-Baie-James health region was completed to assess determinants of the severity of traumatic brain injury and patient outcomes.

resultsA total of 172 hospital admissions for incident traumatic brain injury occurred in the Terres-Cries-de-la-Baie-James region during the study period. The incidence was 92.1 per 100 000 person-years, and the adjusted incidence rate ratio was 1.84 (95% confidence interval 1.56-2.17) compared with the entire province. The incidence was higher than in the neighbouring nonindigenous population (Nord-du-Québec) but significantly lower than in the neighbouring indigenous population (Nunavik). Determinants of traumatic brain injury in the Terres-Cries-de-la-Baie-James region differed from those in the neighbouring populations and in the entire province.

interpretationWe found that the incidence rates and determinants of traumatic brain injury requiring hospital admission varied greatly between the three regions studied. Community-based surveillance efforts should be encouraged to inform the development of relevant prevention strategies.

Identifiers

PMID27398371
PMCPMC4933602
OpenAlexW2406968280

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.