Evidence map›Paper›PMID 29627189›Full record

ArticleThe Journal of pediatrics2018

Variations in Mechanisms of Injury for Children with Concussion.

Juliet Haarbauer-Krupa, Kristy B Arbogast, Kristina B Metzger, Arlene I Greenspan, Ronni Kessler, Allison E Curry, Jeneita M Bell, Lara DePadilla, Melissa R Pfeiffer, Mark R Zonfrillo and 1 more

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Understanding Concussion Knowledge in Urban Community Settings: Perspectives of School Nurses and Youth Athletic Program Leaders.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
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  10. A Description of Suspected Concussions in Football-Related Activities among K-12 Students in Utah.The Journal of school nursing : the official publication of the National Association of School Nurses · 2024
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  11. Observational
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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

11 authors at 3 institutions in 1 country.

Juliet Haarbauer-KrupaNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: JHaarbauerKrupa@cdc.gov.
Kristy B ArbogastCenter for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Kristina B MetzgerCenter for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA.
Arlene I GreenspanNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
Ronni KesslerCenter for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA.
Allison E CurryCenter for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Jeneita M BellNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
Lara DePadillaNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
Melissa R PfeifferCenter for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA.
Mark R ZonfrilloHasbro Children's Hospital and Alpert Medical School of Brown University, Providence, RI.
Christina L MasterCenter for Injury Research and Prevention, The Children's Hospital of Philadelphia, PA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; Sports Medicine and Performance Center, The Children's Hospital of Philadelphia, PA.
Children's Hospital of Philadelphia · USCenters for Disease Control and Prevention · USBrown University · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesTo assess the distribution of injury mechanisms and activities among children with concussions in a large pediatric healthcare system. STUDY

designAll patients, age 0-17 years, who had at least 1 clinical encounter with an International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis of concussion in the Children's Hospital of Philadelphia's electronic health record system from July 1, 2012 to June 30, 2014, were selected (N = 8233) and their initial concussion-related visit identified. Approximately, 20% of the patients (n = 1625) were randomly selected for manual record review to examine injury mechanisms and activities.

resultsOverall, 70% of concussions were sports related; however, this proportion varied by age. Only 18% of concussions sustained by children aged 0-4 were sports related, compared with greater proportions for older children (67% for age 5-11, 77% for age 12-14, and 73% for age 15-17). When the concussion was not sports related, the primary mechanisms of injury were struck by an object (30%) and falls (30%).

conclusionsSports-related injuries in children older than 6 years of age contributed to the majority of concussions in this cohort; however, it is important to note that approximately one-third of concussions were from non-sports-related activities. Although there is increased participation in community and organized sports activities among children, a focus on prevention efforts in other activities where concussions occur is needed.

Indexed as

AdolescentAthletic InjuriesBrain ConcussionChildChild, PreschoolDatabases, FactualFemaleHumansInfantInfant, NewbornMalePhiladelphiaRisk Factorsinjury mechanismpediatricstraumatic brain injury

Identifiers

PMID29627189
PMCPMC6029621
OpenAlexW2796103399

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.