Evidence map›Paper›PMID 29981067›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2018

Rates of concussions and minor head injuries in Quebec, 2003 and 2016, in children under 18 years old, and comparisons with Ontario's rates of mild traumatic brain injuries.

Glenn Keays, Debbie Friedman, Isabelle Gagnon

Abstract readComparative Study
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

3 authors.

Glenn KeaysThe Montreal Children's Hospital, CHIRPP, Room BS1.2766.1, 1001 Boulevard Décarie, Montreal, QC, H4A 3J1, Canada. glenn.keays@muhc.mcgill.ca.
Debbie FriedmanThe Montreal Children's Hospital, CHIRPP, Room BS1.2766.1, 1001 Boulevard Décarie, Montreal, QC, H4A 3J1, Canada.
Isabelle GagnonSchool of Physical and Occupational Therapy/Pediatrics, McGill University, 3654 prom Sir-William-Osler, Montreal, QC, H3G 1Y5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIncreases of mild traumatic brain injuries in children have been reported in the USA and Ontario over the past decade. The main objective of this study is to calculate the pediatric rates of mild traumatic brain injury in Quebec, and our second objective is to compare them with those in Ontario.

methodsAnalysts from the Régie de l'Assurance Maladie du Québec (RAMQ, Quebec Health Insurance Board) compiled tables, by age and sex, of all medical services for mild traumatic brain injuries (concussions and minor head injuries) between 2003 and 2016. Quebec's population rates were calculated and yearly graphs were plotted by age and sex.

resultsIn Quebec, there were statistically significant increases in rates of mild traumatic brain injury (concussion and minor head injury) in older children: a 2.0-fold increase for those aged 13-17 years, and 1.4-fold increase for those aged 9-12 years. When only considering concussions, girls (13-17 years) had more concussions than boys in 2015 and 2016. The increase in the rates of concussion was significantly higher in Ontario than in Quebec: 4.4- vs. 2.2-fold increase.

conclusionsThe recent increase in rates of mild traumatic brain injuries reported in the scientific literature has also been observed in Quebec. The fact that the rate of visits for mild traumatic brain injury, per person, remained the same from 2003 to 2016 suggests that the increase was not the result of parents seeking more medical services, but that more of them consulted when their child injured his/her head.

Indexed as

AdolescentBrain ConcussionChildChild, PreschoolCraniocerebral TraumaFemaleHumansIncidenceInfantInfant, NewbornMaleOntarioQuebecAdolescentsChildrenConcussionMild traumatic brain injury

Identifiers

PMID29981067
PMCPMC6964362

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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.