Evidence map›Paper›PMID 30379890›Full record

ArticlePloS one2018

Epidemiology of subdural haemorrhage during infancy: A population-based register study.

Ulf Högberg, Jacob Andersson, Waney Squier, Göran Högberg, Vineta Fellman, Ingemar Thiblin, Knut Wester

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Identifying Risk Factors of Children Who Suffered Physical Abuse: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Pooled it
  2. Article
  3. Article
  4. Acute ventriculomegaly and gaze deviation after evacuation of subdural hematoma: report of an unusual case.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  5. Cephalhaematoma in Sweden, a Population-Based Register Study.Acta paediatrica (Oslo, Norway : 1992) · 2025
    Article
  6. Article
  7. Article
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  11. Newborn with severe supratentorial subdural hematoma due to laceration of the tentorium cerebelli.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  12. Abusive Head Trauma in Infants and Children in Japan.Journal of Korean Neurosurgical Society · 2022
    Article
  13. Article
  14. Development of bilateral subdural hematoma after endovascular embolization of a dural sinus malformation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  15. Article
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  17. Article
  18. An engineering perspective of vacuum assisted delivery devices in obstetrics: A review.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2021
    Review
  19. Article
  20. Review
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

7 authors at 5 institutions in 4 countries.

Ulf HögbergDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-2121-7511
Jacob AnderssonForensic Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-8266-1926
Waney SquierFormerly Department of Neuropathology, Oxford University John Radcliffe Hospital, Oxford, United Kingdom.
Göran HögbergFormerly Department of Women's and Children's Health, Child and Adolescent Psychiatric Unit, Karolinska Institutet, Stockholm, Sweden.
Vineta FellmanDepartment of Clinical Sciences, Lund, Pediatrics, Lund University, Lund, Sweden.
Ingemar ThiblinForensic Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Knut WesterDepartment of Clinical Medicine, University of Bergen and Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0001-8489-3931
Uppsala University · SEHaukeland University Hospital · NOJohn Radcliffe Hospital · GBKarolinska Institutet · SEUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse subdural haemorrhage (SDH) during infancy in Sweden by incidence, SDH category, diagnostic distribution, age, co-morbidity, mortality, and maternal and perinatal risk factors; and its association with accidents and diagnosis of abuse.

methodsA Swedish population-based register study comprising infants born between 1997 and 2014, 0-1 years of age, diagnosed with SDH-diagnoses according to the (International Classification of Diseases, 10th version (ICD10), retrieved from the National Patient Register and linked to the Medical Birth Register and the Death Cause Register. Outcome measures were: 1) Incidence and distribution, 2) co-morbidity, 3) fall accidents by SDH category, 4) risk factors for all SDHs in the two age groups, 0-6 and 7-365 days, and for ICD10 SDH subgroups: S06.5 (traumatic SDH), I62.0 (acute nontraumatic), SDH and abuse diagnosis.

resultsIncidence of SDH was 16·5 per 100 000 infants (n = 306). Median age was 2·5 months. For infants older than one week, the median age was 3·5 months. Case fatality was 6·5%. Male sex was overrepresented for all SDH subgroups. Accidental falls were reported in 1/3 of the cases. One-fourth occurred within 0-6 days, having a perinatal risk profile. For infants aged 7-365 days, acute nontraumatic SDH was associated with multiple birth, preterm birth, and small-for-gestational age. Fourteen percent also had an abuse diagnosis, having increased odds of being born preterm, and being small-for-gestational age.

conclusionsThe incidence was in the range previously reported. SDH among newborns was associated with difficult birth and neonatal morbidity. Acute nontraumatic SDH and SDH with abuse diagnosis had similar perinatal risk profiles. The increased odds for acute nontraumatic SDH in twins, preterm births, neonatal convulsions or small-for-gestational age indicate a perinatal vulnerability for SDH beyond 1st week of life. The association between prematurity/small-for-gestational age and abuse diagnosis is intriguing and not easily understood.

Indexed as

RegistriesAge DistributionAge of OnsetComorbidityFemaleHematoma, SubduralHumansInfantInfant, NewbornMaleSex Distribution

Identifiers

PMID30379890
PMCPMC6209227
OpenAlexW2898836643

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.