Evidence map›Paper›PMID 30608307›Full record

ArticleThe Journal of head trauma rehabilitation

Healthcare Utilization and Missed Workdays for Parents of Children With Traumatic Brain Injury.

Richard E Nelson, Junjie Ma, Yan Cheng, Linda Ewing-Cobbs, Amy Clark, Heather Keenan

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. An update on pediatric traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
  6. Article
  7. 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.

Richard E NelsonVeterans Affairs Salt Lake City Health Care System, Salt Lake City, Utah (Dr Nelson and Mr Ma); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (Dr Nelson); Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City (Mr Ma); George Washington University Informatics Center, Washington, District of Columbia (Dr Cheng); Department of Pediatrics, University of Texas Houston Health Sciences Center (Dr Ewing-Cobbs); and Department of Pediatrics, University of Utah, Salt Lake City (Ms Clark and Dr Keenan).
Junjie Ma
Yan Cheng
Linda Ewing-Cobbs
Amy Clark
Heather Keenan

Funding

Developmental Consequences of Pediatric TBIU01CE002188 · CE · UNIVERSITY OF UTAH · PI EWING-COBBS, LINDA, KEENAN, HEATHER T. · 2012 to 2016
$2.7M
Primary Care after Hospitalization for Pediatric Traumatic Brain InjuryK24HD072984 · NICHD · UNIVERSITY OF UTAH · PI KEENAN, HEATHER T. · 2012 to 2016
$935k
Informatics, Decision-Enhancement and Analytic Sciences CenterI50HX001240 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI SAMORE, MATTHEW H · 2015 to 2015
–
Using Economics and Epidemiology to Evaluate MRSA Decolonization in the VAIK2HX000860 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI NELSON, RICHARD E. · 2014 to 2016
–
HSRD VA I50 HX001240HSRD VA IK2 HX000860NCIPC CDC HHS U01 CE002188NICHD NIH HHS K24 HD072984
6 · The paper itself

Abstract

backgroundWe enrolled patients in a prospective study in which we obtained estimates of the direct and indirect burden for families of children with traumatic brain injury (TBI) relative to a control group of families of children with orthopedic injury (OI).

methodsParents were surveyed at 3 time points following injury: 3, 6, and 12 months. At each follow-up contact, we asked parents to list the number of workdays missed, number of miles traveled, amount of travel-related costs, and whether their child had an emergency department (ED) visit, hospital admission, any over-the-counter (OTC) medications, and any prescription medications during that time period. We assessed the difference in these outcomes between the TBI and OI groups using multivariable logistic and 2-part regression models to account for high concentrations of zero values.

resultsChildren with TBI had significantly greater odds of having an ED visit (3.04; 95% CI, 1.12-8.24), OTC medications (1.98; 95% CI, 1.34-2.94), and prescription medications (2.34; 95% CI, 1.19-4.59) than those with OI. In addition, parents of children with TBI missed significantly more days of work (19.91 days; 95% CI, 11.64-28.17) overall during the 12 months following injury than their OI counterparts.

conclusionExtrapolating our results to the entire country, we estimate that pediatric TBI is associated with more than 670 000 lost workdays annually over the 12 months following injury, which translates into more than $150 million in lost productivity. These missed workdays and lost productivity may be prevented through safety efforts to reduce pediatric TBI.

Indexed as

AbsenteeismParentsAdolescentBrain Injuries, TraumaticChildChild, PreschoolCost of IllnessCross-Sectional StudiesFemaleHealth Services Needs and DemandHealth SurveysHumansInfantInfant, NewbornMaleNonprescription DrugsNonprescription DrugsPrescription Drugs

Identifiers

PMID30608307
PMCPMC7147293

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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.