Evidence map›Paper›PMID 34106371›Full record

ArticleJournal of community health2021

Long-Term Trends in the Epidemiology of Major Traumatic Brain Injury.

Nelofar Kureshi, Mete Erdogan, Ginette Thibault-Halman, Lynne Fenerty, Robert S Green, David B Clarke

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Development of an HInternational journal of molecular sciences · 2026
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  15. Derivation of the Falls Decision Rule to exclude intracranial bleeding without head CT in older adults who have fallen.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Observational
  16. Article
  17. Article
  18. Mortality risk stratification in isolated severe traumatic brain injury using the revised cardiac risk index.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  19. Caregiver Characteristics of Adults with Acute Traumatic Brain Injury in the United States and Latin America.International journal of environmental research and public health · 2022
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  20. 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 3 institutions in 1 country.

Nelofar KureshiDivision of Neurosurgery, Dalhousie University, QEII Health Sciences Centre, Halifax, Canada.
Mete ErdoganTrauma Nova Scotia, Nova Scotia Health, Halifax, Canada.
Ginette Thibault-HalmanDivision of Neurosurgery, Dalhousie University, QEII Health Sciences Centre, Halifax, Canada.
Lynne FenertyDivision of Neurosurgery, Dalhousie University, QEII Health Sciences Centre, Halifax, Canada.
Robert S GreenTrauma Nova Scotia, Nova Scotia Health, Halifax, Canada.
David B ClarkeDivision of Neurosurgery, Dalhousie University, QEII Health Sciences Centre, Halifax, Canada. d.clarke@dal.ca.
Dalhousie University · CAQueen Elizabeth II Health Sciences Centre · CANova Scotia Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic brain injury (TBI) is a leading cause of death and disability among adults. Falls and motor vehicle collisions (MVCs) are the most common causes of TBI hospitalizations in Canada. The purpose of this study was to determine whether, at the provincial level, there have been significant changes in the injury rate and causes of major TBI. This was a retrospective cohort study of all patients in Nova Scotia who presented with major TBI (Abbreviated Injury Scale Head score ≥ 3) between 2002 and 2018. Prospectively entered data were collected from the Nova Scotia Trauma Registry. Annual injury rates were calculated based on 100,000 population (all ages) using population estimates from Statistics Canada. Linear regression was performed to analyze annual trends of major TBI within the province. There were 5590 major TBI patients in Nova Scotia during the 16-year study period. The overall annual rate of major TBI was 37 per 100,000 population. There was a 39% increase in the rate of major TBI over the study period (r =  - 0.72, R2 = 0.51, p < 0.002). Patients had a mean age of 51 ± 25 years; 72% were male. The proportion of TBIs in males decreased significantly from 76% in 2002 to 69% in 2017 (p < 0.001). Mechanisms of injury were predominantly falls (45%) and MVCs (29%); the proportion of violent injuries was 11.5%. The rate of fall-related TBIs more than doubled between 2002 and 2017, increasing from 9.1 to 20.5 injuries per 100,000 (p < 0.001). Our findings demonstrate an increasing incidence of major TBI over a 16-year period with a greater than two-fold increase in the rate of fall-related TBI. These results are important for targeting TBI prevention efforts in reducing falls, especially in older adults.

Indexed as

Brain Injuries, TraumaticAccidental FallsAccidents, TrafficAdultAgedHospitalizationHumansMaleMiddle AgedRetrospective StudiesEpidemiologyFallsMotor vehicle collisionsTraumatic brain injury

Identifiers

PMID34106371
OpenAlexW3168806807

What OpenQuestion holds

Textmetadata
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.