Evidence map›Paper›PMID 36085365›Full record

ArticlePediatric research2023

Longitudinal trends in incidence and health care use for pediatric concussion in Alberta, Canada.

Krystle Wittevrongel, Olesya Barrett, Isabelle Couloigner, Stefania Bertazzon, Brent Hagel, Kathryn J Schneider, David Johnson, Keith O Yeates, Jennifer D Zwicker

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Krystle WittevrongelSchool of Public Policy, University of Calgary, Calgary, AB, Canada.
Olesya BarrettAlberta Health Services, Calgary, AB, Canada.
Isabelle CouloignerDepartment of Geography, University of Calgary, Calgary, AB, Canada.
Stefania BertazzonDepartment of Geography, University of Calgary, Calgary, AB, Canada.
Brent HagelO'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.
Kathryn J SchneiderAlberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada.
David JohnsonAlberta Health Services, Calgary, AB, Canada.
Keith O Yeates *Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Jennifer D Zwicker *School of Public Policy, University of Calgary, Calgary, AB, Canada. zwicker1@ucalgary.ca.
University of Calgary · CAAlberta Health Services · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe described longitudinal trends in the incidence of episodes of care (EOC) and follow-up care for pediatric concussion in relation to age, sex, rurality of patient residence, point of care, and area-based socioeconomic status (SES) in Alberta, Canada.

methodsA retrospective population-based cohort study was conducted using linked, province-wide administrative health data for all patients <18 years of age who received a diagnosis of concussion, other specified injuries of head, unspecified injury of head, or post-concussion syndrome between April 1, 2004 and March 31, 2018. Data were geospatially mapped.

resultsConcussion EOCs increased 2.2-fold over the study period, follow-up visits 5.1-fold. Care was increasingly received in physician office (PO) settings. Concussion diagnoses in rural and remote areas occurred in emergency department (ED) settings more often than in metro centres or urban areas (76%/75% vs. 52%/60%). Proportion of concussion diagnoses was positively related to SES and age. Diagnosis and point of care varied geographically.

conclusionsThe shift in care to PO settings, increased incidence of all diagnoses, and the higher use of the ED by some segments of the population all have important implications for appropriate clinical management and the efficient provision of health care for pediatric concussion. IMPACT: This is the first study to use EOC to describe longitudinal trends in incidence and follow-up care for pediatric concussion in relation to age, sex, rurality, point of care, and area-based SES. We report increased incidence of concussion in both emergency and outpatient settings and the proportion of diagnoses was positively related to SES and age. Patients increasingly received care for concussion in PO over time. Geospatial mapping indicated that the incidence of concussion and unspecified injury of head varied geographically and temporally. Results have important implications for appropriate clinical management and efficient provision of health care following pediatric concussion.

Indexed as

Brain ConcussionAlbertaChildCohort StudiesDelivery of Health CareHumansIncidenceRetrospective Studies

Identifiers

PMID36085365
PMCPMC10172117
OpenAlexW4295216942

What OpenQuestion holds

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LicenceCC BY
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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.