Evidence map›Paper›PMID 36494828›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2022

The epidemiology of and management of pediatric patients with head trauma: a hospital-based study from Southern Sweden.

Ali Al Mukhtar, Henrik Bergenfeldt, Marcus Edelhamre, Tomas Vedin, Per-Anders Larsson, Stefan Öberg

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Utility of brain imaging in pediatric patients with a suspected accidental spinal injury but no brain injury-related symptoms.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  7. Observational
  8. Review
  9. Age predicts likelihood for surgery for pediatric tbi: an analysis of 1745 hospitlizations from a Chinese Children's Hospital.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    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 1 institution in 1 country.

Ali Al MukhtarDepartments of Surgery, Skåne's University Hospital, Carl-Bertil Laurells Gata 9, 214 28, Malmö, Sweden. ali.al_mukhtar@med.lu.se.ORCID http://orcid.org/0000-0002-1718-4868
Henrik BergenfeldtHelsingborg Hospital, Helsingborg, Sweden.
Marcus EdelhamreHelsingborg Hospital, Helsingborg, Sweden.
Tomas VedinDepartments of Surgery, Skåne's University Hospital, Carl-Bertil Laurells Gata 9, 214 28, Malmö, Sweden.
Per-Anders LarssonSkaraborg Hospital, Skövde, Sweden.
Stefan ÖbergHelsingborg Hospital, Helsingborg, Sweden.
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) is a common cause of morbidity and mortality in children worldwide. In Scandinavia, the epidemiology of pediatric head trauma is poorly documented. This study aimed to investigate and compare the epidemiology and management of pediatric patients with isolated head trauma (IHT) and head trauma in connection with multitrauma (MHT).

methodsWe conducted a retrospective review of medical records of patients < 18 years of age who attended any of the five emergency departments (ED) in Scania County in Sweden in 2016 due to head trauma. Clinical data of patients with IHT were analyzed and compared with those of patients with MHT.

resultsWe identified 5046 pediatric patients with head trauma, 4874 with IHT and 186 with MHT, yielding an incidence of ED visits due to head trauma of 1815/100,000 children/year. There was male predominance, and the median age was four years. Falls were the dominating trauma mechanism in IHT patients, while motor vehicle accidents dominated in MHT patients. The frequencies of CT head-scans, ward admissions and intracranial injuries (ICI) were 5.4%, 11.1% and 0.7%, respectively. Four patients (0.08%) required neurosurgical intervention. The relative risks for CT-scans and admissions to a hospital ward and ICI were 10, 4.5 and 19 times higher for MHT compared with IHT patients.

conclusionHead trauma is a common cause of ED visits in our study. Head-CTs and ICIs were less frequent than in previous studies. MHT patients had higher rates of CT-scans, admissions, and ICIs than IHT patients, suggesting that they are separate entities that should ideally be managed using different guidelines to optimize the use of CT-scans of the head.

Indexed as

Brain Injuries, TraumaticCraniocerebral TraumaChildChild, PreschoolEmergency Service, HospitalFemaleHospitalsHumansMaleRetrospective StudiesComputed tomographyIsolated head traumaMultitraumaPediatric traumatic brain injury

Identifiers

PMID36494828
PMCPMC9733190
OpenAlexW4311679465

What OpenQuestion holds

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LicenceCC BY
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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.