Evidence map›Paper›PMID 36720502›Full record

ArticleBMJ paediatrics open2023

Sports-related traumatic brain injuries and acute care costs in children.

Sonia Singh, Jeffrey S Hoch, Stephen Hearps, Kim Dalziel, John Alexander Cheek, James Holmes, Vicki Anderson, Nathan Kuppermann, Franz E Babl

Abstract readMulticenter Study
In one paragraph

Article in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Cost of pediatric traumatic brain injury in developing countries: a retrospective cohort study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  3. Investigating the Market Value of Brumbies (Animals : an open access journal from MDPI · 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

9 authors.

Sonia SinghDepartment of Paediatrics, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia singhsd@student.unimelb.edu.au.ORCID 0000-0003-2430-0262
Jeffrey S HochCenter for Healthcare Policy and Research, University of California Davis Health System, Sacramento, California, USA.
Stephen HearpsChild Neuropsychology, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Kim DalzielCentre for Health Policy, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.
John Alexander CheekEmergency Department, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-3615-3821
James HolmesDepartment of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California, USA.
Vicki AndersonClinical Sciences Research, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Nathan KuppermannDepartment of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California, USA.
Franz E BablDepartment of Paediatrics, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate traumatic brain injuries (TBIs) and acute care costs due to sports activities.

methodsA planned secondary analysis of 7799 children from 5 years old to <18 years old with head injuries enrolled in a prospective multicentre study between 2011 and 2014. Sports-related TBIs were identified by the epidemiology codes for activity, place and injury mechanism. The sports cohort was stratified into two age groups (younger: 5-11 and older: 12-17 years). Acute care costs from the publicly funded Australian health system perspective are presented in 2018 pound sterling (£).

resultsThere were 2903 children (37%) with sports-related TBIs. Mean age was 12.0 years (95% CI 11.9 to 12.1 years); 78% were male. Bicycle riding was associated with the most TBIs (14%), with mean per-patient costs of £802 (95% CI £644 to £960) and 17% of acute costs. The highest acute costs (21%) were from motorcycle-related TBIs (3.8% of injuries), with mean per-patient costs of £3795 (95% CI £1850 to £5739). For younger boys and girls, bicycle riding was associated with the highest TBIs and total costs; however, the mean per-patient costs were highest for motorcycle and horse riding, respectively. For older boys, rugby was associated with the most TBIs. However, motorcycle riding had the highest total and mean per-patient acute costs. For older girls, horse riding was associated with the most TBIs and highest total acute costs, and motorcycle riding was associated with the highest mean per-patient costs.

conclusionInjury prevention strategies should focus on age-related and sex-related sports activities to reduce the burden of TBIs in children. TRIAL REGISTRATION NUMBER: ACTRN12614000463673.

Indexed as

Athletic InjuriesBrain Injuries, TraumaticAnimalsAustraliaEmergency Service, HospitalFemaleHorsesMaleProspective Studieshealth economicshealth services research

Identifiers

PMID36720502
PMCPMC9890755

What OpenQuestion holds

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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.