Evidence map›Paper›PMID 38268428›Full record

ArticlePediatrics2024

Mild Traumatic Brain Injuries and Risk for Affective and Behavioral Disorders.

Richard L Delmonico, Lue-Yen Tucker, Brian R Theodore, Michelle Camicia, Charles Filanosky, Juliet Haarbauer-Krupa

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

10 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

6 authors at 5 institutions in 1 country.

Richard L DelmonicoKaiser Foundation Rehabilitation Center, Kaiser Permanente Vallejo Medical Center, Vallejo, California.
Lue-Yen TuckerDivision of Research, Kaiser Permanente, Oakland, California.
Brian R TheodoreKaiser Foundation Rehabilitation Center, Kaiser Permanente Vallejo Medical Center, Vallejo, California.
Michelle CamiciaKaiser Foundation Rehabilitation Center, Kaiser Permanente Vallejo Medical Center, Vallejo, California.
Charles FilanoskyThe Permanente Medical Group, Oakland, California.
Juliet Haarbauer-KrupaDivision of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kaiser Permanente Vallejo Medical Center · USColorado Permanente Medical Group · USKaiser Permanente · USKaiser Permanente Vacaville Medical Center · USNational Center for Injury Prevention and Control · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesRecent studies document an association between mild traumatic brain injuries (mTBIs) in children and postinjury psychiatric disorders. However. these studies were subject to limitations in the design, lack of long-term follow-up, and poorly defined psychiatric outcomes. This study determines the incidence and relative risk of postinjury new affective and behavior disorders 4 years after mTBIs.

methodsA cohort study of mTBI cases and matched comparisons within an integrated health care system. The mTBI group included patients ≤17 years of age, diagnosed with mTBI from 2000 to 2014 (N = 18 917). Comparisons included 2 unexposed patients (N = 37 834) per each mTBI-exposed patient, randomly selected and matched for age, sex, race/ethnicity, and date of medical visit (reference date to mTBI injury). Outcomes included a diagnosis of affective or behavioral disorders in the 4 years after mTBI or the reference date.

resultsAdjusted risks for affective disorders were significantly higher across the first 3 years after injury for the mTBI group, especially during the second year, with a 34% increase in risk. Adjusted risks for behavioral disorders were significant at years 2 and 4, with up to a 37% increase in risk. The age group with the highest risk for postinjury affective and behavioral disorders was 10- to 13-year-old patients.

conclusionsSustaining an mTBI significantly increased the risks of having a new affective or behavioral disorder up to 4 years after injury. Initial and ongoing screening for affective and behavior disorders following an mTBI can identify persistent conditions that may pose barriers to recovery.

Indexed as

Brain ConcussionBrain Injuries, TraumaticMental DisordersAdolescentChildCohort StudiesFemaleHumansLongitudinal StudiesMaleRisk

Identifiers

PMID38268428
PMCPMC10983778
OpenAlexW4391228741

What OpenQuestion holds

Textmetadata
LicenceTDM
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.