Evidence map›Paper›PMID 41631097›Full record

ArticleThe Lancet regional health. Western Pacific2026

A population-based study of traumatic brain injury incidence and mechanisms in New Zealand: 2021-2022 compared with 2010-2011.

Kelly Jones, Alice Theadom, Nicola Starkey, Irene Zeng, Shanthi Ameratunga, Suzanne Barker-Collo, Laura Wilkinson-Meyers, Braden Te Ao, Nathan Henry, Luke A McClean and 9 more

Abstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

19 authors.

Kelly JonesNational Institute for Stroke and Applied Neurosciences, School of Community and Public Health, Auckland University of Technology, Auckland, New Zealand.
Alice TheadomBrain Health Research Institute, School of Science, Auckland University of Technology, Auckland, New Zealand.
Nicola StarkeySchool of Psychology, Division of Arts, Law, Psychology & Social Sciences, The University of Waikato, Hamilton, New Zealand.
Irene ZengBiostatistics and Epidemiology, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Shanthi AmeratungaSchool of Population Health, Faculty of Medical & Health Sciences, The University of Auckland, Auckland, New Zealand.
Suzanne Barker-ColloSchool of Psychology, Faculty of Science, The University of Auckland, Auckland, New Zealand.
Laura Wilkinson-MeyersSchool of Population Health, Faculty of Medical & Health Sciences, The University of Auckland, Auckland, New Zealand.
Braden Te AoSchool of Population Health, Faculty of Medical & Health Sciences, The University of Auckland, Auckland, New Zealand.
Nathan HenryBiostatistics and Epidemiology, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Luke A McCleanBiostatistics and Epidemiology, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Jennifer ChuaNational Institute for Stroke and Applied Neurosciences, School of Community and Public Health, Auckland University of Technology, Auckland, New Zealand.
Leah HaumahaNational Institute for Stroke and Applied Neurosciences, School of Community and Public Health, Auckland University of Technology, Auckland, New Zealand.
Michael KahanTBI Rehabilitation Unit and Concussion Clinic, Waikato Occupational Services Ltd, Hamilton, New Zealand.
Grant ChristeyTe Manawa Taki (formerly Midland) Trauma Research Centre, Meade Clinical Centre, Waikato Hospital, Hamilton; Waikato Clinical School, The University of Auckland, Auckland, New Zealand.
Natalie HardakerAccident Compensation Corporation, Wellington, New Zealand.
Amy JonesMāori Health, Te Whatu Ora Waikato, Health New Zealand, New Zealand.
Anthony DowellDepartment of Primary Health Care and General Practice, University of Otago - Wellington, New Zealand.
Valery FeiginNational Institute for Stroke and Applied Neurosciences, School of Community and Public Health, Auckland University of Technology, Auckland, New Zealand.
BIONIC and BIONIC2 Study Groups

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Monitoring traumatic brain injury (TBI) incidence and epidemiological patterns is important for evidence-based strategic planning, policy, prevention, and resource allocation. We revisited population-based estimates and examined patterns of TBI incidence (all ages, severities) in 2021-2022 compared with 2010-2011 in New Zealand (NZ). Methods: Examining an urban (Hamilton) and rural (Waikato District) region in NZ (May 2021-April 2022, unintentionally following the start of the COVID-19 pandemic), we calculated crude annual age-, sex-, ethnic-, urban/rural area- and mechanism-specific TBI incidence per 100,000 person-years with 95% Confidence Intervals (CI). Poisson regression was used to derive adjusted Risk Ratios (aRRs) to compare age-standardised rates between sex, ethnicity, and area groups. Direct standardisation was used to age-standardise rates to the world population. We calculated Incidence Rate Ratios (IRRs) with 95% CI to compare 2021-2022 with 2010-2011 age-standardised rates. Findings: Total TBI incidence per 100,000 person-years was 852 cases (95% CI 816-890), including 791 cases (756-828) of mild TBI, and 61 cases (52-72) of moderate to severe TBI. TBI affected males more than females (IRR 1.31, 95% CI 1.29-1.33), and urban more than rural residents (IRR 1.57, 1.43-1.73). Most TBI (61%) occurred in people aged 15-64 years and were due to falls (48%). European and Asian peoples had lower risk of TBI than Māori (aRRs 0.68, 0.31 respectively). Compared to 2010-2011, total TBI incidence and rates among Māori were stable; TBI incidence was greater among females, urban residents, and adults aged ≥34 years; and TBI due to falls significantly increased (IRR 1.20, 95% CI 1.03-1.40). Interpretation: Noting increased risks for underestimation due to COVID-19, findings suggest overall TBI incidence rate in NZ was similar in 2021-2022 to 2010-2011, while highlighting changes in TBI distribution. Age-, sex-, area-, ethnic-, and mechanism-specific distributions should be considered when revisiting prevention strategies to reduce TBI incidence. Funding: Health Research Council of New Zealand of NZ.

Indexed as

EpidemiologyIncidenceMechanismPopulation-basedTraumatic brain injury

Identifiers

PMID41631097
PMCPMC12861184

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.