Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study

Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study

Jonas G Halldorsson1, Kjell M Flekkoy2, Kristinn R Gudmundsson3, Gudmundur B Arnkelsson4, Eirikur Orn Arnarson1,51Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, Oslo, Norway; 3Department of Neurosurgery, Landspitali...

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Autores principales: Jonas G Halldorsson, Kjell M Flekkoy, Kristinn R Gudmundsson, Gudmundur B Arnkelsson, Eirikur Orn Arnarson
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2007
Materias:
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/685b49fec82f427cb82ba59b979ff3b1
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spelling oai:doaj.org-article:685b49fec82f427cb82ba59b979ff3b12021-12-02T00:06:22ZUrban–rural differences in pediatric traumatic head injuries: A prospective nationwide study1176-63281178-2021https://doaj.org/article/685b49fec82f427cb82ba59b979ff3b12007-01-01T00:00:00Zhttp://www.dovepress.com/urbanndashrural-differences-in-pediatric-traumatic-head-injuries-a-pro-a973https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Jonas G Halldorsson1, Kjell M Flekkoy2, Kristinn R Gudmundsson3, Gudmundur B Arnkelsson4, Eirikur Orn Arnarson1,51Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, Oslo, Norway; 3Department of Neurosurgery, Landspitali University Hospital, Reykjavik, Iceland; 4Faculty of Social Science, University of Iceland, Reykjavik, Iceland; 5Faculty of Medicine, University of Iceland, Reykjavik, IcelandAims: To estimate differences in the incidence of recorded traumatic head injuries by gender, age, severity, and geographical area.Methods: The study was prospective and nationwide. Data were collected from all hospitals, emergency units and healthcare centers in Iceland regarding all Icelandic children and adolescents 0–19 years old consecutively diagnosed with traumatic head injuries (N = 550) during a one-year period.Results: Annual incidence of minimal, mild, moderate/severe, and fatal head injuries (ICD-9 850–854) was 6.41 per 1000, with 95% confi dence interval (CI) 5.9, 7.0. Annual incidence of minimal head injuries (ICD-9 850) treated at emergency units was 4.65 (CI 4.2, 5.1) per 1000, mild head injuries admitted to hospital (ICD-9 850) was 1.50 (CI 1.3, 1.8) per 1000, and moderate/severe nonfatal injuries (ICD-9 851–854) was 0.21 (CI 0.1, 0.3) per 1000. Death rate was 0.05 (CI 0.0, 0.1) per 1000. Young children were at greater risk of sustaining minimal head injuries than older ones. Boys were at greater risk than girls were. In rural areas, incidence of recorded minimal head injuries was low.Conclusions: Use of nationwide estimate of the incidence of pediatric head injury shows important differences between urban and rural areas as well as between different age groups.Keywords: incidence, nationwide, pediatric, prospective, traumatic head injuries, urban-rural differences Jonas G HalldorssonKjell M FlekkoyKristinn R GudmundssonGudmundur B ArnkelssonEirikur Orn ArnarsonDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2007, Iss Issue 6, Pp 935-941 (2007)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Jonas G Halldorsson
Kjell M Flekkoy
Kristinn R Gudmundsson
Gudmundur B Arnkelsson
Eirikur Orn Arnarson
Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study
description Jonas G Halldorsson1, Kjell M Flekkoy2, Kristinn R Gudmundsson3, Gudmundur B Arnkelsson4, Eirikur Orn Arnarson1,51Psychological Health Services, Landspitali University Hospital, Reykjavik, Iceland; 2Department of Psychology, University of Oslo, Oslo, Norway; 3Department of Neurosurgery, Landspitali University Hospital, Reykjavik, Iceland; 4Faculty of Social Science, University of Iceland, Reykjavik, Iceland; 5Faculty of Medicine, University of Iceland, Reykjavik, IcelandAims: To estimate differences in the incidence of recorded traumatic head injuries by gender, age, severity, and geographical area.Methods: The study was prospective and nationwide. Data were collected from all hospitals, emergency units and healthcare centers in Iceland regarding all Icelandic children and adolescents 0–19 years old consecutively diagnosed with traumatic head injuries (N = 550) during a one-year period.Results: Annual incidence of minimal, mild, moderate/severe, and fatal head injuries (ICD-9 850–854) was 6.41 per 1000, with 95% confi dence interval (CI) 5.9, 7.0. Annual incidence of minimal head injuries (ICD-9 850) treated at emergency units was 4.65 (CI 4.2, 5.1) per 1000, mild head injuries admitted to hospital (ICD-9 850) was 1.50 (CI 1.3, 1.8) per 1000, and moderate/severe nonfatal injuries (ICD-9 851–854) was 0.21 (CI 0.1, 0.3) per 1000. Death rate was 0.05 (CI 0.0, 0.1) per 1000. Young children were at greater risk of sustaining minimal head injuries than older ones. Boys were at greater risk than girls were. In rural areas, incidence of recorded minimal head injuries was low.Conclusions: Use of nationwide estimate of the incidence of pediatric head injury shows important differences between urban and rural areas as well as between different age groups.Keywords: incidence, nationwide, pediatric, prospective, traumatic head injuries, urban-rural differences
format article
author Jonas G Halldorsson
Kjell M Flekkoy
Kristinn R Gudmundsson
Gudmundur B Arnkelsson
Eirikur Orn Arnarson
author_facet Jonas G Halldorsson
Kjell M Flekkoy
Kristinn R Gudmundsson
Gudmundur B Arnkelsson
Eirikur Orn Arnarson
author_sort Jonas G Halldorsson
title Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study
title_short Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study
title_full Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study
title_fullStr Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study
title_full_unstemmed Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study
title_sort urban–rural differences in pediatric traumatic head injuries: a prospective nationwide study
publisher Dove Medical Press
publishDate 2007
url https://doaj.org/article/685b49fec82f427cb82ba59b979ff3b1
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