Abstract:
AIMS:To describe the epidemiology of children with traumatic brain injury (TBI) admitted to paediatric intensive care units (PICUs) in the UK. METHODS:Prospective collection of clinical and demographic information from paediatric and adult intensive care units in the UK and Eire between February 2001 and August 2003. RESULTS:The UK prevalence rate for children (0-14 years) admitted to intensive care with TBI between February 2001 and August 2003 was 5.6 per 100,000 population per year (95% Poisson exact confidence intervals 5.17 to 6.05). Children admitted to PICUs with TBI were more deprived than the population as a whole (mean Townsend score for TBI admissions 1.19 v 0). The commonest mechanism of injury was a pedestrian accident (36%), most often occurring in children over 10. There was a significant summer peak in admissions in children under 10 years. Time of injury peaked in the late afternoon and early evening, a pattern that remained constant across the days of the week. Injuries involving motor vehicles have the highest mortality rates (23% of vehicle occupants, 12% of pedestrians) compared with cyclists (8%) and falls (3%). In two thirds of admissions (65%) TBI was an isolated injury. CONCLUSIONS:TBI in children requiring intensive care is more common in those from poorer backgrounds who have been involved in accidents as pedestrians. The summer peak in injury occurrence for 0-10 year olds and late afternoon timing give clear targets for community based injury prevention.
journal_name
Arch Dis Childjournal_title
Archives of disease in childhoodauthors
Parslow RC,Morris KP,Tasker RC,Forsyth RJ,Hawley CA,UK Paediatric Traumatic Brain Injury Study Steering Group.,Paediatric Intensive Care Society Study Group.doi
10.1136/adc.2005.072405subject
Has Abstractpub_date
2005-11-01 00:00:00pages
1182-7issue
11eissn
0003-9888issn
1468-2044pii
adc.2005.072405journal_volume
90pub_type
杂志文章,多中心研究abstract::The foot length, occipito-frontal head circumference (OFC), crown-rump, and crown-heel length (CHL) of 123 neonates of gestational ages 26-42 weeks, were measured between 12 hours and 5 days. A gauge, designed and constructed at St Mary's Hospital, Manchester, was used to measure foot length. In term babies (37-42 wee...
journal_title:Archives of disease in childhood
pub_type: 杂志文章
doi:10.1136/adc.54.3.226
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abstract::In a five year period, 39 children (29 boys, 10 girls) aged 2 months to 13 years (mean 7.8 years) were studied who had suffered a major head injury (29 road traffic accidents, six falls, and four non-accidental injury). The injury had been assessed clinically and by cranial computed tomography or cranial ultrasound (i...
journal_title:Archives of disease in childhood
pub_type: 杂志文章
doi:10.1136/adc.67.12.1430
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
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abstract:AIMS:To investigate the nature of the unifocal cortical abnormalities on FDG positron emission tomography (PET) in children with an epileptic encephalopathy but no focal abnormality on electroencephalogram or standard magnetic resonance imaging (MRI). METHODS:Repeat FDG PET, surface rendered high resolution MRI, and s...
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journal_title:Archives of disease in childhood
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journal_title:Archives of disease in childhood
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更新日期:1984-11-01 00:00:00
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journal_title:Archives of disease in childhood
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
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更新日期:1990-04-01 00:00:00
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journal_title:Archives of disease in childhood
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
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更新日期:2003-05-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章,评审
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
doi:10.1136/adc.2011.211342
更新日期:2011-10-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
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journal_title:Archives of disease in childhood
pub_type: 杂志文章,评审
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更新日期:2009-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/adc.55.11.901
更新日期:1980-11-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章,评审
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更新日期:2016-07-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章,随机对照试验
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更新日期:2017-11-01 00:00:00
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journal_title:Archives of disease in childhood
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journal_title:Archives of disease in childhood
pub_type: 杂志文章,多中心研究
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更新日期:2009-04-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
doi:10.1136/adc.50.12.953
更新日期:1975-12-01 00:00:00
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journal_title:Archives of disease in childhood
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更新日期:1975-09-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
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更新日期:1996-08-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
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更新日期:2005-10-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章,评审
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更新日期:2006-03-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1995-06-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
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更新日期:1992-10-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
doi:10.1136/adc.62.1.74
更新日期:1987-01-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
doi:10.1136/adc.70.1.56
更新日期:1994-01-01 00:00:00
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journal_title:Archives of disease in childhood
pub_type: 杂志文章
doi:10.1136/adc.60.8.774
更新日期:1985-08-01 00:00:00