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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ftdoajarticles:oai:doaj.org/article:685b49fec82f427cb82ba59b979ff3b1 2023-05-15T16:45:07+02:00 Urban–rural differences in pediatric traumatic head injuries: A prospective nationwide study Jonas G Halldorsson Kjell M Flekkoy Kristinn R Gudmundsson Gudmundur B Arnkelsson Eirikur Orn Arnarson 2007-01-01T00:00:00Z https://doaj.org/article/685b49fec82f427cb82ba59b979ff3b1 EN eng Dove Medical Press http://www.dovepress.com/urbanndashrural-differences-in-pediatric-traumatic-head-injuries-a-pro-a973 https://doaj.org/toc/1176-6328 https://doaj.org/toc/1178-2021 1176-6328 1178-2021 https://doaj.org/article/685b49fec82f427cb82ba59b979ff3b1 Neuropsychiatric Disease and Treatment, Vol 2007, Iss Issue 6, Pp 935-941 (2007) Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 article 2007 ftdoajarticles 2022-12-31T04:36:59Z 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 Article in Journal/Newspaper Iceland Directory of Open Access Journals: DOAJ Articles Norway |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
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 |
topic_facet |
Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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 in Journal/Newspaper |
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 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Neuropsychiatric Disease and Treatment, Vol 2007, Iss Issue 6, Pp 935-941 (2007) |
op_relation |
http://www.dovepress.com/urbanndashrural-differences-in-pediatric-traumatic-head-injuries-a-pro-a973 https://doaj.org/toc/1176-6328 https://doaj.org/toc/1178-2021 1176-6328 1178-2021 https://doaj.org/article/685b49fec82f427cb82ba59b979ff3b1 |
_version_ |
1766035328583335936 |