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No Change in Admissions for Pediatric Sports-Related TBI

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No Change in Admissions for Pediatric Sports-Related TBI

Increase in number of ER visits for sports-related TBI from 2002 to 2011; no change in admissions

MONDAY, Sept. 30 (HealthDay News) -- Over the last 10 years there has been an increase in the number of emergency department visits for sports-related traumatic brain injury (TBI) in children, but no increase in the percentage of children admitted, according to a study published online Sept. 30 in Pediatrics.

Holly R. Hanson, M.D., from the Cincinnati Children's Hospital Medical Center, and colleagues conducted a retrospective study involving children aged 0 to 19 years at a level 1 trauma center to examine trends in the number and severity of admissions for pediatric patients with emergency department visits for sports-related TBI. Patients with a primary or secondary diagnosis of TBI from 2002 to 2011 were included in the study.

The authors found that sport was responsible for 3,878 cases during the study period. Of these, 90.4 percent were discharged from the hospital and 9.6 percent were admitted. Over the study period there was a 92 percent increase in emergency department visits for sports-related TBIs, but there was no significant change in the percentage of children admitted. Those admitted had a significant decrease in the mean injury severity score, from 7.8 to 4.8, and the length of stay trended downward (P = 0.05).

"The percentage of children being admitted from the emergency department with sports-related TBI has not changed over the past 10 years," the authors write.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1704.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1704.full.pdf+html )