Related Experiment Video
Updated: May 6, 2026
Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
Published on: August 16, 2019
Defining traumatic brain injury in children and youth using international classification of diseases version 10
Vincy Chan, Pravheen Thurairajah, Angela Colantonio1
1Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto M5G 2A2, ON, Canada. angela.colantonio@utoronto.ca.
Insights
This systematic review examines International Classification of Diseases version 10 codes for pediatric traumatic brain injury surveillance. It aims to identify optimal codes for consistent research and healthcare planning.
Area of Science:
- Pediatric Traumatic Brain Injury Research
- Healthcare Administrative Data Analysis
- Medical Coding Systems
Background:
- Lack of consensus exists on using International Classification of Diseases version 10 (ICD-10) codes for pediatric traumatic brain injury (TBI) research.
- Current methods for defining TBI in children and youth using administrative data lack consistency.
- This variability impacts the reliability of TBI research and surveillance in pediatric populations.
Purpose of the Study:
- To conduct a systematic literature review to identify the range of ICD-10 codes used to define TBI in children and youth.
- To explore the most common ICD-10 codes utilized for TBI surveillance in this demographic.
- To provide a foundation for establishing consensus on optimal ICD-10 codes for pediatric TBI.
Main Methods:
- Systematic search of multiple databases (MEDLINE, Embase, PsychINFO, CINAHL, SPORTDiscus, Cochrane) and grey literature.
- Screening of articles using predefined inclusion/exclusion criteria, with full-text analysis of eligible studies.
- Data abstraction on study characteristics and synthesis of all identified ICD-10 codes related to concussion, acquired TBI, head injury, or head trauma.
Main Results:
- The review will identify and list all ICD-10 codes used in the included studies for defining pediatric TBI.
- Specific codes associated with concussion, acquired TBI, head injury, and head trauma will be highlighted.
- Data on study characteristics, incidence ranges, and purposes will be synthesized to contextualize code usage.
Conclusions:
- Establishing optimal ICD-10 codes for pediatric TBI is critical for policy, resource allocation, and healthcare planning.
- Consistent code usage facilitates cross-study and international comparisons in TBI research.
- This review serves as a crucial first step toward defining TBI using ICD-10 codes and achieving consensus for this vulnerable population.
Background:
Although healthcare administrative data are commonly used for traumatic brain injury research, there is currently no consensus or consistency on using the International Classification of Diseases version 10 codes to define traumatic brain injury among children and youth. This protocol is for a systematic review of the literature to explore the range of International Classification of Diseases version 10 codes that are used to define traumatic brain injury in this population.
Methods/Design:
The databases MEDLINE, MEDLINE In-Process, Embase, PsychINFO, CINAHL, SPORTDiscus, and Cochrane Database of Systematic Reviews will be systematically searched. Grey literature will be searched using Grey Matters and Google. Reference lists of included articles will also be searched. Articles will be screened using predefined inclusion and exclusion criteria and all full-text articles that meet the predefined inclusion criteria will be included for analysis. The study selection process and reasons for exclusion at the full-text level will be presented using a PRISMA study flow diagram. Information on the data source of included studies, year and location of study, age of study population, range of incidence, and study purpose will be abstracted into a separate table and synthesized for analysis. All International Classification of Diseases version 10 codes will be listed in tables and the codes that are used to define concussion, acquired traumatic brain injury, head injury, or head trauma will be identified.
Discussion:
The identification of the optimal International Classification of Diseases version 10 codes to define this population in administrative data is crucial, as it has implications for policy, resource allocation, planning of healthcare services, and prevention strategies. It also allows for comparisons across countries and studies. This protocol is for a review that identifies the range and most common diagnoses used to conduct surveillance for traumatic brain injury in children and youth. This is an important first step in reaching an appropriate definition using International Classification of Diseases version 10 codes and can inform future work on reaching consensus on the codes to define traumatic brain injury for this vulnerable population.
More Related Videos
10:31A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
07:02An Investigation of the Effects of Sports-related Concussion in Youth Using Functional Magnetic Resonance Imaging and the Head Impact Telemetry System
Published on: January 12, 2011
Related Concept Videos
01:28Traumatic Brain Injury l: Introduction
01:21Cellular Injury II: Classification