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Incidence and Demographics of Pediatric Intracranial Hypertension
Natalie Gillson1, Charlotte Jones2, Rachel E Reem3
1Division of Pediatric Neurology, Golisano Children's Hospital of Southwest Florida, Fort Myers, Florida.
Insights
The annual incidence of pediatric intracranial hypertension in central Ohio is 0.63 per 100,000 for primary (idiopathic) and 0.32 per 100,000 for secondary forms. These rates are comparable to international pediatric studies.
Area of Science:
- Neurology
- Pediatrics
- Epidemiology
Background:
- Pediatric intracranial hypertension (PIH) is a condition requiring accurate incidence data for public health and clinical management.
- Understanding the demographic features of PIH is crucial for targeted interventions and resource allocation.
Purpose of the Study:
- To determine the incidence and demographic characteristics of pediatric intracranial hypertension.
- To compare pediatric incidence rates with adult populations and international pediatric data.
Main Methods:
- Retrospective analysis of inpatient and outpatient encounters for children (≤18 years) diagnosed with intracranial hypertension from January 2010 to December 2013.
- Data collected from a specialized PIH clinic and a children's hospital in a Midwestern US city.
- Incidence rates calculated using patient diagnoses and census data for a seven-county service area, accounting for 92.3% of regional pediatric care.
Main Results:
- A total of 74 pediatric patients were diagnosed with PIH (49 primary/idiopathic, 25 secondary) during the study period.
- The calculated annual incidence rates were 0.63 per 100,000 children for primary PIH and 0.32 per 100,000 for secondary PIH.
- Demographic data including sex, race, BMI, socioeconomic status, and geographic distribution were collected.
Conclusions:
- The estimated annual incidence of pediatric primary intracranial hypertension in central Ohio is comparable to previous international pediatric reports.
- The incidence of pediatric primary intracranial hypertension is approximately 67% of that reported in the US adult population.
Objective:
We analyzed the incidence and demographic features of pediatric intracranial hypertension.
Methods:
Inpatient and outpatient encounters of children aged 18 years or younger who were diagnosed with primary (idiopathic) or secondary intracranial hypertension between January 2010 and December 2013 were identified. Data were collected from a subspecialty clinic devoted to intracranial hypertension and the sole children's hospital in a large Midwestern city of the United States. Estimated incidence rates were calculated based on the number of newly diagnosed patients in our hospital's primary service area, which includes seven central Ohio counties. Sex, race, body mass index, socioeconomic status, and geographic distribution were also noted.
Results:
A total of 74 pediatric patients were diagnosed with intracranial hypertension (49 primary/idiopathic and 25 secondary) between January 2010 and December 2013. Using census data, we determined the pediatric population in our service area during the four-year period. The Ohio Hospital Association's database indicated that 92.3% of patients aged 0 to 17 years residing in the region sought care at our institution. By combining these data, we calculated an annual incidence of primary and secondary intracranial hypertension of 0.63 and 0.32 per 100,000 children, respectively.
Conclusions:
The estimated annual incidence of pediatric primary intracranial hypertension in our seven county service area in central Ohio is similar to previous pediatric reports from other countries and is 67% of that reported in the US adult population.
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