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Updated: Jan 22, 2026
Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
Sex and age differences in hospitalized pediatric traumatic brain injury
Fang Zhang1, Lihong Huang2,3, Bhavna Singichetti2
1Children's Hospital of Soochow University, Suzhou, Jiangsu, China.
Insights
Boys and young children aged 1-3 years are more likely to be hospitalized for pediatric traumatic brain injury (TBI). Fall prevention is key to reducing TBI hospitalizations in children.
Area of Science:
- Pediatrics
- Neurology
- Epidemiology
Background:
- Pediatric traumatic brain injury (TBI) is a significant public health concern.
- Understanding the epidemiological characteristics of TBI in children is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To investigate the epidemiological features of pediatric traumatic brain injury (TBI) requiring hospitalization in Chinese children.
- To analyze TBI characteristics by sex and age group.
Main Methods:
- Retrospective analysis of inpatient data from a children's hospital in China (2013-2015).
- Identification of patients aged ≤17 years with TBI using ICD-9 and ICD-10 codes.
- Analysis of demographic, injury, and hospitalization data stratified by sex and age.
Main Results:
- 1,087 pediatric TBI patients were included; 61.5% were boys.
- The highest hospitalization rate was observed in the 1-3 years age group.
- Traumatic epidural hematoma was the most common diagnosis, and falls were the leading cause of TBI for both sexes.
Conclusions:
- Male sex and age group 1-3 years were associated with higher rates of pediatric TBI hospitalization.
- Preventing falls is a critical strategy to reduce the incidence and hospitalization burden of pediatric TBI.
Background:
The aim of this study was to investigate the epidemiological characteristics of pediatric traumatic brain injury (TBI) requiring hospitalization in Chinese children ≤17 years of age according to sex and age group.
Methods:
This study retrospectively analyzed pediatric TBI inpatient data obtained via electronic health records from one children's hospital in China. Patients aged ≤17 years admitted to the hospital due to TBI between 1 January 2013 and 31 December 2015 were identified using International Classification of Diseases (ICD) -9 and ICD-10 codes. The demographic, injury, and hospitalization characteristics were analyzed by sex and age groups.
Results:
The subject consisted of 1,087 pediatric TBI patients admitted to the hospital (61.5% boys). The highest proportion of hospitalization was observed in the 1-3 years age group. For both boys and girls, the most common diagnosis was "traumatic epidural hematoma" and the leading mechanism of TBI was "fall". The median length of hospital stay was 8.5 days and the median hospitalization cost was 7,977.4 Chinese yuan (approximately $US 1,140).
Conclusions:
Boys and children aged 1-3 years incurred more pediatric TBI requiring hospitalization than their counterparts. Prevention of falls, the most common injury mechanism in both boys and girls, is an important strategy to reduce pediatric TBI and related hospitalizations.
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