Traumatic brain injury in children in Denmark: a national 15-year study

A Engberg1, T W Teasdale

  • 1Department of Neurology, Odense University Hospital, Denmark.

Insights

Traumatic brain injuries in children declined, particularly in boys aged 5-14, indicating successful prevention. However, mortality from severe head injuries remained constant, highlighting a need for improved acute care.

Area of Science:

  • Pediatric Traumatology
  • Public Health Surveillance
  • Epidemiology of Childhood Injuries

Background:

  • Traumatic brain injuries (TBIs) pose a significant health burden in children.
  • Understanding demographic trends in pediatric TBI is crucial for effective prevention and care.

Purpose of the Study:

  • To analyze demographic trends of traumatic brain injuries in Danish children (0-14 years) from 1979-1993.
  • To identify changes in incidence, mortality, and long-term outcomes of pediatric TBI.

Main Methods:

  • Utilized a national computer-based hospitalization register for data collection.
  • Included 49,594 children with diagnoses of concussion, cranial fractures, and intracranial contusions/haemorrhages.
  • Analyzed injury data over a 15-year period (1979-1993).

Main Results:

  • Overall decline in TBI incidence, notably in boys aged 5-14, suggesting effective preventive measures.
  • Incidence of fatal intracranial contusions/haemorrhages halved, but mortality proportion remained stable at ~22%.
  • Significant number of survivors of intracranial contusions/haemorrhages received disability pensions before age 30.

Conclusions:

  • Preventive strategies, especially in road safety, appear successful in reducing pediatric TBI.
  • Lack of significant improvement in acute care for severe head injuries contributed to constant mortality rates.
  • Long-term disability remains a considerable consequence for survivors of severe pediatric TBI.