Skip to main content
Log in

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

  • Published:
European Journal of Epidemiology Aims and scope Submit manuscript

Abstract

Demographic trends are reported concerning three types of traumatic brain injury (concussions, cranial fractures, and intracranial contusions/ haemorrhages) among children in Denmark of ages up to and including 14 years, for a fifteen year period from 1979 through 1993. The data were derived from a national computer-based hospitalization register and include 49,594 children, of whom 60% were boys and 89% had suffered a concussion. Virtually all injuries were the result of accidents. A major finding was that there has been a general decline in the incidence of traumatic brain injuries, especially for boys from 5 to 14 years old, suggesting a degree of success in preventive measures, particularly regarding road safety. The incidence of fatal cases of intracranial contusions/haemorrhages approximately halved over the 15 year period. However, as a proportion of all diagnosed cases, mortality from intracranial contusions/haemorrhages remained fairly constant at about 22%, perhaps because there have been no markedly successful innovations in acute care. Among children surviving a intracranial contusions/haemorrhages, rather considerable numbers were found to have been awarded disability pension at ages under 30.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Luerssen TG, Klauber MR, Marshall LF. Outcome from head injury related to patient's age. A longitudinal prospective study of adult and pediatric head injury. J Neurosurg 1988; 68: 409–416.

    Google Scholar 

  2. Jorgensen IM. The epidemiology of fatal unintentional child injuries in Denmark. Dan Med Bull 1995; 42: 285–290.

    Google Scholar 

  3. Sundhedsstyrelsen. Dødsårsagerne I Danmark (Causes of Death in Denmark). Copenhagen, 1981.

  4. Levin HS, Eisenberg HM, Wigg NR, Kobayashi K. Memory and intellectual ability after head injury in children and adolescents. Neurosurgery 1982; 11: 668–673.

    Google Scholar 

  5. Wrightson P, McGinn V, Gronwall D. Mild head injury in preschool children: Evidence that it can be associated with a persisting cognitive defect. J Neurol Neurosurg Psychiatry 1995; 59: 375–380.

    Google Scholar 

  6. Oddy M. Head injury during childhood. Special Issue: Issues in the neuropsychological rehabilitation of children with brain dysfunction. Neuropsychological Rehabilitation 1993; 3: 301–320.

    Google Scholar 

  7. Sundhedsstyrelsen. Sygehusstatistik (Hospital Statistics in Denmark). Copenhagen, 1981.

  8. MacKenzie EJ, Edelstein SL, Flynn JP. Hospitalized head-injured patients in Maryland: Incidence and severity of injuries. Md Med J 1989; 38: 725–732.

    Google Scholar 

  9. Anderson DW. Report on the National Head and Spinal Cord Injury Survey conducted for the National Institute of Neurological and Communicative Disorders and Stroke. J Neurosurg 1980; (suppl.) 1–43.

    Google Scholar 

  10. Kraus JF, Black MA, Hessol N, Ley P, Rokaw W, Sullivan C, Bowers S, Knowlton S, Marshall L. The incidence of acute brain injury and serious impairment in a defined population. Am J Epidemiol 1984; 119: 186–201.

    Google Scholar 

  11. Kraus JF, Fife D, Cox P, Ramstein K, Conroy C. Incidence, severity, and external causes of pediatric brain injury. Am J Dis Child 1986; 140: 687–693.

    Google Scholar 

  12. Edna TH, Cappelen J. Hospital admitted head injury. A prospective study in Trondelag, Norway, 1979–80. Scand J Soc Med 1984; 12: 7–14.

    Google Scholar 

  13. Engberg A. Severe traumatic brain injury – epidemiology, external causes, prevention, and rehabilitation of mental and physical sequelae. Acta Neurol Scand 1995; 92 (suppl 164): 1–151.

    Google Scholar 

  14. Caveness WF. Incidence of craniocerebral trauma in the United States in 1976 with trend from 1970 to 1975. Adv Neurol 1979; 22: 1–3.

    Google Scholar 

  15. Masters SJ, McClean PM, Arcarese JS, Brown RF, Campbell JA, Freed HA, Hess GH, Hoff JT, Kobrine A, Koziol DF, et al. Skull X-ray examinations after head trauma. Recommendations by a multidisciplinary panel and validation study. N Engl J Med 1987; 316: 84–91.

    Google Scholar 

  16. Pitt WR, Balanda KP, Nixon J. Child injury in Brisbane South 1985–91: Implications for future injury surveillance. J Paediatr Child Health 1994; 30: 114–122.

    Google Scholar 

  17. Gudmundsson KR. Head injuries in children: Patients admitted to the Rekjavik City Hospital during the years 1973–80. Icelandic Health Record: Supplement 1986; 43–47.

    Google Scholar 

  18. Arnarson EO, Halldorsson JG. Head trauma among children in Reykjavik. Acta Paediatr 1995; 84: 96–99.

    Google Scholar 

  19. Sosin DM, Sniezek JE, Waxweiler RJ. Trends in death associated with traumatic brain injury, 1979 through 1992. Success and failure. JAMA 1995; 73: 1778–1780.

    Google Scholar 

  20. Als E, Andersen P, Borghi G. Akutte Traumatiske hjernelæsioner (Acute traumatic brain lesions). Ugeskr Laeger 1958; 120: 857–875.

    Google Scholar 

  21. Hansen TB, Pless S, Gravers M. (Head injuries among children in the county of Ringkobing. 1. An analysis of hospital data) Kranietraumer blandt born i Ringkobing Amt. 1. En analyse of sygehusdata. Ugeskr Laeger 1991; 153: 2944–2946.

    Google Scholar 

  22. Berney J, Favier J, Rilliet B. Head injuries in children: A chronicle of a quarter of a century. Childs Nerv Syst 1995; 11: 256–264.

    Google Scholar 

  23. Sharples PM, Storey A, Aynsley Green A, Eyre JA. Avoidable factors contributing to death of children with head injury. Br Med J 1990; 300: 87–91.

    Google Scholar 

  24. Sharples PM, Storey A, Aynsley Green A, Eyre JA. Causes of fatal childhood accidents involving head injury in northern region, 1979–86. Br Med J 1990; 301: 1193–1197.

    Google Scholar 

  25. Vazquez Barquero A, Sanz F, Montiaga F, Herrera S, Gaite L, Pascual J. (Epidemiology and course of craniocerebral injuries in children in Cantabria) Epidemiolo173 gia y evolucion de los traumatismos craneoencefalicos infantiles en Cantabria. Neurologia 1990; 5: 155–159.

    Google Scholar 

  26. Mikkelsen SS, Lindblad BE, Nafei A, Teichert G, Kroner K. (Playground accidents among children in greater Arhus) Legepladsredskabsulykker blandt born i Storarhus. Ugeskr Laeger 1991; 153: 3239–3242.

    Google Scholar 

  27. Kraus JF, Rock A, Hemyari P. Brain injuries among infants, children, adolescents, and young adults. Am J Dis Child 1990; 144: 684–691.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Engberg, A., Teasdale, T.W. Traumatic brain injury in children in Denmark: A national 15-year study. Eur J Epidemiol 14, 165–173 (1998). https://doi.org/10.1023/A:1007492025190

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1007492025190

Navigation