OBJECTIVE: To examine national, regional, and state abusive head trauma (AHT) trends using child hospital discharge data by applying a new coding algorithm developed by the Centers for Disease Control and Prevention (CDC). METHODS: Data from 4 waves of the Kids' Inpatient Database and annual discharge data from North Carolina were used to determine trends in AHT incidence among children <1 year of age between 2000 and 2009. National, regional, and state incidence rates were calculated. Poisson regression analyses were used to examine national, regional, and state AHT trends. RESULTS: The CDC narrow and broad algorithms identified 5437 and 6317 cases, respectively, in the 4 years of KID weighted data. This yielded average annual incidences of 33.4 and 38.8 cases per 100,000 children <1 year of age. There was no statistically significant change in national rates. There were variations by region of the country, with significantly different trends in the Midwest and West. State data for North Carolina showed wide annual variation in rates, with no significant trend. CONCLUSIONS: The new coding algorithm resulted in the highest AHT rates reported to date. At the same time, we found large but statistically insignificant annual variations in AHT rates in 1 large state. This suggests that caution should be used in interpreting AHT trends and attributing changes in rates as being caused by changes in policies, programs, or the economy.
OBJECTIVE: To examine national, regional, and state abusive head trauma (AHT) trends using child hospital discharge data by applying a new coding algorithm developed by the Centers for Disease Control and Prevention (CDC). METHODS: Data from 4 waves of the Kids' Inpatient Database and annual discharge data from North Carolina were used to determine trends in AHT incidence among children <1 year of age between 2000 and 2009. National, regional, and state incidence rates were calculated. Poisson regression analyses were used to examine national, regional, and state AHT trends. RESULTS: The CDC narrow and broad algorithms identified 5437 and 6317 cases, respectively, in the 4 years of KID weighted data. This yielded average annual incidences of 33.4 and 38.8 cases per 100,000 children <1 year of age. There was no statistically significant change in national rates. There were variations by region of the country, with significantly different trends in the Midwest and West. State data for North Carolina showed wide annual variation in rates, with no significant trend. CONCLUSIONS: The new coding algorithm resulted in the highest AHT rates reported to date. At the same time, we found large but statistically insignificant annual variations in AHT rates in 1 large state. This suggests that caution should be used in interpreting AHT trends and attributing changes in rates as being caused by changes in policies, programs, or the economy.
Authors: Rachel P Berger; Janet B Fromkin; Haley Stutz; Kathi Makoroff; Philip V Scribano; Kenneth Feldman; Li Chuan Tu; Anthony Fabio Journal: Pediatrics Date: 2011-09-19 Impact factor: 7.124
Authors: Joanne N Wood; Sheyla P Medina; Chris Feudtner; Xianqun Luan; Russell Localio; Evan S Fieldston; David M Rubin Journal: Pediatrics Date: 2012-07-16 Impact factor: 7.124
Authors: Mary I Huang; Mary Ann O'Riordan; Ellen Fitzenrider; Lolita McDavid; Alan R Cohen; Shenandoah Robinson Journal: J Neurosurg Pediatr Date: 2011-08 Impact factor: 2.375
Authors: Robin L Altman; Jennifer Canter; Patricia A Patrick; Nancy Daley; Neelofar K Butt; Donald A Brand Journal: Pediatrics Date: 2011-10-24 Impact factor: 7.124
Authors: Henry Kesler; Mark S Dias; Michele Shaffer; Carroll Rottmund; Kelly Cappos; Neal J Thomas Journal: J Neurosurg Pediatr Date: 2008-05 Impact factor: 2.375
Authors: Heather T Keenan; Desmond K Runyan; Stephen W Marshall; Mary Alice Nocera; David F Merten; Sara H Sinal Journal: JAMA Date: 2003-08-06 Impact factor: 56.272
Authors: Susan M Mason; Patricia G Schnitzer; Valery A Danilack; Beth Elston; David A Savitz Journal: Ann Epidemiol Date: 2018-06-02 Impact factor: 3.797
Authors: Rachel Pardes Berger; Janet Fromkin; Bruce Herman; Mary Clyde Pierce; Richard A Saladino; Lynda Flom; Elizabeth C Tyler-Kabara; Tom McGinn; Rudolph Richichi; Patrick M Kochanek Journal: Pediatrics Date: 2016-06-23 Impact factor: 7.124
Authors: Adam J Zolotor; Desmond K Runyan; Meghan Shanahan; Christine Piette Durrance; Maryalice Nocera; Kelly Sullivan; Joanne Klevens; Robert Murphy; Marilyn Barr; Ronald G Barr Journal: JAMA Pediatr Date: 2015-12 Impact factor: 16.193
Authors: Yesha S Shah; Mustafa Iftikhar; Grant A Justin; Joseph K Canner; Fasika A Woreta Journal: JAMA Ophthalmol Date: 2022-03-01 Impact factor: 7.389