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Am J Public Health. 1987 July; 77(7): 810–812.
PMCID: PMC1647221

Head injury with and without hospital admission: comparisons of incidence and short-term disability.

Abstract

All persons with head injuries (skull fracture or injury to the cranial contents resulting in a physician visit or at least one day of disability), regardless of treatment or hospital admission status, were identified from National Health Interview Survey data for the years 1977-81. Among those who reported such head injuries within the two weeks prior to interview, only 16 per cent were admitted to hospitals. Children, members of low-income families, and those injured at home, school, or in a recreational setting were less likely to be admitted to hospital than others. Among those who sustained a head injury in the previous three months and had some disability from that injury during the two weeks prior to interview, those not admitted to hospital included one-half of those with three to seven days of bed disability and one-third of those with more than seven days of bed disability; and they accounted for one-half of all disability days. These findings indicate that hospital-based head injury incidence data are incomplete and may contain substantial biases.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Annegers JF, Grabow JD, Kurland LT, Laws ER., Jr The incidence, causes, and secular trends of head trauma in Olmsted County, Minnesota, 1935-1974. Neurology. 1980 Sep;30(9):912–919. [PubMed]
  • Jagger J, Levine JI, Jane JA, Rimel RW. Epidemiologic features of head injury in a predominantly rural population. J Trauma. 1984 Jan;24(1):40–44. [PubMed]
  • Klauber MR, Marshall LF, Barrett-Connor E, Bowers SA. Prospective study of patients hospitalized with head injury in San Diego County, 1978. Neurosurgery. 1981 Sep;9(3):236–241. [PubMed]
  • 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 Feb;119(2):186–201. [PubMed]
  • Whitman S, Coonley-Hoganson R, Desai BT. Comparative head trauma experiences in two socioeconomically different Chicago-area communities: a population study. Am J Epidemiol. 1984 Apr;119(4):570–580. [PubMed]
  • Barth JT, Macciocchi SN, Giordani B, Rimel R, Jane JA, Boll TJ. Neuropsychological sequelae of minor head injury. Neurosurgery. 1983 Nov;13(5):529–533. [PubMed]
  • Gronwall D, Wrightson P. Memory and information processing capacity after closed head injury. J Neurol Neurosurg Psychiatry. 1981 Oct;44(10):889–895. [PMC free article] [PubMed]
  • Plaut MR, Gifford RR. Trivial head trauma and its consequences in a perspective of regional health care. Mil Med. 1976 Apr;141(4):244–247. [PubMed]
  • Rimel RW, Giordani B, Barth JT, Boll TJ, Jane JA. Disability caused by minor head injury. Neurosurgery. 1981 Sep;9(3):221–228. [PubMed]
  • Rutherford WH, Merrett JD, McDonald JR. Symptoms at one year following concussion from minor head injuries. Injury. 1979 Feb;10(3):225–230. [PubMed]
  • Rutherford WH. Sequelae of concussion caused by minor head injuries. Lancet. 1977 Jan 1;1(8001):1–4. [PubMed]
  • Annas GJ. Your money or your life: 'dumping' uninsured patients from hospital emergency wards. Am J Public Health. 1986 Jan;76(1):74–77. [PMC free article] [PubMed]
  • Connell FA, Blide LA, Hanken MA. Clinical correlates of small area variations in population-based admission rates for diabetes. Med Care. 1984 Oct;22(10):939–949. [PubMed]
  • Himmelstein DU, Woolhandler S, Harnly M, Bader MB, Silber R, Backer HD, Jones AA. Patient transfers: medical practice as social triage. Am J Public Health. 1984 May;74(5):494–497. [PMC free article] [PubMed]
  • Roos NP, Flowerdew G, Wajda A, Tate RB. Variations in physicians' hospitalization practices: a population-based study in Manitoba, Canada. Am J Public Health. 1986 Jan;76(1):45–51. [PMC free article] [PubMed]
  • Rimel RW, Giordani B, Barth JT, Jane JA. Moderate head injury: completing the clinical spectrum of brain trauma. Neurosurgery. 1982 Sep;11(3):344–351. [PubMed]
  • Fife D, Jagger J. The contribution of brain injury to the overall injury severity of brain-injured patients. J Neurosurg. 1984 Apr;60(4):697–699. [PubMed]
  • MacKenzie EJ, Shapiro S, Eastham JN., Jr Rating AIS severity using emergency department sheets vs. inpatient charts. J Trauma. 1985 Oct;25(10):984–988. [PubMed]

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