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Are there seasonal patterns for emergency department visits for head injuries in the USA? Findings from the National Electronic Injury Surveillance System-All Injury Program
  1. Jill Daugherty,
  2. Keming Yuan,
  3. Kelly Sarmiento,
  4. Royal Law
  1. Division of Injury Prevention, National Center for Injury Prevention and Control, US Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
  1. Correspondence to Dr Jill Daugherty, Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA; xdu1{at}cdc.gov

Abstract

Introduction Previous international research suggests that the incidence of head injuries may follow seasonal patterns. However, there is limited information about how the numbers and rates of head injuries, particularly sports- and recreation-related head injuries, among adults and children evaluated in the emergency department (ED) vary by month in the USA. This information would provide the opportunity for tailored prevention strategies.

Methods We analysed data from the National Electronic Injury Surveillance System-All Injury Program from 2016 to 2019 to examine both monthly variation of ED visit numbers and rates for head injuries overall and those due to sports and recreation.

Results The highest number of head injuries evaluated in the ED occurred in October while the lowest number occurred in February. Among males, children ages 0–4 years were responsible for the highest rates of head injury-related ED visits each year, while in females the highest rates were seen in both children ages 0–4 and adults ages 65 and older. The highest number of head injuries evaluated in the ED due to sports and recreation were seen in September and October. Head injury-related ED visits due to sports and recreation were much more common in individuals ages 5–17 than any other age group.

Conclusion This study showed that head injury-related ED visits for all mechanisms of injury, as well as those due to sports- and recreation-related activities, followed predictable patterns—peaking in the fall months. Public health professionals may use study findings to improve prevention efforts and to optimise the diagnosis and management of traumatic brain injury and other head injuries.

  • Traumatic Brain Injury
  • Concussion
  • Dissemination
  • Health Education
  • Public Health

Data availability statement

Data are available in a public, open access repository. Data are publicly available.

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Data availability statement

Data are available in a public, open access repository. Data are publicly available.

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Footnotes

  • Contributors JD and KS designed the project; JD, KS, and RL developed the theoretical framework; KY performed the statistical analysis; JD supervised the project; all authors discussed the results and contributed to the final manuscript. JD is the guarantor of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer The findings and conclusions in this manuscript are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.