{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:11:39Z","timestamp":1791360699113,"version":"4.3.1"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2016,9,23]],"date-time":"2016-09-23T00:00:00Z","timestamp":1474588800000},"content-version":"unspecified","delay-in-days":2153,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. j. neurol. sci."],"published-print":{"date-parts":[[2010,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0317167100051441_abs1\"><jats:title>Objective:<\/jats:title><jats:p>The aim of this study was to determine the number of annual hospitalizations and overall episodes of care that involve a traumatic brain injury (TBI) by age and gender in the province of Ontario. To provide a more accurate assessment of the prevalence of TBI, episodes of care included visits to the emergency department (ED), as well as admissions to hospital. Mechanisms of injury for overall episodes were also investigated.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100051441_abs2\"><jats:title>Methods:<\/jats:title><jats:p>Traumatic brain injury cases from fiscal years 2002\/03-2006\/07 were identified by means of ICD-10 codes. Data were collected from the National Ambulatory Care Reporting System and the Discharge Abstract Database.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100051441_abs3\"><jats:title>Results:<\/jats:title><jats:p>The rate of hospitalization was highest for elderly persons over 75 years-of-age. Males generally had higher rates for both hospitalizations and episodes of care than did females. The inclusion of ED visits to hospitalizations had the greatest impact on the rates of TBI in the youngest age groups. Episodes of care for TBI were greatest in youth under the age of 14 and elderly over the age of 85. Falls (41.6%) and being struck by or against an object (31.1%) were the most frequent causes for a TBI.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100051441_abs4\"><jats:title>Conclusions:<\/jats:title><jats:p>The study provides estimates for TBI from the only Canadian province that has systematically captured ED visits in a national registry. It shows the importance of tracking ED visits, in addition to hospitalizations, to capture the burden of TBI on the health care system. Prevention strategies should include information on ED visits, particularly for those at younger ages.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0317167100051441","type":"journal-article","created":{"date-parts":[[2016,9,23]],"date-time":"2016-09-23T12:59:49Z","timestamp":1474635589000},"page":"783-790","source":"Crossref","is-referenced-by-count":61,"title":["Hospitalizations and Emergency Department Visits for TBI in Ontario"],"prefix":"10.1017","volume":"37","author":[{"given":"Angela","family":"Colantonio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Saverino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Zagorski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Swaine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Lewko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Jaglal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Vernich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,9,23]]},"reference":[{"key":"S0317167100051441_ref012","first-page":"221","article-title":"Disability caused by minor head-injury","volume":"9","author":"Rimel","year":"1981","journal-title":"Neurosurgery"},{"key":"S0317167100051441_ref011","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199510030-00002"},{"key":"S0317167100051441_ref028","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1080\/026990500120664","article-title":"Ambulatory care for traumatic brain injuries in the US, 1995\u20131997","volume":"14","author":"Schootman","year":"2000","journal-title":"Brain Inj"},{"key":"S0317167100051441_ref038","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2004.006585"},{"key":"S0317167100051441_ref007","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617705050277"},{"key":"S0317167100051441_ref003","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.10.954"},{"key":"S0317167100051441_ref036","doi-asserted-by":"publisher","DOI":"10.1080\/026990599121557"},{"key":"S0317167100051441_ref023","year":"2007"},{"key":"S0317167100051441_ref001","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2003.50052"},{"key":"S0317167100051441_ref006","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2003.tb00611.x"},{"key":"S0317167100051441_ref016","volume-title":"The burden of neurological diseases, disorders and injuries in Canada: Head injury [Internet]","year":"2007"},{"key":"S0317167100051441_ref013","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.97.1.169-179"},{"key":"S0317167100051441_ref039","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2006.tb00981.x"},{"key":"S0317167100051441_ref002","first-page":"32","article-title":"Rates and external causes of blunt head trauma in Ontario: analysis and review of Ontario trauma registry datasets","volume":"25","author":"Pickett","year":"2004","journal-title":"Chronic Dis Can"},{"key":"S0317167100051441_ref010","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.45.7.1253"},{"key":"S0317167100051441_ref020","volume-title":"Data Quality Study of Emergency Department Visits for 2004\u20132005: Volume II of IV \u2013 Main Study Findings","year":"2008"},{"key":"S0317167100051441_ref015","first-page":"288","article-title":"A population-based study of potential brain injuries requiring emergency care","volume":"165","author":"Pickett","year":"2001","journal-title":"CMAJ"},{"key":"S0317167100051441_ref022","doi-asserted-by":"publisher","DOI":"10.1080\/02699050410001720158"},{"key":"S0317167100051441_ref018","volume-title":"Canadian Institute for Health Information Discharge Abstract Database: a validation study","author":"Juurlink","year":"2006"},{"key":"S0317167100051441_ref014","doi-asserted-by":"publisher","DOI":"10.1080\/13803390600826587"},{"key":"S0317167100051441_ref029","doi-asserted-by":"publisher","DOI":"10.1023\/A:1026192020963"},{"key":"S0317167100051441_ref031","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1080\/16501960410023714","article-title":"Mild traumatic brain injuries presenting to Swedish hospitals in 1987\u20132000","volume":"36","author":"Peloso","year":"2004","journal-title":"J Rehabil Med"},{"key":"S0317167100051441_ref035","volume-title":"Injury prevention [Internet]","year":"2002"},{"key":"S0317167100051441_ref030","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1080\/026990597123205","article-title":"Epidemiology of traumatic brain injury in South Australia","volume":"11","author":"Hillier","year":"1997","journal-title":"Brain Inj"},{"key":"S0317167100051441_ref037","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100007745"},{"key":"S0317167100051441_ref025","first-page":"40","article-title":"Epidemiology of emergency department-treated traumatic brain injury in Minnesota","volume":"89","author":"Day","year":"2006","journal-title":"Minn Med"},{"key":"S0317167100051441_ref017","volume-title":"Data quality documentation: discharge abstract database 2002\u20132003 [Internet]","year":"2007"},{"key":"S0317167100051441_ref005","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200611000-00009"},{"key":"S0317167100051441_ref024","unstructured":"Statscan. [cited 2008 Jan 10] Available from: http:\/\/wwwstatcan.gc.ca."},{"key":"S0317167100051441_ref026","doi-asserted-by":"publisher","DOI":"10.1080\/026990500120827"},{"key":"S0317167100051441_ref008","doi-asserted-by":"publisher","DOI":"10.1080\/16501960410023859"},{"key":"S0317167100051441_ref021","author":"Marr","year":"2002","journal-title":"Central nervous system surveillance data submission standards [Internet]. Atlanta: Centre for Disease Control and Prevention, National Center for Injury Prevention and Control"},{"key":"S0317167100051441_ref027","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb00515.x"},{"key":"S0317167100051441_ref032","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2007.00896.x"},{"key":"S0317167100051441_ref033","doi-asserted-by":"publisher","DOI":"10.1080\/02699050801938975"},{"key":"S0317167100051441_ref009","first-page":"1032","article-title":"Immediate neurocognitive effects of concussion","volume":"50","author":"McCrea","year":"2002","journal-title":"Neurosurgery"},{"key":"S0317167100051441_ref034","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2002.32641"},{"key":"S0317167100051441_ref004","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181715d66"},{"key":"S0317167100051441_ref019","volume-title":"In: Proceedings of Statistics Canada International Symposium Series. Achieving data quality in a statistical agency: a methodological perspective","author":"Richard","year":"2001"}],"container-title":["Canadian Journal of Neurological Sciences \/ Journal Canadien des Sciences Neurologiques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0317167100051441","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T21:06:08Z","timestamp":1556399168000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0317167100051441\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,11]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,11]]}},"alternative-id":["S0317167100051441"],"URL":"https:\/\/doi.org\/10.1017\/s0317167100051441","relation":{},"ISSN":["0317-1671","2057-0155"],"issn-type":[{"value":"0317-1671","type":"print"},{"value":"2057-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,11]]}}}