{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T05:49:06Z","timestamp":1775022546807,"version":"3.50.1"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T00:00:00Z","timestamp":1745280000000},"content-version":"vor","delay-in-days":52,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Approximately 20% of victims of traumatic brain injury (TBI) in Brazil are children and adolescents, with more than 900 deaths per year.<\/jats:p><jats:p>\n          Objective\u2003To describe the characteristics and epidemiological profile of children and adolescents with TBI in the city of S\u00e3o Paulo, Brazil, according to age groups and metropolitan area of occurrence of the events leading to trauma.<\/jats:p><jats:p>\n          Methods\u2003We conducted a retrospective cross-sectional study with a review of consecutive medical records of children and adolescents with TBI hospitalized and treated at a level-1 trauma center in S\u00e3o Paulo between 2019 and 2023.<\/jats:p><jats:p>\n          Results\u2003In the period proposed for the study, 196 children and adolescents suffered TBIs. They had a median age of 5 (interquartile range [IQR] 10\u20131.75) years and were predominantly boys (71%), of white skin color\/race (55%), and coming from the north zone of the metropolitan region of S\u00e3o Paulo (44%). Domestic accidents were the main causes of TBI (61%), followed by traffic accidents (24%). The mean length of hospital stay was of 13 (standard deviation [SD]\u2009\u00b1\u200926) days, and the in-hospital mortality rate was of 3%.<\/jats:p><jats:p>\n          Conclusion\u2003We found a predominance of children and adolescents with TBI coming from the north zone of the metropolitan region of S\u00e3o Paulo, with a prevalence of falls from heights above the ground among children \u2264 9 years of age and trampling among children older than this age. Preventive actions must be established after reflections on socioeconomic issues and considering the metropolitan area where the accidents occur and the age group.<\/jats:p>","DOI":"10.1055\/s-0045-1806743","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:30:25Z","timestamp":1745368225000},"page":"001-008","source":"Crossref","is-referenced-by-count":2,"title":["Characteristics of traumatic brain injury in children and adolescents hospitalized in a Brazilian trauma reference center: a retrospective cross-sectional study"],"prefix":"10.1055","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-4147","authenticated-orcid":false,"given":"Jos\u00e9 Roberto Tude","family":"Melo","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Faculdade de Ci\u00eancias M\u00e9dicas, Departamento de Cirurgia, Divis\u00e3o de Neurocirurgia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2367-0209","authenticated-orcid":false,"given":"Caio Vinicius de Almeida","family":"Chaves","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Faculdade de Ci\u00eancias M\u00e9dicas, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8201-1789","authenticated-orcid":false,"given":"Cindy","family":"Kawano","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Faculdade de Ci\u00eancias M\u00e9dicas, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1439-927X","authenticated-orcid":false,"given":"Maria Antonia Coladeti","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Faculdade de Ci\u00eancias M\u00e9dicas, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4163-0431","authenticated-orcid":false,"given":"Reem","family":"Hussin","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Faculdade de Ci\u00eancias M\u00e9dicas, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7274-7715","authenticated-orcid":false,"given":"Jean Gon\u00e7alves de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Faculdade de Ci\u00eancias M\u00e9dicas, Departamento de Cirurgia, Divis\u00e3o de Neurocirurgia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7723-4396","authenticated-orcid":false,"given":"Jos\u00e9 Carlos Esteves","family":"Veiga","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Faculdade de Ci\u00eancias M\u00e9dicas, Departamento de Cirurgia, Divis\u00e3o de Neurocirurgia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"100206","DOI":"10.1016\/j.wnsx.2023.100206","article-title":"Epidemiological study of paediatric traumatic brain injury in Brazil","volume":"19","author":"L C de Souza","year":"2023","journal-title":"World Neurosurg X"},{"issue":"04","key":"ref2","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1055\/s-0038-1625472","article-title":"First Brasilian cooperative study on neurotraumatology. 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