Journal article

Neonatal head injuries: A prospective Paediatric Research in Emergency Departments International Collaborative cohort study

Nitaa Eapen, Meredith L Borland, Natalie Phillips, Amit Kochar, Sarah Dalton, John A Cheek, Yuri Gilhotra, Jocelyn Neutze, Mark D Lyttle, Susan Donath, Louise Crowe, Stuart R Dalziel, Ed Oakley, Amanda Williams, Stephen Hearps, Silvia Bressan, Franz E Babl

Journal of Paediatrics and Child Health | WILEY | Published : 2019

Abstract

AIM: To characterise the causes, clinical characteristics and short-term outcomes of neonates who presented to paediatric emergency departments with a head injury. METHODS: Secondary analysis of a prospective data set of paediatric head injuries at 10 emergency departments in Australia and New Zealand. Patients without neuroimaging were followed up by telephone call. We extracted epidemiological information, clinical findings and outcomes in neonates (≤28 days). RESULTS: Of 20 137 children with head injuries, 93 (0.5%) occurred in neonates. These were mostly fall-related (75.2%), commonly from a care giver's arms, or due to being accidentally struck by a person/object (20.4%). There were thr..

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Grants

Awarded by National Health and Medical Research Council (Centre of Research Excellence for Paediatric Emergency Medicine), Canberra, Australia


Awarded by Emergency Medicine Foundation, Brisbane, Australia


Awarded by Perpetual Philanthropic Services, Australia


Awarded by Auckland Medical Research Foundation, Auckland, New Zealand


Awarded by Health Research Council of New Zealand


Funding Acknowledgements

We thank the participating families, ED staff and research staff at participating sites. The study was funded by grants from the National Health and Medical Research Council (project grant GNT1046727, Centre of Research Excellence for Paediatric Emergency Medicine GNT1058560), Canberra, Australia; the Murdoch Children's Research Institute, Melbourne, Australia; the Emergency Medicine Foundation (EMPJ-11162), Brisbane, Australia; Perpetual Philanthropic Services (2012/1140), Australia; Auckland Medical Research Foundation (No. 3112011) and the A+ Trust (Auckland District Health Board), Auckland, New Zealand; WA Health Targeted Research Funds 2013, Perth, Australia; and the Townsville Hospital and Health Service Private Practice Research and Education Trust Fund, Townsville, Australia, and was supported by the Victorian Government's Infrastructure Support Program, Melbourne, Australia. Franz Babl's time was partly funded by a grant from the Royal Children's Hospital Foundation, Melbourne, Australia; a Melbourne Children's Clinician Scientist Fellowship, Melbourne, Australia; and a NHMRC Practitioner Fellowship, Canberra, Australia. Stuart Dalziel's time was partly funded by the Health Research Council of New Zealand (HRC13/556).