Sara Vilar-Lluch
Representing Behavioral Pathology: The Importance of Modality in Medical Descriptions of Conduct, ADHD as Case Study
Health communication
retrospective administrative database analysis aim study investigate incidence characteristics pediatric cervical spine injury pcsi utilizing kids inpatient database kid pcsi debilitating comprehensive analyses difficult due rarity database studies pcsi however studies employed databases suffer selection bias triennial kid queried years 2000 2012 using international classification diseases ninth revision clinical modification icd9cm codes pediatric admissions divided five age groups reflecting different developmental stages pcsi analyzed terms trend demographics injury characteristics hospital characteristics comorbidities outcomes variables multivariate logistic regression analyses used identify independent risk factors pcsi among trauma admissions identify independent risk factors mortality among pcsi admissions past decade overall prevalence traumatic pcsi 207 mortality rate 487 frequent cause pcsi transportation accidents accounting 5751 upper cervical spine injury c1c4 cervical fracture spinal cord injury spinal cord injury without radiographic abnormality sciwora dislocation showed decreasing trend age comorbidities including limited fluid electrolyte disorders paralysis common across age groups substance abuse showed bimodal distribution independent risk factors pcsi trauma older cohorts nonnortheast region transportation accidents mortality pcsi independent risk factors younger cohorts transportation accidents upper cervical spine injury dislocation spinal cord injuries median length stay cost 384 days 14 742 pediatric patients highly heterogeneous constantly undergoing behavioral environmental anatomical changes pcsi trauma common among older cohorts however mortality sustaining pcsi higher among younger patients 4