NCH Research Institute Awards for 2017
Three trauma/injury researchers received awards. Please join us in congratulating them on their accomplishments.
- Bhavna Singichetti was selected as the Outstanding Research Assistant/Associate in Clinical Research. She works with Dr. Ginger Yang’s team. In 2017, Bhavna published 5 peer-reviewed manuscripts, submitted an additional 4 manuscripts, and presented/supported 2 oral presentations at a national conference. Additionally, she assisted with submitting 5 grants. Her commitment to achieving the highest quality of work shows in the way she leverages her team members’ and their collaborators’ diverse strengths and finds ways to improve both the quality and quantity of their team projects.
- Two members of Dr. Henry Xiang’s team also received awards. Jin Peng was selected as the Outstanding Graduate Student. In 2017, Jin published 3 peer-reviewed articles, presented at two national conferences, and received an international fellowship and a national best paper award. Not only was 2017 an outstanding year for Jin, but it was a year indicative of her past accomplishments. Jin has set an example of excellence as a student, researcher, and team member.
- Dr. Jiabin Shen was selected as the Outstanding Post-Doctoral Student. Dr. Jiabin Shen joined CPTR in 2015 when he was awarded the Patient-Centered Pediatric Research Postdoctoral Fellowship. Since then he has played a key role in securing two Intramural Research Grants, a HRSA grant, and received positive reviews on a NICHD K99/R00 Career Development Award. In 2016, Dr. Shen received the American Psychological Association Early-Career Award. He has published in numerous high-quality journals and been recognized by national boards on global health and violence and injury research.
Laws are Effective at Reducing Rate of Recurrent Concussions in High School Athletes
Since 2014, all 50 states and the District of Columbia have enacted one or more traumatic brain injury (TBI) laws, more commonly known as concussion laws. A recent study from the Center for Injury Research and Policy at Nationwide Children’s Hospital done in conjunction with researchers from the University of Colorado and Temple University used data from a large, national sports injury surveillance system to determine the effect of state-level TBI laws on trends of new and recurrent concussions among US high school athletes. The study was highlighted in a number of media sources (see links below). It showed that the rates of new and recurrent concussions initially increase after a law goes into effect. Approximately 2 ½ years after the law is in place, the rate of recurrent concussions shows a significant decline. This demonstrates that the laws are having an impact. “This is what we want to see, an initial increase in concussion rates because more people become aware of the symptoms and signs of concussion” explained Ginger Yang, PhD, MPH, senior author of the study and principal investigator in the Center for Injury Research and Policy at Nationwide Children’s. The study looked at TBIs in high school athletes that competed in at least one of nine sports between falls 2005 through spring 2016. During this time period, there were an estimated 2.7 million reported concussions in these 9 sports, or about 671 concussions per day. Of the reported concussions, about 89 percent were new and 11 percent were recurrent. Concussions were more frequent among male athletes, in football, and during competitions. Football had the highest average annual concussion rate, followed by girls’ soccer and boys’ wrestling. Males had a higher average annual concussion rate than females. However, when comparing the rates in gender comparable sports (basketball, soccer, baseball/softball), females had almost double the annual rate of concussions as males.
New and Recurrent Concussions in High-School Athletes Before and After Traumatic Brain Injury Laws, 2005- 2016. Yang JZ, Comstock RD, Yi H, Harvey HH, Xun P. Am J Public Health. 2017 Dec;107(12):1916-1922. doi: 10.2105/AJPH.2017.304056. Epub 2017 Oct 19.
The research team has continued to study schools’ implementation of concussion laws by analyzing school concussion policy contents and policy implementation strategies to better understand the most successful ways to keep youth athletes healthy. As a result of this study and future research, they hope to make recommendations to states on how to strengthen their concussion laws.
Consistency and Variation in the Policy Content of Youth Sports TBI Laws. Coxe K, Hamilton K, Harvey HH, Xiang J, Ramirez M, Yang JZ. Journal of Adolescent Health. 2017 Sep 27. pii: S1054-139X(17)30329-4. doi: 10.1016/j.jadohealth.2017.07.003. [Epub ahead of print]. PubMed PMID: 28970062
These studies were funded by a grant from the Robert Wood Johnson Foundation’s Public Health Law Research program.
A Significant Percentage of Severely Injured U.S. Children Are Treated at Nontrauma Centers
Check out this publication, highlighted by the Health Resources Service Administration (HRSA) on the front page of their website. This is just one of a number of publications produced as a result of our funded maternal and child health grant.
In the United States, regionalized trauma systems have been developed and promoted to improve patient outcomes and optimize the use of hospital resources. Severely injured children should receive the highest level of trauma care available, found at level I or level II trauma centers. But 1 out of every 5 severely injured American children is treated at level III trauma centers or non-trauma centers without transfer to a higher level trauma center, according to a new study published by Henry Xiang, Director of the Center for Pediatric Trauma Research at Nationwide Children’s Hospital, the senior author of the study, and Jin Peng, PhD candidate at the Ohio State University. Children living in rural areas are particularly likely to be undertriaged. Severely injured patients have a significant higher risk of death or adverse outcomes when treated at level III or nontrauma centers without transfer to level I or level II trauma centers. These findings highlight the importance of developing innovative service delivery models, including telemedicine and a trauma triage mobile app, to reduce undertriage and improve outcomes for severely injured children.
MCHB Grant #: R40MC29448 Emergency Medical Care of Severely Injured US ChildrenPublication: Peng J, Wheeler K, Groner JI, Haley KJ, Xiang H. Undertriage of Pediatric Major Trauma Patients in the United States. Clin Pediatr (Phila). 2017;56(9):845-853. doi: 10.1177/0009922817709553. PubMed PMID: 28516800.
Global Symposium of Innovation in Trauma Research Methods
June 12-13, 2018
Nationwide Children’s Hospital, Columbus, Ohio
May 10, 2018
- David Mooney, PhD, Harvard University, Boston’s Children Hospital
November 29, 2018
- Natalie Yanchar, MD, MSc FRCSC, University of Calgary, Alberta Children’s Hospital