It is estimated that 185 children per 100 000 from infancy to 14 years of age and 295 per 100 000 adolescents and young adults aged between 15 and 24 are hospitalized each year for traumatic brain injury. (45,46> The risk is highest among the 15- to 19-year-olds where the rate is 550 per 100 000. (4D The incidence in paediatric populations is similar to that in adults. A mortality rate of 10 per 100 000 makes head trauma a major cause of death in children, but the death rate is still less than that in adults. There is no difference in the death rate between boys and girls before the age of 5 years, but after this age males are four times more likely to die than females. Approximately 90 per cent of head injuries are mild. (45> Falls and transport injuries make up the majority of cases.

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