Epidemiology of TBI. Alexandra Brazinova, MD, MPH, PhD IGEH seminar Oct.28,2003. Traumatic brain injury. “of all types of injury, those to the brain are among the most likely to result in death or permanent disability”
Alexandra Brazinova, MD, MPH, PhD
IGEH seminar Oct.28,2003
www.neuroskills.com (USA – rehabilitation centers)
Causes & mechanisms:
Alcohol – major factor in many TBIs
Severity: mild, moderate, severe
The epidemiology of traumatic brain injury: a review.Bruns J, Hauser WA.Neurology Sergievsky Center, College of Physicians and Surgeons Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University Department of Emergency Medicine, Mt. Sinai School of Medicine, New York, New York, U.S.A.
Review of studies of TBI: incidence of TBI in the US is 180-250 per 100,000, higher in Europe and South Africa. Groups at high risk – males in regions with socioeconomic deprivation.
Epidemiology of traumatic brain injury in South Australia.Hillier SL, Hiller JE, Metzer J.Department of Community Medicine, University of Adelaide, South Australia.Incidence 322 per 100,000 (exceeds studies in Europe and US). Highest risk population: young males living in the country and working in manual trades. Hospitals in this state have more than 4000 new cases of TBI each year.
Regional brain injury epidemiology as the basis for planning brain injury treatment. The Romagna (Italy) experience.Servadei F, Antonelli V, Betti L, Chieregato A, Fainardi E, Gardini E, Giuliani G, Salizzato L, Kraus JF.Incidence rate 250 per 100,000. External causes of injury are similar to Western Europe, except very low frequency of cases from violence.
Epidemiology of traumatic brain injury: a population based study in western Sweden.Andersson EH, Bjorklund R, Emanuelson I, Stalhammar D.Department of Rehabilitation Medicine, Central Hospital Boras, SE 501 82 Boras, Sweden. elisabeth.Andersson@vgregion.seIncidence of 546 per 100,000. The external causes were dominated by fall from same level (31%) and fall from different level (27%) followed by traffic accidents (16%) and persons hit by objects (15%).
Traumatic brain injury-related hospital discharges. Results from a 14-state surveillance system, 1997.Langlois JA, Kegler SR, Butler JA, Gotsch KE, Johnson RL, Reichard AA, Webb KW, Coronado VG, Selassie AW, Thurman DJ.National Center for Injury Prevention and Control, CDC, USA.Motor-vehicle crashes, falls, and assaults were the leading causes of injury for TBI-related discharges. Rates were highest for American Indians and Alaska Natives and Blacks. Data in this report indicate the importance of TBI as a public health problem.
Epidemiology of severe brain injuries: a prospective population-based study.Masson F, Thicoipe M, Aye P, Mokni T, Senjean P, Schmitt V, Dessalles PH, Cazaugade M, Labadens P; Aquitaine Group for Severe Brain Injuries Study.Department of Anesthesia, University Hospital of Bordeaux, 33076 Bordeaux cedex, France.19 hospitals in the region. Incidence rate of severe TBI – 17.3 per 100,000. Traffic accidents – 48.3%, falls 41.8%. Fatality rate 30%.
Neurotrauma in Pakistan.Raja IA, Vohra AH, Ahmed M.Department of Neurosurgery, King Edward Medical College, 40-C, Zafar Ali Road, Gulberg V, Lahore, Pakistan. email@example.comLead cause – road traffic accidents. Mild head injury – 52%, moderate – 30%, severe 18%. Total mortality 18%.
Neurosurgical trauma in Japan.Maejima S, Katayama Y.Department of Neurological Surgery, Nihon University School of Medicine, Oyaguchi Kami-machi 30-1, Itabashi-Ku, Tokyo, 173-8610, Japan. firstname.lastname@example.orgJapan Neurotrauma Data Bank System introduced recently – statistics of 10 major neurotrauma centers
Epidemiology of traumatic brain injury in children and adolescents in south-western Sweden.Emanuelson I, v Wendt L.Bracke Ostergard Regional Pediatric Rehabilitation Centre, Goteborg,Sweden.
Age 0-17. Incidence rate 12 per 100,000. The dominant external cause was traffic (60%), followed by falls (22%).
Prevalence of traumatic brain injury amongst children admitted to hospital in one health district: a population-based study.Hawley CA, Ward AB, Long J, Owen DW, Magnay AR.Centre for Health Services Studies, University of Warwick, Coventry CV4 7AL, UK. email@example.comNorth Staffordshire – registry of children TBI since 1992. Incidence 280 per 100,000 children are admitted for >or=24h with a TBI, of these 232 will have a mild brain injury, 25 moderate, 17 severe, and 2 will die. Children under 2 years of age account for 18.5% of all TBIs, usually due to falls, being dropped or non-accidental injuries (NAIs). Falls account for 60% of TBIs in the under 5 years. In the 10-15 age group road traffic accidents (RTAs) were the most common cause (185, 36.7%).
A population-based study of inflicted traumatic brain injury in young children.Keenan HT, Runyan DK, Marshall SW, Nocera MA, Merten DF, Sinal SH.Department of Social Medicine, University of North Carolina at Chapel Hill, NC 27599-7240, USA. firstname.lastname@example.orgA total of 152 cases of serious or fatal TBI were identified, with 80 (53%) incurring inflicted TBI.