Traumatic brain injury-related hospital discharges: results from a 14-state surveillance system, 1997.
Problem/Condition: Previous studies indicate that each year in the United States, approximately 1.5 million Americans sustain a traumatic brain injury (TBI). Of those injured, approximately one quarter million are hospitalized. Approximately one third of adults hospitalized with TBI still need help...
| Publicado en: | MMWR: Morbidity & Mortality Weekly Report Vol. 52; no. 25; pp. 1 - 21 |
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| Autores principales: | , , , , , , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Centers for Disease Control & Prevention (CDC)
6/27/2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106858531&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106858531 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01492195 MMW jtl: MMWR: Morbidity & Mortality Weekly Report issn: 01492195 maglogo: N pubinfo: dt: 6/27/2003 vid: 52 iid: 25 pid: 1493 pub: Centers for Disease Control & Prevention (CDC) place: Atlanta, Georgia artinfo: ui: 106858531 106858531 2003105382 106858531 ppf: 1 ppct: 20 formats: fmt: @attributes: type: P tig: atl: Traumatic brain injury-related hospital discharges: results from a 14-state surveillance system, 1997. aug: au: Langlois JA Kegler SR Butler JA Gotsch KE Johnson RL Richard AA Webb KW Coronado VG Selassie AW Thurman DJ sug: subj: Brain Injuries Epidemiology Patient Discharge Trauma Complications Black Persons Brain Injuries Etiology Clinical Assessment Tools Demography Descriptive Statistics Disease Surveillance Epidemiological Research Glasgow Coma Scale International Classification of Diseases Native Americans United States White Persons Human ab: Problem/Condition: Previous studies indicate that each year in the United States, approximately 1.5 million Americans sustain a traumatic brain injury (TBI). Of those injured, approximately one quarter million are hospitalized. Approximately one third of adults hospitalized with TBI still need help with daily activities 1 year after their discharge.Reporting Period: This report summarizes surveillance data for TBI in the United States for January-December 1997.Description of the System: Data are from 14 states that participated in an ongoing CDC-funded TBI surveillance system. State health departments used CDC guidelines to identify TBI cases from hospital discharge data or from other statewide injury data systems. Supplementary information was abstracted from medical records.Results: The overall age-adjusted TBI-related live hospital discharge rate was 69.7/100,000 population. Rates were highest for American Indians and Alaska Natives (75.3/100,000) and Blacks (74.4/100,000). The age-adjusted rate for males was approximately twice as high as for females (91.9 versus 47.7/100,000 respectively). For both sexes, the rates were highest among those aged 15-19 years and >/=65 years. Motor-vehicle crashes, falls, and assaults were the leading causes of injury for TBI-related discharges (27.9, 22.5, and 7.3/100,000 respectively). TBI-related discharge rates for falls were highest among those aged >/=65 years (82.3/100,000). Black males and American Indian/Alaska Native males had the highest rates of TBI attributable to assault (31.3 and 29.5 per 100,000, respectively), approximately 4 times the rate for white males. An estimated 46% of injured motor-vehicle occupants, 53% of motorcyclists, and 41% of pedal cyclists reportedly were not using personal protective equipment (PPE) (e.g., seat belts or helmets) at the time of their TBI. With regard to outcome assessed before discharge from the hospital, approximately 17% of persons hospitalized with TBI had moderate to severe disability.Interpretation: Data in this report, the most extensive to date from a multistate population-based TBI surveillance system, indicate the importance of TBI as a public health problem. Population-based information regarding TBI hospitalizations can be useful in assessing the effect of prevention efforts and planning for the service needs of persons with TBI. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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