Differences in State Traumatic Brain Injury–Related Deaths, by Principal Mechanism of Injury, Intent, and Percentage of Population Living in Rural Areas — U.S. 2016–2018

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Daugherty, Jill ; Zhou, Hong ; Sarmiento, Kelly ; Waltzman, Dana
• Description:
  Traumatic brain injuries (TBIs) have contributed to approximately one million deaths in the U.S. over the last 2 decades (1). CDC analyzed National Vital Statistics System (U.S.) (NVSS) Mortality data for a 3-year period (2016-2018) to examine numbers and rates of TBI-related deaths, the percentage difference between each state's rate and the overall U.S. TBI-related death rate, leading causes of TBI, and the association between TBI and a state's level of rurality. During 2016-2018, a total of 181,227 TBI-related deaths (17.3 per 100,000 population per year) occurred in the U.S. The percentage difference between state TBI-related death rates and the overall U.S. rate during this period ranged from 46.2% below to 101.2% above the overall rate. By state, the lowest rate was in New Jersey (9.3 per 100,000 population per year); the states with the highest rates were Alaska (34.8), Wyoming (32.6), and Montana (29.5). States in the South and those with a higher proportion of residents living in rural areas had higher rates, whereas states in the Northeast and those with a lower proportion of residents living in rural areas had lower TBI-related death rates. In 43 states, suicide was the leading cause of TBI-related deaths; in other states, unintentional falls or unintentional motor vehicle crashes were responsible for the highest numbers and rates of TBI-related deaths. Consistent with previous studies (2), differences in TBI incidence and outcomes were observed across U.S. states; therefore, states can use these findings to develop and implement evidence-based Prevention strategies, based on their leading causes of TBI-related deaths. Expanding evidence-based Prevention strategies that address TBI-related deaths is warranted, especially among states with high rates due to suicide, unintentional falls, and motor vehicle crashes.
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Brain Injuries, Traumatic Child Child, Preschool Health Status Disparities Humans Infant Infant, Newborn Intention Middle Aged Risk Factors Rural Population Young Adult

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 70(41):1447-1452
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/MMWRmm7041a3
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  34648483
• Pubmed Central ID:
  PMC8631284
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  6 pdf pages
• Volume:
  70
• Issue:
  41
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:55fa7066ed0d3fcb07b51f5182ea835fd32276c86107fc717ae1a70c95c1fac1c823cf93953c67d60637b6ddb52d9c925a48fc3630d5e3bc6c27800251cfef12
• Download URL:
  https://stacks.cdc.gov/view/cdc/112519/cdc_112519_DS1.pdf
• File Type:
  [PDF - 165.40 KB ]