Details:

Alternative Title:
J Head Trauma Rehabil
Personal Author:
Cancelliere, Carol ; Coronado, Victor ; Taylor, Christopher ; Xu, Likang
Cancelliere, Carol ; Coronado, Victor ; Taylor, Christopher ; Xu, Likang Less -
Description:
Objectives

To describe the frequencies and rates of MTBI ED visits, and analyze the trend across the years; and to compare sociodemographic characteristics of visits by MTBI type (i.e., MTBI as the only injury, or present along with other injuries).

Design

Population-based descriptive study using data from the Nationwide Emergency Department Sample (NEDS, 2006–2012).

Methods

Joinpoint regression was used to calculate the average annual percent changes (AAPCs) of MTBI incidence rates. Characteristics between isolated and non-isolated visits were compared, and the odds ratios were reported.

Results

The rate per 100,000 population of MTBI ED visits in the U.S. increased significantly from 569.4 in 2006 to 807.9 in 2012. The highest rates were observed in 0–4 year olds, followed by 15–24 year old males, and ≥65 year old females; the lowest rates were among 45–64 year olds. The majority (70%) of all visits were non-isolated, and occurred more frequently in residents of metropolitan areas. Falls were the leading external cause. Most visits were privately insured or covered by Medicare/Medicaid, and the injury occurred on weekdays in predominantly metropolitan hospitals in the South region.

Conclusions

The burden of MTBI in U.S. EDs is high. Most MTBI ED visits present with other injuries. Awareness of sociodemographic factors associated with non-isolated MTBI may help improve diagnosis in U.S. EDs. This information has implications for resource planning and MTBI screening in EDs.


Subject:
[+]
Adolescent
Adult
Aged
Article
Brain Concussion
Brain Injuries
Child
Child, Preschool
Emergency Service
Emergency Service, Hospital
Epidemiology
Female
Hospital
Humans
Incidence
Infant
Male
Middle Aged
Multiple Trauma
Socioeconomic Factors
Young Adult

Source:
J Head Trauma Rehabil. 32(4):E37-E46.
Pubmed ID:
28489698
Pubmed Central ID:
PMC5554936
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:22c7c5861a1cb3bf83725a76492f0891a46257164b3d502a706ee04cf45e0410
File Type:

Supporting Files

• 	nihms893145.nxml	xml
  	nihms893145f1.gif	gif
  	nihms893145f1.jpg	jpeg
  	nihms893145f2.gif	gif
  	nihms893145f2.jpg	jpeg

More +