Traumatic Brain Injury-Related Emergency Department Visits Among American Indian and Alaska Native Persons—National Patient Information Reporting System, 2005–2014

Details

• Journal Article:
  J Head Trauma Rehabil
• Personal Author:
  Sarmiento, Kelly ; Kennedy, Jordan ; Daugherty, Jill ; Peterson, Alexis B. ; Evans, Mary E. ; Haberling, Dana L. ; Billie, Holly
• Description:
  Objective:
  
  The American Indian/Alaska Native (AI/AN) population has a disproportionately high rate of traumatic brain injuries (TBIs). However, there is little known about incidence and common mechanisms of injury among AI/AN persons who seek care in an Indian Health Service (IHS) or tribally managed facility.
  
  Methods:
  
  Using the IHS National Patient Information Reporting System, we assessed the incidence of TBI-related emergency department visits among AI/AN children and adults seen in IHS or tribally managed facilities over a 10-year period (2005–2014).
  
  Results:
  
  There were 44 918 TBI-related emergency department visits during the study period. Males and persons aged 18 to 34 years and 75 years and older had the highest rates of TBI-related emergency department visits. Unintentional falls and assaults contributed to the highest number and proportion of TBI-related emergency department visits. The number and age-adjusted rate of emergency department visits for TBI were highest among persons living in the Southwest and Northern Plains when compared with other IHS regions.
  
  Conclusion:
  
  Thousands of AI/AN children and adults are seen each year in emergency departments for TBI and the numbers increased over the 10-year period examined. Evidence-based interventions to prevent TBI-related emergency department visits, such as programs to reduce the risk for older adult falls and assault, are warranted.
• Subjects:
  • Adolescent
  • Adult
  • Aged
  • Alaska Natives
  • Brain Injuries, Traumatic
  • Emergency Service, Hospital
  • Female
  • Humans
  • Incidence
  • Male
  More +
• Keywords:
  • Alaska native
  • American Indian
  • assault
  • brain injury
  • fall
  • TBI
  • tribal
• Source:
  J Head Trauma Rehabil. 35(5):E441-E449
• DOI:
  http://dx.doi.org/10.1097/HTR.0000000000000570
• Pubmed ID:
  32472829
• Pubmed Central ID:
  PMC7483258
• Document Type:
  Text ; Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  35
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/93499/cdc_93499_DS1.pdf
• File Type:
  [PDF - 551.46 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:63927d29999e8114a5ecf7cfd203d7ea119a35e28723652657860420b525940fce322e7fd72971af34d82f540f462a24c73a762d45bdcfd66df702cea28044fc