ABSTRACT
Background: Traumatic brain injury (TBI) is one of the most common types of injury, especially among young adults.
Methods: This study used the Taiwan National Health Insurance Research Database to evaluate the incidence and medical cost of TBI in Taiwan. Multi-level logistic regression models were used to assess the correlations between factors.
Results: A total of 290,114 subjects were included from 2002 to 2011. The incidence of head injury was around 126.1 cases per 100,000 population per year. Around 1/3 of TBIs were caused by traffic accidents, and the mortality rate was lower than 4%. The incidences of TBI in males were significantly higher than those in females in all age groups. The average length of stay was 11.53 days. The average total medical cost was $USD 2809.24. The incidence of TBI was significantly higher in subjects aged 25 to 44 years (25.58%) and those aged 45 to 64 years (24.95%).
Conclusion: The incidences of TBI vary in hospitals of different levels and in different regions. Acute subdural hematoma (SDH), traumatic subarachnoid hemorrhage (SAH) and traumatic intracranial hemorrhage (ICH) have higher severities than other TBIs, especially at the older ages. The male TBI subjects had both a higher incidence and a higher mortality rate than the female subjects in all age groups and TBI groups, with the exception of SAH.
- I. Aenderl, T. Gashaw, M. Siebeck, and W. Mutschler, "Head injury--a neglected public health problem: a four-month prospective study at Jimma University Specialized Hospital, Ethiopia," Ethiop J Health Sci., vol. 24, pp. 27--34., Jan 2014.Google ScholarCross Ref
- T. Shivaji, A. Lee, N. Dougall, T. McMillan, and C. Stark, "The epidemiology of hospital treated traumatic brain injury in Scotland," BMC Neurol., vol. 14, p. 2, Jan 6 2014.Google ScholarCross Ref
- R. C. Gardner and K. Yaffe, "Epidemiology of mild traumatic brain injury and neurodegenerative disease," Mol Cell Neurosci, vol. 5, pp. 75--80, Mar 5 2015.Google ScholarCross Ref
- W. Mauritz, A. Brazinova, M. Majdan, and J. Leitgeb, "Epidemiology of traumatic brain injury in Austria," Wien Klin Wochenschr, vol. 126, pp. 42--52, Jan 2014.Google ScholarCross Ref
- V. L. Feigin, A. Theadom, S. Barker-Collo, N. J. Starkey, K. McPherson, M. Kahan, et al., "Incidence of traumatic brain injury in New Zealand: a population-based study," Lancet Neurol., vol. 12, pp. 53--64. Epub 2012 Nov 22., Jan 2013.Google ScholarCross Ref
- B. Roozenbeek, A. I. Maas, and D. K. Menon, "Changing patterns in the epidemiology of traumatic brain injury," Nat Rev Neurol., vol. 9, pp. 231--6. Epub 2013 Feb 26., Apr 2013.Google ScholarCross Ref
- L. Odgaard, I. Poulsen, L. P. Kammersgaard, S. P. Johnsen, and J. F. Nielsen, "Surviving severe traumatic brain injury in Denmark: incidence and predictors of highly specialized rehabilitation," Clin Epidemiol., vol. 7, pp. 225--34, Mar 20 2015.Google ScholarCross Ref
- V. L. Feigin, S. Barker-Collo, R. Krishnamurthi, A. Theadom, and N. Starkey, "Epidemiology of ischaemic stroke and traumatic brain injury," Best Pract Res Clin Anaesthesiol., vol. 24, pp. 485--94. Epub 2010 Nov 29., Dec 2010.Google ScholarCross Ref
- S. Y. Lee, S. S. Kim, C. H. Kim, S. W. Park, J. H. Park, and M. Yeo, "Prediction of outcome after traumatic brain injury using clinical and neuroimaging variables," J Clin Neurol., vol. 8, pp. 224--9. Epub 2012 Sep 27., Sep 2012.Google ScholarCross Ref
- A. Al-Kuwaiti, A. F. Hefny, A. Bellou, H. O. Eid, and F. M. Abu-Zidan, "Epidemiology of head injury in the United Arab Emirates," Ulus Travma Acil Cerrahi Derg., vol. 18, pp. 213--8. May 2012.Google ScholarCross Ref
- S. R. Laker, "Epidemiology of concussion and mild traumatic brain injury," PM R., vol. 3, pp. S354--358, Oct 2011.Google ScholarCross Ref
- A. Mallory, "Head injury and aging: the importance of bleeding injuries," Ann Adv Automot Med, vol. 54, pp. 51--60., 2010.Google Scholar
- S. S. Dhandapani, D. Manju, and A. K. Mahapatra, "The economic divide in outcome following severe head injury," Asian J Neurosurg., vol. 7, pp. 17--20. Jan 2012.Google ScholarCross Ref
- P. L. Cheng, H. Y. Lin, Y. K. Lee, C. Y. Hsu, C. C. Lee, and Y. C. Su, "Higher mortality rates among the elderly with mild traumatic brain injury: a nationwide cohort study," Scand J Trauma Resusc Emerg Med., vol. 22, p. 7, Jan 28 2014.Google ScholarCross Ref
- F. Tagliaferri, C. Compagnone, M. Korsic, F. Servadei, and J. Kraus, "A systematic review of brain injury epidemiology in Europe," Acta Neurochir (Wien). vol. 148, pp. 255--68; discussion 268., Mar 2006.Google ScholarCross Ref
- H. C. Patel, O. Bouamra, M. Woodford, A. T. King, D. W. Yates, and F. E. Lecky, "Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational study," Lancet., vol. 366, pp. 1538--44., Oct 29-Nov 4 2005.Google ScholarCross Ref
- W. T. Chiu, C. C. Hung, and C. J. Shih, "Epidemiology of head injury in rural Taiwan -a four year survey," J Clin Neurosci., vol. 2, pp. 210--5., Jul 1995.Google ScholarCross Ref
- N. Kreitzer, M. S. Lyons, K. Hart, C. J. Lindsell, S. Chung, A. Yick, et al., "Repeat neuroimaging of mild traumatic brain-injured patients with acute traumatic intracranial hemorrhage: clinical outcomes and radiographic features," Acad Emerg Med., vol. 21, pp. 1083--91. Oct 2014.Google ScholarCross Ref
- H. Karibe, T. Hayashi, T. Hirano, M. Kameyama, A. Nakagawa, and T. Tominaga, "Surgical management of traumatic acute subdural hematoma in adults: a review," Neurol Med Chir (Tokyo), vol. 54, pp. 887--94. Epub 2014 Oct 31., 2014.Google ScholarCross Ref
- S. Chattopadhyay and C. Tripathi, "Skull fracture and haemorrhage pattern among fatal and nonfatal head injury assault victims - a critical analysis," J Inj Violence Res., vol. 2, pp. 99--103. Jun 2010.Google ScholarCross Ref
- T. M. Andriessen, J. Horn, G. Franschman, J. van der Naalt, I. Haitsma, B. Jacobs, et al., "Epidemiology, severity classification, and outcome of moderate and severe traumatic brain injury: a prospective multicenter study," J Neurotrauma., vol. 28, pp. 2019--31. Epub 2011 Sep 27., Oct 2011.Google ScholarCross Ref
- M. Wang, N. Hu, L. Zhou, and C. Yan, "Enhanced interfacial thermal transport across graphene--polymer interfaces by grafting polymer chains," Carbon, vol. 85, pp. 414--421, 2015.Google ScholarCross Ref
- S. Passero, G. Ciacci, and S. Rossi, "Blood pressure rise in spontaneous intracerebral haemorrhage: epiphenomenon or precipitating factor?," J Hum Hypertens, vol. 17, pp. 77--9, Jan 2003.Google ScholarCross Ref
- C. Chan, H. Ting, and H. Huang, "The definition of a prolonged intensive care unit stay for spontaneous intracerebral hemorrhage patients: an application with national health insurance research database," Biomed Res Int, vol. 2014, p. 891725, 2014.Google ScholarCross Ref
- H. M. Tiesman, S. Konda, and J. L. Bell, "The epidemiology of fatal occupational traumatic brain injury in the U.S," Am J Prev Med., vol. 41, pp. 61--7. Jul 2011.Google ScholarCross Ref
- E. G. Krug, G. K. Sharma, and R. Lozano, "The global burden of injuries," Am J Public Health., vol. 90, pp. 523--6., Apr 2000.Google ScholarCross Ref
Index Terms
- The Epidemiology and Cost of Hospital-Treated Traumatic Brain Injuries: a 10-Year Nationwide Survey in Taiwan
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