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Title: Causes and Trends in Traumatic Brain Injury for United States Adolescents
Citation Type: Journal Article
Publication Year: 2013
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Abstract: Traumatic brain injury (TBI) is a leading cause of death and disability among U.S. adolescents. The authors sought to determine causes and trends for TBI-related hospitalizations in the U.S. adolescent population (10-19 years). The authors identified common causes and trends of adolescent TBI, overall and within two-year age categories, using hospitalization data from 2005 to 2009 in the Nationwide Inpatient Sample. The leading cause of adolescent TBI overall was motor vehicle occupant accidents (35%), which are also the leading cause in 14-15, 16-17, and 18-19 year age groups. Falls were the cause of most TBI in the 10-11 year (23%) and 12-13 year (20%) groups. For both unintentional and intentional mechanisms of injury, there was evidence of increasing hospitalizations with increasing age. From 2005 to 2009, the overall annual incidence of adolescent TBI hospitalizations decreased 21% from an estimated 75.5 to 59.3 per 100,000 (p<0.001). These rates declined for mild, moderate, and severe TBI, and decreased for two-year age groups, except 18-19 year olds. For TBI attributable to motor vehicle occupants, rates declined 27% from 27.6 to 20.2 per 100,000 (p<0.001). Motor vehicle occupant injuries account for 42% of in-hospital mortality in adolescent TBI; however, firearms are the most lethal mechanism with 46% proportional mortality among victims of firearm-related TBI. Rates of adolescent TBI-related hospitalizations have decreased overall. Motor vehicle accidents and firearms were identified as leading causes of injury and mortality for adolescent TBI and represent potential targets for intervention.
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Authors: Haider, Adil H.; Schneider, Eric B.; Bowman, Stephen M.; George, Benjamin P.; Asemota, Anthony O.
Periodical (Full): Journal of neurotrauma
Issue: 2
Volume: 30
Pages: 67-75
Data Collections: IPUMS USA
Topics: Fertility and Mortality, Health
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