Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content

Health Indicator Report of Traumatic Brain Injury (TBI)

Traumatic brain injury is a leading cause of death and disability in Utah, costing more than $118 million in hospitalization charges in 2014. During 2014, 25,213 people in Utah sustained a TBI. Among those injured, 584 died (19.8 per 100,000 population) where TBI was reported as a cause of death on the death certificate alone or in combination with other injuries or conditions; another 2,415 (82.0 per 100,000) were hospitalized, and an additional 22,214 (754.4 per 100,000) were treated and released from emergency departments with a TBI alone or in combination with other injuries or conditions. An unknown number of individuals sustained injuries that were treated in other settings or went untreated.
On average, from 2010-2014 Utah males had a significantly higher rate of TBI than females.

TBI Incidence Rates by Sex, Utah, 2010-2014

Notes

ICD-9-CM codes for TBI Morbidity: 800.0-801.9, 803.0-804.9, 850.0-854.1, 950.1-950.3, 959.01, 995.55; ICD-10 codes for TBI Mortality: S01.0-S01.9, S02.0, S02.1, S02.3, S02.7-S02.9, S04.0, S06.0-S06.9, S07.0, S07.1, S07.8, S07.9, S09.7-S09.9, T01.0, T02.0, T04.0, T06.0, T90.1, T90.2, T90.4, T90.5, T90.8, T90.0. These cases may include a TBI alone or in combination with other injuries or conditions.   [[br]] [[br]] Rates are calculated using both sampled and non-sampled TBI hospitalization, death, and ED visit cases. [[br]] [[br]] Rates have been age-adjusted to the 2000 U.S. population.

Data Sources

  • Utah Department of Health, Violence & Injury Prevention Program, TBI database
  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health
  • Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health
  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015

Data Interpretation Issues

Traumatic brain injury (TBI) is defined as an occurrence of injury or death resulting from trauma to the head. With regard to injury, the occurrence must be documented in a medical record with one or more of the following: observed or self-reported loss of consciousness or decreased level of consciousness; amnesia; skull fracture; changes in motor function, sensory function, reflexes, or speech; seizures; or hemorrhages, bruising, or other trauma of the brain. With death, the injury has been listed on the death certificate, autopsy report, or medical examiner's report as a sequence that caused death. Clinical definitions of TBI exclude several conditions including: lacerations or contusions of the face, eye, or scalp without other criteria; fractures of facial bones without other criteria; birth trauma; primary anoxic, inflammatory, toxic, or metabolic encephalopathies which are not complications of head trauma; brain infarction (ischemic stoke); intracranial hemorrhage (hemorrhagic stroke) without associated trauma; airway obstruction (e.g., near-drowning, throat swelling, choking, strangulation, or crush injuries of the chest); seizure disorders (Grand mal, etc.); intracranial surgery; and neoplasms.

Definition

The rate of traumatic brain injuries (TBIs) resulting in emergency department visit, hospitalization, or death per 100,000 population. These cases may include a TBI alone or in combination with other injuries or conditions. ICD-9-CM Hospital Codes for TBI Morbidity: 800.0-801.9 Fracture of the vault or base of the skull; 803.0-804.9 Other and unqualified and multiple fractures of the skull; 850.0-854.1 Intracranial injury, including concussion, contusion, laceration, and hemorrhage; 950.1-950.3 Injury to the optic chiasm, optic pathways, and visual cortex; 959.01 Head injury, unspecified; 995.55 Shaken Infant Syndrome. ICD-10 Death Codes for TBI Mortality: S01.0-S01.9 Open wound of the head; S02.0, S02.1, S02.3, S02.7-S02.9 Fracture of skull and facial bones; S04.0 Injury to optic nerve and pathways; S06.0-S06.9 Intracranial injury; S07.0, S07.1, S07.8, S07.9 Crushing injury of head; S09.7-S09.9 Other and unspecified injuries of head; T01.0 Open wounds involving head with neck; T02.0 Fractures involving head with neck; T04.0 Crushing injuries involving head with neck; T06.0 Injuries of brain and cranial nerve with injuries of nerves and spinal cord at neck level; T90.1, T90.2, T90.4, T90.5, T90.8, T90.0 Sequelae of injuries of head.

Numerator

The number of traumatic brain injuries (TBIs) which meet the case definition mentioned in the data notes explaining ICD-9 and ICD-10 codes.

Denominator

The total number of persons in the population of Utah.

Healthy People Objective IVP-2:

Reduce fatal and nonfatal traumatic brain injuries
U.S. Target: Not applicable, see subobjectives in this category

Other Objectives

{{style color:#003366 Healthy People 2020 Objective IVP-2.1:}}[[br]] Reduce fatal traumatic brain injuries[[br]] '''U.S. Target:''' 15.7 deaths per 100,000 population {{style color:#003366 Healthy People 2020 Objective IVP-2.2:}}[[br]] Reduce hospitalizations for nonfatal traumatic brain injuries[[br]] '''U.S. Target:''' 77.0 hospitalizations per 100,000 population[[br]] '''Utah Target:''' 77.0 hospitalizations per 100,000 population {{style color:#003366 Healthy People 2020 Objective IVP-2.3:}}[[br]] Reduce emergency department (ED) visits for nonfatal traumatic brain injuries[[br]] '''U.S. Target:''' 365.3 ED visits per 100,000 population

How Are We Doing?

The age-adjusted rate of traumatic brain injury (TBI) in Utah in 2014 was 867.0 per 100,000 population. This rate was higher than the previous year's rate of 834.7 per 100,000 population. From 2010 to 2014, age-adjusted rates of TBI for both sexes have increased. Males have significantly higher rates of TBI compared to females.

How Do We Compare With the U.S.?

In Utah the rate of TBI deaths for ages 5-19 is higher than the national rate for those ages. The TBI death rate for the 0-4 age group in Utah is slightly lower than the national rate for the same age group. The national rates are reported in the 2013 MMWR article entitled, ''QuickStats: Rate of Traumatic Brain Injury (TBI)-Related Deaths Among Persons Aged 0-19 Years, by Age Group - National Vital Statistics System, United States 1999-2010'' (MMWR Morb Mortal Wkly Rep. 2013 Mar 22;62(11):215).

What Is Being Done?

The Utah Department of Health Violence and Injury Prevention Program (VIPP) receives funding from the U.S. Centers for Disease Control and Prevention to conduct TBI surveillance for the state of Utah. This is done through review of hospital discharge data, vital statistics data, and hospital records abstractions. These data are used to develop interventions and policies targeting those at highest risk (such as young people for motor vehicle incidents and the elderly for fall incidents). In 2010, the VIPP was awarded a $1 million grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration Maternal and Child Health Bureau. The four-year grant was awarded to develop statewide capabilities to address family and person-directed resources for individuals with TBIs and their families. The goals of the grant are to: 1) foster improvement in the TBI service delivery system, 2) assure access to coordinated community services and supports for young children (ages birth-4 years) who have a TBI, and 3) assure access to coordinated community services for service members and veterans of Operation Iraqi Freedom and Operation Enduring Freedom who have a TBI. The grant is not for primary services but instead is aimed at developing a more informed system of service agencies and professionals ready to help individuals with a TBI and their families. The Traumatic Brain Injury (TBI) Fund was established in 2008 by the Utah Legislature as a restricted special revenue fund. The fund consists of gifts, grants, donations, and any other funding from private sources. Individuals with a TBI may receive help with resource facilitation or neuropsychological testing through the TBI Fund. The TBI Fund is designed to be a payor of last resort, meaning individuals have no other financial means available to obtain these services. More information on the TBI Fund can be found at [http://www.health.utah.gov/vipp/topics/traumatic-brain-injury/tbi-fund.html]. The Traumatic Spinal Cord and Brain Injury Rehabilitation Fund was established during the 2012 Utah Legislative Session (Section 26-54) as a restricted special revenue fund that consists of gifts, grants, donations, or any other conveyance of money that may be made to the fund from private sources; portion ($20) of the impound fee as designated in Section 41-6a-1406; and amounts as appropriated by the legislature. The Legislature appropriated an initial allocation of $200,000 for State Fiscal Year 2013. The SCI/TBI Rehabilitation Fund provides individuals with spinal cord or traumatic brain injuries with physical, occupational, and speech therapy; and equipment necessary for daily living activities. More information on the SCI/TBI Rehabilitation Fund can be found at [http://www.health.utah.gov/vipp/topics/traumatic-brain-injury/sci-fund.html].

Health Program Information

The Violence and Injury Prevention Program (VIPP) is a trusted and comprehensive resource for data related to violence and injury. Through education, this information helps promote partnerships and programs to prevent injuries and improve public health. VIPP goals are to a) focus prevention efforts on reducing intentional and unintentional injury, b) conduct education aimed at increasing awareness and changing behaviors that contribute to the occurrence of injury, c) strengthen local health department capacity to conduct local injury prevention programs, d) promote legislation, policy changes, and enforcement that will reduce injury hazards and increase safe behaviors, e) collaborate with private and public partners, and f) improve the Utah Department of Health capacity to collect mortality and morbidity data from multiple sources and conduct injury epidemiology for use in prevention planning, implementation, and evaluation.
Page Content Updated On 01/06/2017, Published on 01/25/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 14 December 2017 23:36:19 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 12 Oct 2017 16:48:10 MDT