Why Is This Important?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.
TBI Incidence Age-adjusted Rates by Sex, Utah, 2010-2014
On average, from 2010-2014 Utah males had a significantly higher rate of TBI than females.
- 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 NotesICD-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]] Rates have been age-adjusted to the 2000 U.S. 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.
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 2018 VIPP was a warded a grant from the U.S. Department of Health & Human Services (HHS) Administration of Community Living (ACL). The purpose of the three year grant is to program is to create and strengthen a system of services and supports that maximizes the independence, well-being, and health of persons with TBI across the lifespan, their families, and their caregivers by: 1) supporting and maintaining the Utah Brain Injury Council (TBI Advisory Board), 2) creating a TBI State Registry, 3) enhancing the TBI workforce through professional training, 4) providing information about TBI to families and referrals to appropriate services, and 5) improving local and national coordination and collaboration around TBI services and supports. With a previous grant, TBI was added to the Medical Home Portal to provide additional information about TBI diagnosis and treatment of young children (birth through age 4) for physicians, health care professionals, educators, families, and patients ([https://www.medicalhomeportal.org/]).
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].
Healthy People Objective: Reduce fatal and nonfatal traumatic brain injuriesU.S. Target: Not applicable, see subobjectives in this category
Date Indicator Content Last Updated: 02/22/2019