Surveillance of Traumatic Brain Injury

Orman, Jean A.; Selassie, Anbesaw W.; Perdue, Christopher L.; Thurman, David J.; Kraus, Jess F.

doi:10.1007/978-1-4614-1599-2_4

Cited by 3 publications

(5 citation statements)

References 84 publications

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“…This analysis classified TBI severity using the maximum AIS for the head and neck region, for cases with more than 1 head or neck injury diagnosis. Consistent with a previous definition for stratification of TBI by severity, 2 injuries with an AIS score of 1 or 2 were classified as low severity, those with a score of 3 were classified as middle severity, and those with scores of 4, 5, or 6 were considered high severity. Injuries with codes based on the framework from 2016 9 that were not assigned a severity level by the algorithm were grouped into a separate category (hereinafter referred to as severity not assigned).…”

Section: Methodsmentioning

confidence: 92%

“…In 2014, there were an estimated 2.5 million emergency department visits and 288,000 hospitalizations related to traumatic brain injury (TBI) 1. Estimates of lifetime medical costs of fatal, hospitalized, and nonhospitalized TBI among US citizens include $14.6 billion in 2009 dollars2 and $11.5 billion in 2010 dollars 3. These estimates do not stratify by TBI severity level, which is an important factor to consider when assessing cost given that recovery times vary widely by severity level 4,5.…”

mentioning

confidence: 99%

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Costs of Nonfatal Traumatic Brain Injury in the United States, 2016

Miller

DePadilla

2021

Medical Care

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Section: Methodsmentioning

confidence: 92%

mentioning

confidence: 99%

Costs of Nonfatal Traumatic Brain Injury in the United States, 2016

Miller

DePadilla

2021

Medical Care

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“…The reference date for cases was the date of the mTBI diagnosis in the patient medical record and the date range (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007) was selected to provide 4-year follow-up data for each mTBI case. We used the same categorization approach outlined by the Centers for Disease Control and Prevention 22 and used by Fann and colleagues. 11 The TBI exposure was mild if ICD-9-CM codes indicated brief (<30 mins) or no loss of consciousness and no documented traumatic intracranial lesions.…”

Section: Mtbi Groupmentioning

confidence: 99%

Prevalence of depression and anxiety disorders following mild traumatic brain injury

Delmonico

Theodore

Sandel

et al. 2021

PM&R

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Background: Previous studies have identified an association between traumatic brain injuries and the development of psychiatric disorders in general. However, these studies were subject to limitations that demonstrate the need for a study of a large, clearly defined mild traumatic brain injury (mTBI) population within an integrated healthcare system. Objective: To determine the prevalence and relative risk of postinjury affective disorders over 4 years following mTBI. Design: Cohort study of mTBI cases and matched controls, over a 4-year period.Setting: An integrated healthcare delivery system in California. Patients: A total of 9428 adult health plan members diagnosed with mTBI from 2000-2007 and enrolled in the year before injury, during which no TBI was ascertained. Control participants included 18,856 individuals selected based on the following criteria: Two unexposed health plan members per each mTBI-exposed patient were randomly selected and individually matched for age, gender, race/ethnicity, and medical comorbidities. Interventions: Not applicable. Main Outcome Measures: A diagnosis of affective disorder (depressive, anxiety, and adjustment disorders) in the 4 years after mTBI or the reference date, determined according to the International Classification of Diseases, Ninth Revision, Clinical Modification as well as the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Results: Affective disorders were most prominent during the first 12 months with 23% following mTBI and 14% in the control group. Four-year aggregate adjusted odds ratios for having an affective disorder following mTBI were 1.2 (95% CI: 1.1, 1.2; p < .001) and 1.5 (95% CI: 1.5, 1.6; p < .001) for patients with and without prior affective disorders, respectively. Conclusion: mTBI was associated with a significantly increased risk of having subsequent affective disorders. Screening for and addressing affective disorders at earlier stages following the injury is an important step to avoid persisting conditions that may pose a barrier to full recovery.

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“…The U.S. version is the ICD-10, Clinical Modification. While there has been extensive work to define general TBI and mTBI populations using ICD-9 data, work using the ICD-10 is considerably less advanced, particularly for mTBI (Orman et al, 2012). However, revisions to the definitions over the past decade (e.g., history of injury codes), along with growing awareness of the sensitivity and specificity challenges associated with the administrative codes for TBI (Bazarian et al, 2006), suggest that the movement to the ICD-10 offers opportunities to create better case definitions and more streamlined coding guidance.…”

Section: Icd-9 To Icd-10 Considerationsmentioning

confidence: 99%

“…Steps to Prevent a Serious Public Health Problem (National Center for Injury Prevention and Control, 2003), in 2002, Marr and Coronado at the CDC submitted surveillance standards proposing mortality coding recommendation for TBI using ICD-10 ( Marr andCoronado, 2004, research conducted in 2002;Orman et al, 2012), as shown in Table C.1. However, the recommendation was not included in the 2003 report to Congress.…”

Section: Prior To the Cdc's 2003 Report To Congress On Mild Traumaticmentioning

confidence: 99%

Understanding Treatment of Mild Traumatic Brain Injury in the Military Health System

Farmer¹,

Krull²,

Concannon³

et al. 2016

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Surveillance of Traumatic Brain Injury

Cited by 3 publications

References 84 publications

Costs of Nonfatal Traumatic Brain Injury in the United States, 2016

Costs of Nonfatal Traumatic Brain Injury in the United States, 2016

Prevalence of depression and anxiety disorders following mild traumatic brain injury

Understanding Treatment of Mild Traumatic Brain Injury in the Military Health System

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