research-article

The Epidemiology and Cost of Hospital-Treated Traumatic Brain Injuries: a 10-Year Nationwide Survey in Taiwan

Authors:

Hsien-Wei Ting,

Chien-Lung Chan,

Chun-Chih Liao,

Ting-Ying Chien,

Ren-Hao PanAuthors Info & Claims

ICMHI '18: Proceedings of the 2nd International Conference on Medical and Health Informatics

Pages 76 - 82

https://doi.org/10.1145/3239438.3239486

Published: 08 June 2018 Publication History

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.

References

[1]

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.

[2]

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.

[3]

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.

[4]

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.

[5]

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.

[6]

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.

[7]

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.

[8]

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.

[9]

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.

[10]

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.

[11]

S. R. Laker, "Epidemiology of concussion and mild traumatic brain injury," PM R., vol. 3, pp. S354--358, Oct 2011.

[12]

A. Mallory, "Head injury and aging: the importance of bleeding injuries," Ann Adv Automot Med, vol. 54, pp. 51--60., 2010.

[13]

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.

[14]

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.

[15]

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.

[16]

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.

[17]

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.

[18]

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.

[19]

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.

[20]

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.

[21]

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.

[22]

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.

[23]

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.

[24]

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.

[25]

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.

[26]

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.

Cited By

Karaboue MMinisteri FSessa FNannola CChisari MCocimano GDi Mauro LSalerno MEsposito M(2024)Traumatic Brain Injury as a Public Health Issue: Epidemiology, Prognostic Factors and Useful Data from Forensic PracticeHealthcare10.3390/healthcare1222226612:22(2266)Online publication date: 13-Nov-2024
https://doi.org/10.3390/healthcare12222266

Index Terms

The Epidemiology and Cost of Hospital-Treated Traumatic Brain Injuries: a 10-Year Nationwide Survey in Taiwan
1. Information systems
  1. Information systems applications
    1. Decision support systems
      1. Data analytics

Recommendations

Descriptive Epidemiology of Neonatal Mortality in Gowa District 2015
ICHSM '18: Proceedings of the International Conference on Healthcare Service Management 2018

The aim of this study is to describe epidemiology of neonatal mortality in Gowa district 2015. The study type was an observational descriptive study. The population for this study was all neonatal deaths had recorded in Gowa district health office in ...
The Social Lives of Individuals with Traumatic Brain Injury
CHI '17: Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems

Traumatic Brain Injury (TBI) can affect all aspects of an individual's life, including physical ability, communication, and mental health, and present chronic health conditions that persist throughout the lifespan. Although prior work documents a ...
Interactive simulations to help teenagers cope when a parent has a traumatic brain injury
Special Issue: Advances in Computer Entertainment Technology

Traumatic brain injury (TBI) is a leading cause of long-term disability and death worldwide. This article describes an ongoing research project to design, develop, and evaluate interactive learning simulations that integrate educational materials for ...

Comments

Please enable JavaScript to view thecomments powered by Disqus.

Information & Contributors

Information

Published In

cover image ACM Other conferences

ICMHI '18: Proceedings of the 2nd International Conference on Medical and Health Informatics

June 2018

270 pages

ISBN:9781450363891

DOI:10.1145/3239438

Copyright © 2018 ACM.

Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

In-Cooperation

Graduate School of Library, Information, and Media Studies, University of Tsukuba, Japan: Graduate School of Library, Information, and Media Studies, University of Tsukuba, Japan

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 08 June 2018

Permissions

Request permissions for this article.

Request Permissions

Check for updates

Author Tags

Qualifiers

Research-article
Research
Refereed limited

Conference

ICMHI '18

ICMHI '18: 2018 2nd International Conference on Medical and Health Informatics

June 8 - 10, 2018

Tsukuba, Japan

Contributors

Other Metrics

View Article Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

1
Total Citations
View Citations
49
Total Downloads

Downloads (Last 12 months)3
Downloads (Last 6 weeks)0

Reflects downloads up to 14 Nov 2024

Other Metrics

View Author Metrics

Citations

Cited By

Karaboue MMinisteri FSessa FNannola CChisari MCocimano GDi Mauro LSalerno MEsposito M(2024)Traumatic Brain Injury as a Public Health Issue: Epidemiology, Prognostic Factors and Useful Data from Forensic PracticeHealthcare10.3390/healthcare1222226612:22(2266)Online publication date: 13-Nov-2024
https://doi.org/10.3390/healthcare12222266

View Options

Get Access

Login options

Check if you have access through your login credentials or your institution to get full access on this article.

Full Access

Get this Publication

View options

PDF

View or Download as a PDF file.

eReader

View online with eReader.

Media

Figures

Other

Tables

View Table of Contents