@article{ref1,
title="Traumatic brain injury-related emergency department visits among American Indian and Alaska Native persons-National Patient Information Reporting System, 2005-2014",
journal="Journal of head trauma rehabilitation",
year="2020",
author="Sarmiento, Kelly and Kennedy, Jordan and Daugherty, Jill and Peterson, Alexis B. and Evans, Mary E. and Haberling, Dana L. and Billie, Holly",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: The American Indian/Alaska Native (AI/AN) population has a disproportionately high rate of traumatic brain injuries (TBIs). However, there is little known about incidence and common mechanisms of injury among AI/AN persons who seek care in an Indian Health Service (IHS) or tribally managed facility.   METHODS: Using the IHS National Patient Information Reporting System, we assessed the incidence of TBI-related emergency department visits among AI/AN children and adults seen in IHS or tribally managed facilities over a 10-year period (2005-2014).   RESULTS: There were 44 918 TBI-related emergency department visits during the study period. Males and persons aged 18 to 34 years and 75 years and older had the highest rates of TBI-related emergency department visits. Unintentional falls and assaults contributed to the highest number and proportion of TBI-related emergency department visits. The number and age-adjusted rate of emergency department visits for TBI were highest among persons living in the Southwest and Northern Plains when compared with other IHS regions.   CONCLUSION: Thousands of AI/AN children and adults are seen each year in emergency departments for TBI and the numbers increased over the 10-year period examined. Evidence-based interventions to prevent TBI-related emergency department visits, such as programs to reduce the risk for older adult falls and assault, are warranted.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000570",
url="http://dx.doi.org/10.1097/HTR.0000000000000570"
}