@article{ref1,
title="Trends in hospitalization associated with traumatic brain injury in a publicly insured population, 1992-2002",
journal="Journal of trauma",
year="2009",
author="Colantonio, Angela and Croxford, Ruth and Farooq, Samina and Laporte, Audrey and Coyte, P. C.",
volume="66",
number="1",
pages="179-183",
abstract="BACKGROUND: Traumatic brain injury (TBI) is a leading cause of death and disability in developed countries. We document trends in TBI-related hospitalizations in Ontario, Canada, between April 1992 and March 2002, focusing on relationships between inpatient hospitalization rates, age, sex, cause of injury, severity level, and in-hospital mortality. METHODS: Information on all acute hospital separations in Ontario with a diagnosis of TBI was analyzed using logistic regression. RESULTS: Hospitalization rates fell steeply among children and young adults but remained stable among adults aged 66 and older. The proportion of TBI hospitalizations with mild injuries decreased from 75% to 54%, whereas the proportion with moderate injuries increased from 19% to 37%. Adjusting for other risk factors, in-hospital deaths were higher for injuries because of motor vehicle crashes than those because of falls. In-hospital death rates were stable for patients with moderate or severe injuries, but increased over time among those whose injuries were classified as mild, suggesting a trend toward more serious injury within the &quot;mild&quot; classification. CONCLUSIONS: Hospitalizations for TBI involve fewer mild injuries over time and are highest in the oldest segment of the population.   <p></p>  <p>Language: en</p>",
language="en",
issn="0022-5282",
doi="10.1097/TA.0b013e3181715d66",
url="http://dx.doi.org/10.1097/TA.0b013e3181715d66"
}