TY - JOUR PY - 2020// TI - Decreasing incidence and mortality in traumatic brain injury in Korea, 2008-2017: a population-based longitudinal study JO - International journal of environmental research and public health A1 - Kim, Han-Kyoul A1 - Leigh, Ja-Ho A1 - Lee, Ye Seol A1 - Choi, Yoonjeong A1 - Kim, Yoon A1 - Kim, Jeong Eun A1 - Cho, Won-Sang A1 - Seo, Han Gil A1 - Oh, Byung-Mo SP - e6197 EP - e6197 VL - 17 IS - 17 N2 - Traumatic brain injury (TBI), a global public health concern, may lead to death and major disability. While various short-term, small-sample, and cross-sectional studies on TBI have been conducted in South Korea, there is a lack of clarity on the nationwide longitudinal TBI trends in the country. This retrospective study investigated the epidemiological TBI trends in South Korea, using a population-based dataset of the National Health Insurance (2008-2017). The crude and age adjusted TBI incidence and mortality values were calculated and stratified by age, sex, and TBI diagnosis. The age-adjusted incidence per 100,000 people increased until 2010 and showed a decreasing trend (475.8 cases in 2017) thereafter; however, a continuously decreasing age-adjusted mortality trend was observed (42.9 cases in 2008, 11.3 in 2017). The crude incidence rate increased continually in those aged >70 years across all the TBI diagnostic categories. The mortality per 100,000 people was significantly higher among participants aged ≥70 years than in the other age groups. We observed changing trends in the TBI incidence, with a continuously decreasing overall incidence and a rapidly increasing incidence and high mortality values in older adults. Our findings highlight the importance of active TBI prevention in elderly people.
Language: en
LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph17176197 ID - ref1 ER -