TY  - JOUR
PY  - 2009//
TI  - Trends in hospitalization associated with traumatic brain injury in a publicly insured population, 1992-2002
JO  - Journal of trauma
A1  - Colantonio, Angela
A1  - Croxford, Ruth
A1  - Farooq, Samina
A1  - Laporte, Audrey
A1  - Coyte, P. C.
SP  - 179
EP  - 183
VL  - 66
IS  - 1
N2  - 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 "mild" 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>
LA  - en
SN  - 0022-5282
UR  - http://dx.doi.org/10.1097/TA.0b013e3181715d66
ID  - ref1
ER  -