Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/18503
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: The epidemiology of hospital treated traumatic brain injury in Scotland
Authors: Shivaji, Tara
Lee, Andrew
Dougall, Nadine
McMillan, Thomas
Stark, Cameron R
Contact Email: nadine.dougall@stir.ac.uk
Keywords: Traumatic brain injury
Accidental falls
Patient admissions
Epidemiology
Scotland
Trends
Issue Date: Jan-2014
Publisher: BioMed Central Ltd
Citation: Shivaji T, Lee A, Dougall N, McMillan T & Stark CR (2014) The epidemiology of hospital treated traumatic brain injury in Scotland, BMC Neurology, 14, Art. No.: 2.
Abstract: Background: Traumatic Brain Injury (TBI) is an important global public health problem made all the more important by the increased likelihood of disability following a hospital admission for TBI. Understanding those groups most at risk will help inform interventions designed to prevent causes of TBI, such as falls prevention measures. This study identifies the rate of hospitalisation episodes of TBI in Scotland, explores causes of TBI admissions, and trends in hospitalisation episodes by age and gender over a twelve year period using routinely collected hospital data. Methods: A retrospective analysis of routine hospital episode data identified records relating to TBI for the twelve years between 1998 and 2009. Descriptive and joinpoint regression analysis were used, average annual percentage changes (AAPC) and annual percentage change (APC) in rates were calculated. Results: Between 1998 and 2009 there were 208,195 recorded episodes of continuous hospital care in Scotland as a result of TBI. Almost half (47%) of all TBIs were the result of falls, with marked peaks observed in the very young and the oldest groups. The AAPC of hospitalization episode rates over the study period for boys and girls aged 0-14 were -4.9% (95% CI -3.5 to-6.3) and -4.7% (95% CI -2.6 to -6.8) respectively. This reduction was not observed in older age groups. In women aged 65 and over there was an APC of 3.9% (95% CI 1.2 to 6.6) between 2004 and 2009. Conclusions: Hospitalisation for TBI is relatively common in Scotland. The rise in the age-adjusted rate of hospitalisation episodes observed in older people indicates that reduction of TBI should be a public health priority in countries with an ageing population. Public health interventions such as falls prevention measures are well advised and evaluations of such interventions should consider including TBI hospitalisation as an alternative or supplementary outcome measure to fractured neck of femur. Further research is needed to advance understanding of the associations of risk factors with increased incidence of TBI hospital episodes in the elderly population.
Type: Journal Article
URI: http://hdl.handle.net/1893/18503
DOI Link: http://dx.doi.org/10.1186/1471-2377-14-2
Rights: © 2014 Shivaji et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Affiliation: NHS Highland
NHS National Services Scotland
NMAHP Research
University of Glasgow
NHS Highland

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