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Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study

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. Th...

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Autores principales: Kim, Han-Kyoul, Leigh, Ja-Ho, Lee, Ye Seol, Choi, Yoonjeong, Kim, Yoon, Kim, Jeong Eun, Cho, Won-Sang, Seo, Han Gil, Oh, Byung-Mo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504501/
https://www.ncbi.nlm.nih.gov/pubmed/32859061
http://dx.doi.org/10.3390/ijerph17176197
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author Kim, Han-Kyoul
Leigh, Ja-Ho
Lee, Ye Seol
Choi, Yoonjeong
Kim, Yoon
Kim, Jeong Eun
Cho, Won-Sang
Seo, Han Gil
Oh, Byung-Mo
author_facet Kim, Han-Kyoul
Leigh, Ja-Ho
Lee, Ye Seol
Choi, Yoonjeong
Kim, Yoon
Kim, Jeong Eun
Cho, Won-Sang
Seo, Han Gil
Oh, Byung-Mo
author_sort Kim, Han-Kyoul
collection PubMed
description 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.
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spelling pubmed-75045012020-09-24 Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study Kim, Han-Kyoul Leigh, Ja-Ho Lee, Ye Seol Choi, Yoonjeong Kim, Yoon Kim, Jeong Eun Cho, Won-Sang Seo, Han Gil Oh, Byung-Mo Int J Environ Res Public Health Article 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. MDPI 2020-08-26 2020-09 /pmc/articles/PMC7504501/ /pubmed/32859061 http://dx.doi.org/10.3390/ijerph17176197 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Han-Kyoul
Leigh, Ja-Ho
Lee, Ye Seol
Choi, Yoonjeong
Kim, Yoon
Kim, Jeong Eun
Cho, Won-Sang
Seo, Han Gil
Oh, Byung-Mo
Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study
title Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study
title_full Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study
title_fullStr Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study
title_full_unstemmed Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study
title_short Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study
title_sort decreasing incidence and mortality in traumatic brain injury in korea, 2008–2017: a population-based longitudinal study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504501/
https://www.ncbi.nlm.nih.gov/pubmed/32859061
http://dx.doi.org/10.3390/ijerph17176197
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