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

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2020
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Abstract
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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Authors Han-Kyoul Kim;Ja-Ho Leigh;Ye Seol Lee;Yoonjeong Choi;Yoon Kim;Jeong Eun Kim;Won-Sang Cho;Han Gil Seo;Byung-Mo Oh;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;
Journal International journal of environmental research and public health
Year 2020
DOI
10.3390/ijerph17176197
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