Brain Injury Association of Utah Conference 2011

Presented by: Cristy L. Sneddon, RHIT Data Abstraction Coordinator csneddon@utah.gov

Traumatic Brain Injury in Utah

Cost $91 million in 2009 for hospital inpatient stay charges 36.5% of all TBI hospitalizations & deaths were due to falls (3.54 per 10,000 population) Utahns ages 60 and over had the highest rate of fall-related TBI hospitalizations & deaths (14.8 per 10,000 population) 16.6% of all TBI hospitalizations & deaths were due to Motor Vehicles incidents (1.61 per 10,000 population) The median TBI inpatient hospital charge was $19,000 The median charge for motorcycle related TBI hospitalization was over $30,547; an increase of $6,000 from 2008

Causes of TBI in Utah, 2009

Motor Vehicle 16.6% Falls 36.5%

Self-Harm 7.1%

Motorcycle 6.0%

Sport/Recreation/Horse 7.2%

Bicycle 5.3%

Other/Unknown 6.5% Non-Motor Vehicle Traffic 1.4% Hit Head/by Object 1.7%

Assault 4.3% Pedestrian 3.8% ATV/Snowmobile 3.8%

Utah TBI 2000-2009 Age Adjusted Rates Over Time

1.6 1.4 1.2

Per 1000

1.0 0.8 0.6 0.4

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Male Female Linear (Male) Linear (Female)

Utah TBI 2009 Hospitalization and Death Leading Causes by Age Group
16 14

12

Incident rate per 10,000

10

0 Fall Motor Vehicle Traffic Self-Harm 0-29 30-59

*
Motorcycle 60+ Bicycle Assault

Utah TBI 2009 Hospitalization and Death Rates by Age and Sex
80 70

Incident rate Per 10,000

60 50 40 30 20 10 0 Infant 1-4 15-24 25-34 35-44 45-54 5-14 55-64 65-74 75-84 85+

Male

Female

Utah TBI 2009 Location of Falls in Private Homes

Bedroom 12.1% Inside - Unspecified 24.8% Staircase 10.8%

Porch/Deck 0.6%

Bathroom 10.8%

Garage, Workshop, Laundry 1.9% Landing, Hallway, Doorway 1.9% Yard 8.3% Living/Family Room, Dining, Den 2.5%

Roof 2.5% Kitchen 8.3% Driveway 5.1% Outside -Unspecified 4.5%

Sidewalk/Ramp in Front 2.5% Outdoor Steps/Stairs 3.2%

Falls Prevention
Work with family and health care providers to assess risks for falls
Have annual medical and eye exams Review medications for possible side effects and interactions Be screened for osteoporosis Begin a strengthening/exercise program Use a cane or walker to help with balance

Falls Prevention
Check the home for hazards and correct problems as necessary
Unstable furniture Loose throw rugs Slippery bathroom surfaces Loose or missing stair railings Poor lighting Clutter Electrical cords in walkways Lack of grab bars near toilets and in tubs/showers

Falls Prevention
Be very selective when choosing footwear
Flat shoes with sturdy, non-slip soles and good ankle support are best Slippers are too unstable and should not be worn Wearing socks without shoes is dangerous, especially on wood, tile or other smooth surfaces Avoid shoes with heels Replace old or poorly-fitting shoes

Utah TBI 2009 Hospitalization and Death Sports Related Injuries

ATV & Snowmobile 21% Bicycle 30% Horse/Large Animal 11%

Other 4% Off Road Motorcycle 11% Boxing/Wrestling 1% Hiking/Climbing 1% Water Sports 1% Scooter & In-Line Skates 1% Trampoline 1% Sledding 1% Skiing 2% Baseball 2% Playground/Gym Class 2%

Skateboard 5% Snowboard 4%

Football/Soccer/Rugby 2%

Utah TBI 2009 Hospitalization and Death Transportation Related Injuries

2.5 2.0

Incident rate per 10,000

1.5

1.0

0.5

*
0.0

*
Motor Vehicle Traffic Motorcycle Bicycle Pedestrian Other Recreational Vehicle/ Snowmobile Air Transportation
**Data unreliable, not included due to small numbers

0-29

30-59

60+

Transportation-related TBI Prevention

Motor Vehicles
Always wear a seatbelt Children should ride in the backseat until age 12 Put all children in the correct car seat for their age, height and weight Be aware of sidewalks, crosswalks and driveways and always watch out for pedestrians Watch for bicycles in traffic, they are smaller and harder to see Dont drive any vehicle while drunk, drugged or drowsy

Transportation-related TBI Prevention

Motorcycles
Wear a properly fitted and fastened helmet when riding 49.3% of traffic cases were not wearing helmets 21.9% of off-road cases were not wearing helmets Wear other appropriate protective gear (boots, gloves, jackets, etc.) Choose a lane position that maximizes your safety and ability to be seen Approach intersections with caution. Never assume that other drivers will see you and yield

Contact
Utah Department of Health, Violence and Injury Prevention Program
E-mail: vipp@utah.gov Phone: 801-538-6141 Website: www.health.utah.gov/vipp