253459 Factors associated with Traumatic Brain Injury related Mortality in California

Sunday, October 30, 2011

Clint Lagbas, Medical Student , College of Medicine, Charles Drew University/UCLA, Los Angel4es, CA
Magda Shaheen, MD, PhD, MPH , Ophthalmology, Charles R Drew University of Medicine & Science, Los Angeles, CA
Dulcie Kermah, MS , Charles R Drew University of Medicine & Science, Los Angeles
Shahrzad Bazargan, PhD , CDU/UCLA Medical Student Research Thesis Program, Charles R Drew University of Medicine & Science, Los Angeles, CA
Objective: Traumatic Brain Injury (TBI) is a significant public health concern both abroad and in the United States. The aim of our study is to identify factors associated with TBI hospitalizations and mortality in California. Methods: We analyzed data from the California Hospital Discharge Data 2001 to 2007. Results: The study included 50,635 patients with TBI. TBI related hospitalizations increased by 26% and mortality increased by 46% from 2001 to 2007. The highest percentages of TBI hospitalizations were due to fall (31.5%) and in age group =>75 years (36.6%), males (58.6%), and Medicare patients (43%). TBI due to fall were found in <= years old (55%), =>75 years (44.5%), and females (37.3%). TBI due to assaults were found in blacks (29.4%). The highest mortality from TBI were in =>75 years old (11%), White (8.2%) and Asians (8%), and patients with Medicare (10.2 %). More likely to die from TBI were motor vehicle group (Adjusted Odds Ratio (AOR): 2.62, 95 % CI: 1.1-6.4); Blacks (AOR: 1.1, 95 % CI: 1.01-1.4); male (AOR: 1.4, 95 % CI: 1.3-1.5); =>75 years old (AOR: 1.6, 95 % CI: 1.4-1.8); and patients with Medicaid (AOR: 1.6, 95 % CI: 1.2-2.3). Conclusion: The study indicated that traumatic brain injury related hospitalization and mortality are increasing in California. The more likely affected groups and likely to die from TBI are Blacks, =>75 years old, male, and those with government insurance. Prevention programs targeting these high risk groups in California are needed.

Data analysis was completed June 2011.

Learning Areas:
Public health or related research

Learning Objectives:
- Define traumatic brain injury - List causes of hospitalization related traumatic brain injury - Identify high risk groups hospitalized and died from traumatic brain injury - Compare factors associated with traumatic brain injury hospitalization and mortality - Assess the changes in the traumatic brain injury hospitalization and mortality over time

Keywords: Traumatic Brain Injury, Mortality

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I worked on the data analysis, interpret the data, and developed tables and abstract. I am also working on the manuscript.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.