Tuesday, May 14, 2019

Premature mortality due to traumatic brain injury in England and wales over a 10 year period


Traumatic Brain Injury (TBI) is increasingly being appreciated as a global public health and socio-economic concern. In the United Kingdom the economic burden of TBI has been estimated to be >£15 billion per year from premature death and impact on survivors. Premature mortality can be quantified as the potential years of life lost (PYLL) and when compared across diseases - can inform decisions on resource allocation for prevention, clinical care and research.

Traumatic brain injury (TBI), also described as head injury is any injury to the brain caused by impact, for example, a direct blow to the head or a force that causes the brain to move around inside the skull. Common causes are falls, road accidents, collisions and violence. Head injuries vary greatly in severity, depending on whether and for how long they result in a loss of consciousness or post-traumatic amnesia. About 10-15% of all TBIs are classified as moderate or severe and the remaining 85- 90% as mild.

TBI was implicated in 33,006 deaths over this period, accounting for 561,000 PYLL before the age of 65. The cerebrovascular disease had a lower PYLL before the age of 65 (318,000), despite having a significantly higher total number of deaths (404,017) over the same period.
Over the 10 year period, we estimate the
lost productivity due to fatal TBIs alone to be £5.3 billion.  

Traumatic Brain Injury by age group




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