Page 7 - Microsoft Word - Final TBI Full report 9-7-2012.doc

Traumatic Brain Injury
Occurrence and Mortality in New Hampshire
NH DPHS, Injury Surveillance Program
September 2012
7
costs, lost productivity, and quality of life costs. In New Hampshire, for hospitalizations
due to TBI in 2003, the total aggregate cost was $368,803,522 (in 2006 dollars). Each
hospitalization in 2003 due to TBI cost an estimated, $701,278. Again this takes in to
account medical costs, lost productivity, and quality of life.
11
Are TBI preventable?
Many of the causes of TBI are predictable and preventable.
Prevention includes, but is not limited to:
Wearing a seat belt every time you drive or ride in a motor vehicle.
Buckling your child in the car using a child safety seat, booster seat, or seat belt
(
according to the child's height, weight, and age).
Never driving while under the influence of alcohol or drugs.
Storing firearms, unloaded, in a locked cabinet or safe. Store bullets in a separate
location.
Wearing a helmet while riding a bicycle, skateboard, motorcycle, snowmobile or
all-terrain vehicle. Also wear head protection when you bat or run bases, ski,
skate, ride a horse, or play a contact sport.
Installing safety features in your home, such as handrails on stairways, non-slip
mats in the bathtub, grab bars in the bathroom, window guards, and safety gates
on the top and bottom of stairs (especially when young children are around) to
limit falls. An exercise program can improve your strength, balance, and
coordination. Regular vision tests also can help lower the risk of falling.
Making sure the surface on your child's playground is made of shock-absorbing
material.
Methodology
Data Analysis
The data sources selected for analysis were TBI hospital discharge data from both
inpatient and ED visits and vital record death certificate data. Staff of the New
Hampshire Department of Health and Human Services, Division of Public Health
Services, Injury Surveillance Program performed the analysis, and staff from the Health
Statistics and Data Management Section provided quality assurance on the data outputs.
A.
Death Data Source
:
Bureau of Data and Systems Management (BDSM),
Office of Medicaid Business and Policy (OMBP), NH Department of Health
and Human Services (NH DHHS), and the NH Department of State, Division
of Vital Records Administration, [2001-2009]. Underlying cause of death is
classified in accordance with the International Classification of Disease.
Deaths for 1999 and beyond are classified using the Tenth Revision (ICD-10).
B.
Hospital Discharge Data Source
:
Bureau of Data and Systems Management
(
BDSM), Office of Medicaid Business and Policy (OMBP), NH Department
of Health and Human Services (NH DHHS), with assistance from a DHHS
contractor, [2000-2009].