Causation, Incidence, And Costs Of Traumatic Brain Injury In The U.s. Military Medical System.

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Title

Causation, incidence, and costs of traumatic brain injury in the U.S. military medical system.

Author

Ommaya AK; Ommaya AK; Dannenberg AL; Salazar AM

Address

Defense and Veterans Head Injury Program, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.

Source

J Trauma, 40(2):211-7 1996 Feb

Abstract

Hospital discharge records from military facilities and private facilities reimbursed by Civilian Health and Medical Program of the Uniformed Services for fiscal year 1992 were reviewed to identify head injury admissions. Incidence rates, case fatality rates, causes of head injuries, and direct cost for hospital admissions were computed in this well-defined population. For fiscal year 1992, there were 5,568 hospitalized cases of noncombat head injury in the military medical system. The age-adjusted head injury rates for ages 15-44 years are higher in active-duty individuals compared with other beneficiaries (1.6 times greater for men and 2.5 times greater for women). The total cost for hospitalization in this population was $43 million. Private facility rhttp://""' target="_blank">ehabilitation accounted for 26% of all private facility costs but only 6% of head injury cases. Firearms and motor vehicle crashes caused the most severe injuries for cases admitted to military facilities. Motor vehicle crashes, falls, and fighting accounted for 80% of the total military facility cost for head injuries. Military active-duty individuals are at increased risk for noncombat head injury. Prevention of head injury in military settings should focus on motor vehicle crashes, fist fights (assault), and falls.

Language

Eng

Unique Identifier

96231945

MESH Headings

Accidental Falls ; Accidents, Traffic ; Adolescence ; Adult ; Age Factors ; Brain Injuries CL/EC/*EP/ET ; Comparative Study ; Female ; Hospitals, Military EC ; Human ; Incidence ; Injury Severity Score ; Length of Stay ; Male ; Military Personnel * ; Retrospective Studies ; Sex Factors ; Support, U.S. Gov't, P.H.S. ; United States EP

Publication Type

JOURNAL ARTICLE

ISSN

0022-5282

Country of Publication

UNITED STATES