Hospital separations due to traumatic brain injury, Australia 2004-05

Hospital separations due to traumatic brain injury, Australia 2004-05

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Injury research and statistics series no. 45

This report describes hospitalisations for Traumatic Brain Injury (TBI) in Australia for the period 2004-2005. TBI, as distinct from head injury, is characterised by an external impact to the head that results in damage to the brain. TBI is defined in this report by the presence in hospital separation records of at least one ICD-10-AM code in the S06 intracranial injury range occurring in at least one of fifty available diagnosis fields. The 22,710 records meeting this criterion were analysed in three groups, according to the prominence of TBI in the record. Analysis and description of combinations of injury types resulting in TBI admissions to a hospital are reported, including discussion of severity of injury, and cost and burden on the systems for acute care and rehabilitation. About 980 (4.3% of cases) deaths in hospital were reported. Direct costs for hospital care for TBI separations were estimated to be more than $184 million.

Authored by Harrison J, Helps Y & Henley G.

Published 12 September 2008; ISBN-13 978 1 74024 826 6; AIHW cat. no. INJCAT 116; $35.00


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Publication table of contents

  • Preliminary material
    • Half title and verso pages
    • Title and verso pages
    • Contents
    • Acknowledgements
    • Executive summary
    • Abbreviations
  • Sections
    1. Introduction
      • Background
      • Purpose
      • Literature review
      • Case selection
      • Severity measures
    2. TBI as Principal Diagnosis
      • Overview
      • Principal Diagnosis
      • Age and sex distribution
      • Trends over time
      • External Cause of injury
      • Activity at time of injury
      • Place of occurrence of injury
      • Severity of Principal Diagnosis cases
      • Fall related injury
      • Age group
      • Transport related injury
      • Assault related injury
    3. Injury cases with TBI as an Additional Diagnosis
      • Overview
      • Principal Diagnosis
      • Intracranial injury
      • Age and sex distribution
      • Trends over time
      • External Causes of injury
      • Activity at time of injury
      • Place of occurrence of injury
      • Severity of injury cases with TBI as an Additional Diagnosis
      • Mean ICISS score
    4. Other TBI cases
      • Overview
      • Principal Diagnosis
      • Intracranial injury
      • Age and sex distribution
      • Trends over time
      • External Causes of injury
      • Activity at time of injury
      • Place of occurrence of injury
      • Severity
    5. Analysis of multiple head injury codes
      • Introduction
      • Overview
      • Case type
      • External Cause
      • Age groups
      • Remoteness
      • Mode of separation
      • Length of stay
      • Place of occurrence
    6. Burden of TBI on care in hospitals
      • Separations with TBI code (S06) in any diagnosis field
      • Separations with sequelae of intracranial injury code (T90.5) in any diagnosis field
      • Separations involving follow-up care
      • Age and sex distribution
      • Length of hospital stay
      • External Causes
    7. Discussion
  • End matter
    • Appendix: Data issues
    • References
    • List of tables
    • List of figures