Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Source and Study Population
2.2. Definition of TBI and Inclusion/Exclusion Criteria
2.3. Analysis of Incidence and Mortality
2.4. Analysis of Odds Ratio and Trends
2.5. Ethical Approval
3. Results
3.1. TBI Trends in Korea (2008–2017)
3.2. Trends in Age-Adjusted TBI Incidence and Mortality (2008–2017)
3.3. Trend in TBI Incidence by Age and TBI Cause in Korea (2008–2017)
3.4. Crude TBI Mortality by Age Group in Korea (2008–2017)
4. Discussion
4.1. Changing Epidemiological Patterns in Korea
4.2. Changing Epidemiological Patterns and Prevention
4.3. Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Rubiano, A.M.; Carney, N.; Chesnut, R.; Puyana, J.C. Global neurotrauma research challenges and opportunities. Nature 2015, 527, S193–S197. [Google Scholar] [CrossRef] [PubMed]
- Dewan, M.C.; Rattani, A.; Gupta, S.; Baticulon, R.E.; Hung, Y.C.; Punchak, M.; Agrawal, A.; Adeleye, A.O.; Shrime, M.G.; Rubiano, A.M.; et al. Estimating the global incidence of traumatic brain injury. J. Neurosurg. 2018, 1080–1097. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Brazinova, A.; Rehorcikova, V.; Taylor, M.S.; Buckova, V.; Majdan, M.; Psota, M.; Peeters, W.; Feigin, V.; Theadom, A.; Holkovic, L.; et al. Epidemiology of traumatic brain injury in Europe: A living systematic review. J. Neurotrauma 2018. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Feigin, V.L.; Theadom, A.; Barker-Collo, S.; Starkey, N.J.; McPherson, K.; Kahan, M.; Dowell, A.; Brown, P.; Parag, V.; Kydd, R.; et al. Incidence of traumatic brain injury in New Zealand: A population-based study. Lancet Neurol. 2013, 12, 53–64. [Google Scholar] [CrossRef]
- Coronado, V.G.; McGuire, L.C.; Sarmiento, K.; Bell, J.; Lionbarger, M.R.; Jones, C.D.; Geller, A.I.; Khoury, N.; Xu, L. Trends in traumatic brain injury in the US and the public health response: 1995–2009. J. Saf. Res. 2012, 43, 299–307. [Google Scholar] [CrossRef]
- Eom, K.S. Epidemiology and outcomes of traumatic brain injury in elderly population: A multicenter analysis using Korean Neuro-Trauma Data Bank system 2010–2014. J. Korean Neurosurg. Soc. 2019, 62, 243–255. [Google Scholar] [CrossRef]
- Choi, D.H.; Song, K.J.; Shin, S.D.; Ro, Y.S.; Hong, K.J.; Park, J.H. Epidemiology and outcomes of sports-related traumatic brain injury in children. J. Korean Med. Sci. 2019, 34. [Google Scholar] [CrossRef] [Green Version]
- Kim, J.S.; Jeong, S.W.; Ahn, H.J.; Hwang, H.J.; Kyoung, K.H.; Kwon, S.C.; Kim, M.S. Effects of trauma center establishment on the clinical characteristics and outcomes of patients with traumatic brain injury: A retrospective analysis from a single trauma center in Korea. J. Korean Neurosurg. Soc. 2019, 62, 232–242. [Google Scholar] [CrossRef] [Green Version]
- Jeong, H.W.; Choi, S.W.; Youm, J.Y.; Lim, J.W.; Kwon, H.J.; Song, S.H. Mortality and epidemiology in 256 cases of pediatric traumatic brain injury: Korean Neuro-Trauma Data Bank System (KNTDBS) 2010–2014. J. Korean Neurosurg. Soc. 2017, 60, 710–716. [Google Scholar] [CrossRef]
- Hsu, I.L.; Li, C.Y.; Chu, D.C.; Chien, L.C. An epidemiological analysis of head injuries in Taiwan. Int. J. Environ. Res. Public Health 2018, 15, 2457. [Google Scholar] [CrossRef] [Green Version]
- Andelic, N.; Anke, A.; Skandsen, T.; Sigurdardottir, S.; Sandhaug, M.; Ader, T.; Roe, C. Incidence of hospital-admitted severe traumatic brain injury and in-hospital fatality in Norway: A national cohort study. Neuroepidemiology 2012, 38, 259–267. [Google Scholar] [CrossRef] [PubMed]
- Cheng, P.; Yin, P.; Ning, P.; Wang, L.; Cheng, X.; Liu, Y.; Schwebel, D.C.; Liu, J.; Qi, J.; Hu, G.; et al. Trends in traumatic brain injury mortality in China, 2006–2013: A population-based longitudinal study. PLoS Med. 2017, 14, e1002332. [Google Scholar] [CrossRef] [PubMed]
- Peeters, W.; van den Brande, R.; Polinder, S.; Brazinova, A.; Steyerberg, E.W.; Lingsma, H.F.; Maas, A.I. Epidemiology of traumatic brain injury in Europe. Acta Neurochir. 2015, 157, 1683–1696. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Gebregziabher, M.; Ward, R.C.; Taber, D.J.; Walker, R.J.; Ozieh, M.; Dismuke, C.E.; Axon, R.N.; Egede, L.E.J.S.S. Ethnic and geographic variations in multimorbidty: Evidence from three large cohorts. Soc. Sci. Med. 2018, 211, 198–206. [Google Scholar] [CrossRef] [PubMed]
- National Health Insurance Service. Social Security System of Korea. Available online: https://www.nhis.or.kr/static/html/wbd/g/a/wbdga0301.html (accessed on 13 June 2020).
- National Health Insurance Service. National Health Insurance Statistical Yearbook. Available online: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045020000 (accessed on 11 August 2020).
- Cassidy, J.D.; Carroll, L.J.; Peloso, P.M.; Borg, J.; von Holst, H.; Holm, L.; Kraus, J.; Coronado, V.G. Incidence, risk factors and prevention of mild traumatic brain injury: Results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J. Rehabil. Med. 2004, 36 (Suppl. 43), 28–60. [Google Scholar] [CrossRef] [Green Version]
- Mateu, N.C. Traumatic brain injury in Denmark 2008–2012. Scand. J. Public Health 2020, 48, 331–337. [Google Scholar] [CrossRef]
- Statistics Korea. Population and Household. Available online: http://kostat.go.kr/portal/eng/help/2/5/index.board?bmode=read&aSeq=350457&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt= (accessed on 10 August 2020).
- United Nations. Population and Vital Statistics Report. Available online: https://unstats.un.org/unsd/demographic-social/products/vitstats/index.cshtml (accessed on 5 August 2020).
- Statistics Korea. Causes of Death Statistics. Available online: http://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=377606&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt= (accessed on 10 August 2020).
- Statistics Korea. Population Projections for Korea. Available online: http://kostat.go.kr/portal/korea/index.action (accessed on 28 June 2020).
- Fletcher, A.E.; Khalid, S.; Mallonee, S. The epidemiology of severe traumatic brain injury among persons 65 years of age and older in Oklahoma, 1992–2003. Brain Inj. 2007, 21, 691–699. [Google Scholar] [CrossRef]
- Stocchetti, N.; Paternò, R.; Citerio, G.; Beretta, L.; Colombo, A. Traumatic brain injury in an aging population. J. Neurotrauma 2012, 29, 1119–1125. [Google Scholar] [CrossRef]
- Teo, D.B.; Wong, H.C.; Yeo, A.W.; Lai, Y.W.; Choo, E.L.; Merchant, R.A. Characteristics of fall-related traumatic brain injury in older adults. Intern. Med. J. 2018, 48, 1048–1055. [Google Scholar] [CrossRef]
- Thomas, K.E.; Stevens, J.A.; Sarmiento, K.; Wald, M.M. Fall-related traumatic brain injury deaths and hospitalizations among older adults—United States, 2005. J. Saf. Res. 2008, 39, 269–272. [Google Scholar] [CrossRef]
- Keenan, H.T.; Bratton, S.L. Epidemiology and outcomes of pediatric traumatic brain injury. Dev. Neurosci. 2006, 28, 256–263. [Google Scholar] [CrossRef] [PubMed]
- Styrke, J.; Stålnacke, B.M.; Sojka, P.; Björnstig, U. Traumatic brain injuries in a well-defined population: Epidemiological aspects and severity. J. Neurotrauma 2007, 24, 1425–1436. [Google Scholar] [CrossRef] [PubMed]
- Asim, M.; El-Menyar, A.; Al-Thani, H.; Abdelrahman, H.; Zarour, A.; Latifi, R. Blunt traumatic injury in the Arab Middle Eastern populations. J. Emerg. Trauma Shock 2014, 7, 88–96. [Google Scholar] [CrossRef] [PubMed]
- Mason, C.N. Mild traumatic brain injury in children. Pediatr. Nurs. 2013, 39, 267–272. [Google Scholar] [PubMed]
- Kim, E.; Seo, H.G.; Lee, H.H.; Lee, S.H.; Choi, S.H.; Cho, W.S.; Wagner, A.K.; Oh, B.M. Altered white matter integrity after mild to moderate traumatic brain injury. J. Clin. Med. 2019, 8, 1318. [Google Scholar] [CrossRef] [Green Version]
- Korea Research Institute for Local Administration. Research to Strengthen Safety Education to Promote Children’s Safety Awareness. Available online: https://www.krila.re.kr/publication/report/policy/903 (accessed on 26 August 2020).
- Pozzato, I.; Tate, R.L.; Rosenkoetter, U.; Cameron, I.D. Epidemiology of hospitalised traumatic brain injury in the state of New South Wales, Australia: A population-based study. Aust. N. Z. J. Public Health 2019, 43, 382–388. [Google Scholar] [CrossRef] [Green Version]
- Ministry of Land Transport and Maritime Affairs. National Transportation Safety Plan 7th. Available online: http://www.molit.go.kr/USR/BORD0201/m_69/DTL.jsp?mode=view&idx=155864 (accessed on 10 July 2020).
- Traffic Accident Analysis System. Traffic Accident Comparison. Available online: http://taas.koroad.or.kr/sta/acs/gus/selectAreaTrnsportSafeIdexSigungu.do?menuId=WEB_KMP_OVT_MVT_TAC_ATS (accessed on 16 July 2020).
- Fu, T.S.; Jing, R.; Fu, W.W.; Cusimano, M.D. Epidemiological trends of traumatic brain injury identified in the emergency department in a publicly-insured population, 2002–2010. PLoS ONE 2016, 11, e0145469. [Google Scholar] [CrossRef] [Green Version]
- Nishtala, P.S.; Narayan, S.W.; Wang, T.; Hilmer, S.N. Associations of drug burden index with falls, general practitioner visits, and mortality in older people. Pharmacoepidemiol. Drug Saf. 2014, 23, 753–758. [Google Scholar] [CrossRef]
- Milos, V.; Bondesson, Å.; Magnusson, M.; Jakobsson, U.; Westerlund, T.; Midlöv, P. Fall risk-increasing drugs and falls: A cross-sectional study among elderly patients in primary care. BMC Geriatr. 2014, 14, 40. [Google Scholar] [CrossRef]
- Song, S.Y.; Lee, S.K.; Eom, K.S. Analysis of mortality and epidemiology in 2617 cases of traumatic brain injury: Korean Neuro-Trauma Data Bank System 2010–2014. J. Korean Neurosurg. Soc. 2016, 59, 485–491. [Google Scholar] [CrossRef] [Green Version]
- Leigh, J.-H.; Kim, H.-K.; Bang, M.S. Incidence of acute spinal cord injury in South Korea does not reflect a sizable number of traumatic spinal cord injuries. Spinal Cord 2020, 58, 939–940. [Google Scholar] [CrossRef] [PubMed]
- Health Insurance Review & Assessment. Guide to the Medical Review and Assessment. Available online: https://www.hira.or.kr/main.do?forcePC=true&target=external (accessed on 10 July 2020).
2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | |
---|---|---|---|---|---|---|---|---|---|---|
Population | ||||||||||
Men | 24,757,073 | 24,876,418 | 24,977,163 | 25,081,787 | 25,187,494 | 25,282,928 | 25,374,486 | 25,458,057 | 25,527,814 | 25,576,752 |
Women | 24,647,574 | 24,780,338 | 24,902,648 | 25,029,688 | 25,157,830 | 25,276,023 | 25,388,672 | 25,493,661 | 25,585,157 | 25,653,952 |
Total | 49,404,647 | 49,656,756 | 49,879,811 | 50,111,475 | 50,345,324 | 50,558,951 | 50,763,158 | 50,951,718 | 51,112,971 | 51,230,704 |
Number of TBI cases | ||||||||||
Men | 164,288 | 176,584 | 182,967 | 169,813 | 166,984 | 158,181 | 151,498 | 143,598 | 136,588 | 139,104 |
Women | 113,940 | 122,977 | 130,488 | 121,395 | 123,091 | 119,069 | 114,734 | 108,635 | 105,369 | 108,885 |
Total | 278,228 | 299,561 | 313,455 | 291,208 | 290,075 | 277,250 | 266,232 | 252,233 | 241,957 | 247,989 |
Incidence rate | ||||||||||
Men | 663.6 | 709.8 | 732.5 | 677.0 | 662.9 | 625.6 | 597.1 | 564.1 | 535.1 | 543.9 |
Women | 462.3 | 496.3 | 524.0 | 485.0 | 489.3 | 471.1 | 451.9 | 426.1 | 411.8 | 424.4 |
Total | 563.2 | 603.3 | 628.4 | 581.1 | 576.2 | 548.4 | 524.5 | 495.0 | 473.4 | 484.1 |
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Kim, H.-K.; Leigh, J.-H.; Lee, Y.S.; Choi, Y.; Kim, Y.; Kim, J.E.; Cho, W.-S.; Seo, H.G.; Oh, B.-M. Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study. Int. J. Environ. Res. Public Health 2020, 17, 6197. https://doi.org/10.3390/ijerph17176197
Kim H-K, Leigh J-H, Lee YS, Choi Y, Kim Y, Kim JE, Cho W-S, Seo HG, Oh B-M. Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study. International Journal of Environmental Research and Public Health. 2020; 17(17):6197. https://doi.org/10.3390/ijerph17176197
Chicago/Turabian StyleKim, Han-Kyoul, Ja-Ho Leigh, Ye Seol Lee, Yoonjeong Choi, Yoon Kim, Jeong Eun Kim, Won-Sang Cho, Han Gil Seo, and Byung-Mo Oh. 2020. "Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study" International Journal of Environmental Research and Public Health 17, no. 17: 6197. https://doi.org/10.3390/ijerph17176197