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Brain Inj. 2014;28(8):1096-101. doi: 10.3109/02699052.2014.904522. Epub 2014 Apr 15.

Deaths due to traumatic brain injury in Austria between 1980 and 2012.

Author information

1
Anaesthesiology and Intensive Care Medicine, Trauma Hospital 'Lorenz Boehler' , Vienna , Austria .

Abstract

BACKGROUND:

To investigate changes in TBI mortality in Austria during 1980-2012 and to identify causes for these changes.

METHODS:

Statistik Austria provided data (from death certificates) on all TBI deaths from January 1980-December 2012. Data included year/month of death, age, sex, residency of the cases and mechanism of accident. Data regarding the size of the age groups was obtained from Statistik Austria. Mortality rates (MR; deaths/10(5) population/year) were calculated for male vs. female patients and for different age groups. Changes in mechanisms of TBI were evaluated.

RESULTS:

The MR decreased from 28.1 to 11.8 deaths/10(5) population/year. Traffic-related TBI deaths decreased from 62% to 9%. This caused a significant decrease in TBI deaths in younger age groups. Fall-related TBI deaths (mostly geriatric cases) remained unchanged. Falls became the leading cause; its rate increased from 22% to 64% of all TBI deaths. Thus, the mean age of fatal TBI cases increased by 20 years and the rate of cases aged <60 years decreased from 71% to 28%. Another important cause was suicide by firearms; its rate increased from 10% to 23% of all TBI deaths.

CONCLUSIONS:

These findings warrant better prevention of falls in the elderly and of suicides.

KEYWORDS:

Age; epidemiology; mortality rate; sex; traumatic brain injury deaths

PMID:
24734881
DOI:
10.3109/02699052.2014.904522
[Indexed for MEDLINE]

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