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Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study

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  • Han-Kyoul Kim

    (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Korea
    National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yang-Pyeong 12564, Korea
    These authors contributed equally to this work.)

  • Ja-Ho Leigh

    (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Korea
    Department of Rehabilitation Medicine, Workers’ Compensation and Welfare Incheon Hospital, Incheon 21417, Korea
    These authors contributed equally to this work.)

  • Ye Seol Lee

    (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Korea
    National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yang-Pyeong 12564, Korea)

  • Yoonjeong Choi

    (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Korea
    National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yang-Pyeong 12564, Korea)

  • Yoon Kim

    (Department of Health Policy and Management, Seoul National University College of Medicine, Seoul 03080, Korea
    Institute of Health Policy and Management, Medical Research Center, Seoul National University, Seoul 03080, Korea)

  • Jeong Eun Kim

    (Department of Neurosurgery, Seoul National University College of Medicine, Seoul 03080, Korea)

  • Won-Sang Cho

    (Department of Neurosurgery, Seoul National University College of Medicine, Seoul 03080, Korea)

  • Han Gil Seo

    (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Korea
    Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul 03080, Korea)

  • Byung-Mo Oh

    (Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Korea
    National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yang-Pyeong 12564, Korea
    Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul 03080, Korea
    Institute on Aging, Seoul National University, Seoul 03080, Korea)

Abstract

Traumatic brain injury (TBI), a global public health concern, may lead to death and major disability. While various short-term, small-sample, and cross-sectional studies on TBI have been conducted in South Korea, there is a lack of clarity on the nationwide longitudinal TBI trends in the country. This retrospective study investigated the epidemiological TBI trends in South Korea, using a population-based dataset of the National Health Insurance (2008–2017). The crude and age adjusted TBI incidence and mortality values were calculated and stratified by age, sex, and TBI diagnosis. The age-adjusted incidence per 100,000 people increased until 2010 and showed a decreasing trend (475.8 cases in 2017) thereafter; however, a continuously decreasing age-adjusted mortality trend was observed (42.9 cases in 2008, 11.3 in 2017). The crude incidence rate increased continually in those aged >70 years across all the TBI diagnostic categories. The mortality per 100,000 people was significantly higher among participants aged ≥70 years than in the other age groups. We observed changing trends in the TBI incidence, with a continuously decreasing overall incidence and a rapidly increasing incidence and high mortality values in older adults. Our findings highlight the importance of active TBI prevention in elderly people.

Suggested Citation

  • Han-Kyoul Kim & Ja-Ho Leigh & Ye Seol Lee & Yoonjeong Choi & Yoon Kim & Jeong Eun Kim & Won-Sang Cho & Han Gil Seo & Byung-Mo Oh, 2020. "Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6197-:d:404478
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    References listed on IDEAS

    as
    1. Andrés M. Rubiano & Nancy Carney & Randall Chesnut & Juan Carlos Puyana, 2015. "Global neurotrauma research challenges and opportunities," Nature, Nature, vol. 527(7578), pages 193-197, November.
    2. I-Lin Hsu & Chung-Yi Li & Da-Chen Chu & Li-Chien Chien, 2018. "An Epidemiological Analysis of Head Injuries in Taiwan," IJERPH, MDPI, vol. 15(11), pages 1-12, November.
    3. Gebregziabher, Mulugeta & Ward, Ralph C. & Taber, David J. & Walker, Rebekah J. & Ozieh, Mukoso & Dismuke, Clara E. & Axon, Robert N. & Egede, Leonard E., 2018. "Ethnic and geographic variations in multimorbidty: Evidence from three large cohorts," Social Science & Medicine, Elsevier, vol. 211(C), pages 198-206.
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