IVP-2.2 Reduce hospitalizations for nonfatal traumatic brain injuries

National Data Source
National Hospital Discharge Survey (NHDS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
85.6 (2007)
Target
77.0
Target-Setting Method
10 percent improvement
Numerator
Number of hospitalizations for nonfatal traumatic brain injuries (ICD-9-CM codes 800.0-801.9, 803.0-804.9, 850.0-854.1, 950.1-950.3, 995.55 , 959.01 in any of the seven diagnostic fields) among the injury hospital discharge subset (principal diagnosis of ICD-9-CM 800-909.2, 909.4, 909.9-994.9, 995.50-995.59, 995.80-995.85).
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective

Comments

Methodology Notes

The TBI definition is based on the Barell Matrix. TBI types 1, 2, and 3 are included. The increased use of 959.01 was accompanied by a corresponding drop in the use of 854. Thus, to avoid underestimating TBI’s, cases coded as 959.01 were also included. Those who died in the hospital were excluded

FOR SINGLE DATA YEARS: Hospital discharge Rrates are calculated using the July 1 estimates of the civilian population from the Vintage matching the data year for the postcensal period based on the 2000 census. For example, July 1, 2007 civilian population for rates of data year 2007, the 2007 estimates from Vintage 2007 are used as the denominator for 2007 rates. Rates for 2010 are also calculated using the July 1 estimates based on the 2000 census.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Race/Ethnicity: 0-17, 18-44, 45-64, 65-74, 75+
  • Sex: 0-17, 18-44, 45-64, 65-74, 75+
  • Health Insurance Status: 0-17, 18-44, 45-64
  • Marital Status: 0-17, 18-44, 45-64, 65-74, 75+
  • Geographic Location: 0-17, 18-44, 45-64, 65-74, 75+
  • Total: 0-17, 18-44, 45-64, 65-74, 75+

References and More Information

  1. Barrell, V., Aharonson-Daniel, L, Fingerhut, L.A., et al. An introduction to the Barell body region by nature of injury diagnosis matrix. Injury Prevention 8:91-96, 2002. Also see updated (November 2005) version available at: http://www.cdc.gov/nchs/data/ice/final_matrix_post_ice.pdf.
  2. Faul M, Cu L, Wald MM, Coronado VG. Traumatic Brain Injury in the United States. Emergency Department Visits, Hospitalizations and Deaths 2002-2006. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2010. www.cdc.gov/TraumaticBrainInjury
  3. Traumatic Brain Injury
    http://www.cdc.gov/ncipc/dir/StateInjuryIndicatorsTBI.htm