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Original article
Lifetime prevalence of traumatic brain injury with loss of consciousness
  1. John D Corrigan1,
  2. Jingzhen Yang2,
  3. Bhavna Singichetti2,
  4. Kara Manchester3,
  5. Jennifer Bogner1
  1. 1Department of Physical Medicine & Rehabilitation, Ohio State University, Columbus, Ohio, USA
  2. 2Center for Injury Research and Policy, Nationwide Children’s Hospital, Columbus, Ohio, USA
  3. 3Ohio Department of Health, Violence and Injury Prevention Program, Columbus, Ohio, USA
  1. Correspondence to Professor John D Corrigan, Department of Physical Medicine & Rehabilitation, Ohio State University, 480 Medical Center Drive, Columbus OH 43210, USA; corrigan.1{at}osu.edu

Abstract

Objective To determine the prevalence of lifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) among adult, non-institutionalised residents of Ohio.

Methods We analysed data from 2014 Ohio Behavioral Risk Factor Surveillance System, which included a state-specific module designed to elicit lifetime history of TBI.

Results Of non-institutionalised adults 18 years and over living in Ohio, 21.7% reported at least one lifetime TBI with LOC, 2.6% experienced at least one moderate or severe such injury, 9.1% experienced a TBI with LOC before age 15 years and 10.8% experienced either TBI with LOC before age 15 years or a moderate or severe injury. Males, those with lower incomes and those unable to work were more likely to have incurred at least one TBI with LOC, multiple TBIs with LOC, a moderate or severe TBI and a TBI with LOC before age15.

Conclusions One in five adults experienced TBIs of sufficient severity to cause LOC; 3% experienced at least one moderate or severe TBI and almost 10% experienced a first TBI with LOC before the age of 15 years. The prevalence of lifetime TBI in the present study suggests that there may be a substantially greater burden of injury than concluded from previous prevalence estimates.

  • Traumatic Brain Injury
  • Concussion
  • Descriptive Epidemiology

https://doi.org/10.1136/injuryprev-2017-042371

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    Footnotes

    • Contributors Each of the authors shared in planning the research, conduct and interpretation of analyses, and reporting of the work described in the article. All authors have approved the final version submitted here and take responsibility for all aspects of the work.

    • Funding JDC’s and JB’s effort on this project were funded in part by a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR #90DP0040). NIDILRR is a center within the Administration for Community Living (ACL), Department of Health & Human Services (HHS). The contents of this report do not necessarily represent the policy of NIDILRR, ACL and HHS and endorsement by the Federal Government should not be assumed.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement The full dataset from which these data were extracted is available from the Ohio Department of Health, Columbus, Ohio, USA.