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Traumatic Brain Injury (TBI): Incidence & Distribution
Key Resources on Traumatic Brain Injury (TBI)
Fact Sheets
Incidence & Distribution

TBIs contribute to a substantial number of deaths and cases of permanent disability annually.

Each year in the United States, an estimated

  • 1.4 million people sustain a TBI. Of those, 230,000 are hospitalized and survive, which is more than 20 times the number of hospitalizations for spinal cord injury, another key disabling injury. (CDC 2001; Langlois et al. 2004).
  • 50,000 people die from a TBI, (Langlois et al.2004).
  • 80,000 to 90,000 people experience the onset of long-term or lifelong disability associated with a TBI (Thurman et al. 1999).

Among children ages 0 to 14 years, TBI results in an estimated

  • 3,000 deaths,
  • 29,000 hospitalizations, and
  • 400,000 emergency department visits (Langlois et al. 2001).

Approximately 75% of TBI that occurs each year, are concussions or other forms of mild TBI. (CDC 2003).

An estimated 300,000 sports-related brain injuries of mild to moderate severity occur in the United States each year (Sosin et al. 1996).

Number of nonfatal traumatic brain injury (TBI) hospitalization cases in 1998, on map and listed by state.

Number of nonfatal traumatic brain injury (TBI) hospitalization cases in 1998, listed by state.

* Estimated number of cases

State

Cases

State

Cases

AK 459 MT *452
AL *2,780 NC *4,485
AR 1,263 ND *267
AZ 4,114 NE 824
CA 22,413 NH *502
CO 3,206 NJ *4,630
CT *1,518 NM *954
DC *651 NV *1,342
DE *346 NY 12,840
FL *12,719 OH *7,607
GA *5,581 OK 2,068
HI *339 OR *2,828
IA *943 PA *8,550
ID *599 RI 531
IL *7,896 SC 2,203
IN *3,702 SD *341
KS *1,460 TN *3,575
KY *1,857 TX *14,229
LA 2,854 UT 1,410
MA *2,835 VA *4,586
MD 4,614 VT *228
ME *519 WA *4,147
MI *5,893 WI *2,728
MN 2,796 WV *770
MO 4,575 WY *281
MS *1,533  

 

* Estimated number of cases

Data source: Kegler et al, 2003

References

Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem, Centers for Disease Control and Prevention, 2003.

Centers for Disease Control and Prevention (CDC). Injury fact book 2001-2002. Atlanta (GA): Centers for Disease Control and Prevention, 2001.

Centers for Disease Control and Prevention (CDC), Horseback-Riding-Associated Traumatic Brain Injuries – Oklahoma, 1992-1994. MMWR 45(10); 202-211, 1996.

Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control. Traumatic Brain Injury in the United States—A Report to Congress. Atlanta (GA): Centers for Disease Control and Prevention;1999b.

Kegler S, Coronado V, Annest J, Thurman D. Estimating nonfatal traumatic brain injury hospitilizations using an urban/rural index. Journal Head Trauma Rehabil [serial online] 2003 Nov-Dec [cited year mth day];18(6):469-78. Available from URL: http://www.cdc.gov/doc.do/id/0900f3ec8011bd92.

Langlois J, Gotsch K. Traumatic Brain Injury in the United States: Assessing Outcomes in Children. Atlanta (GA): National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC); 2001.

Sosin D, Sniezek J, Thurman D. Incidence of mild and moderate brain injury in the United States, 1991. Brain Injury 1996; 10(1):47-54.

Thurman D, Alverson C, Dunn K, Guerrero J, Sniezek J. Traumatic brain injury in the United States: a public health perspective. Journal of Head Trauma and Rehabilitation 1999;14(6):602–15.

Langlois JA, Rutland-Brown W, Thomas KE. Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2004


Date last reviewed: 10/11/2004
 Selected Resources
Estimating Nonfatal Traumatic Brain Injury Hospitalizations Using an Urban/Rural Index
This article presents the methods used to develop annual state-level estimates of nonfatal cases of traumatic brain injury resulting in hospitalization.  [Publications and Products]
Public Health and Aging: Nonfatal Fall-Related Traumatic Brain Injury Among Older Adults--California, 1996-1999. Centers for Disease Control and Prevention. MMWR 2003; 52(13): 276-278.
Each year, 1.5 million Americans sustain a traumatic brain injury (TBI). Of those who survive their TBI, one of every six people is unable to return to work or school when discharged from the hospital. These findings are part of the first study developed from an ongoing surveillance system that is tracking TBI.
Surveillance for Traumatic Brain Injury Deaths---United States, 1989--1998. Centers for Disease Control and Prevention. MMWR 2002; 51(SS10): 1-16.
Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem
This report describes the public health significance of MTBI and recommends how to better measure the magnitude of the problem in this country.  [Publications and Products]
Traumatic Brain Injury-Related Hospital Discharges:Results from a 14-State Surveillance System, 1997 Centers for Disease Control and Prevention. MMWR 2003 52(SS04): 1-18.
WISQARS
(Web-based Injury Statistics Query and Reporting System) is CDC Injury Center’s interactive, online database that provides customized injury-related mortality data and nonfatal injury data.
Traumatic Occupational Injury
Traumatic Brain Injury can occur in virtually any work setting.
Work-RISQS
(Work-Related Injury Statistics Query System), developed by CDC’s NIOSH, provides a web-based public access query system for obtaining national estimates (number of cases) and rates (number of cases per hours worked) for nonfatal occupational injuries and illnesses treated in U.S. hospital emergency departments.
Injury Maps
This interactive mapping system offered by CDC’s Injury Center helps you identify and communicate the impact of injury deaths in your county, state, region, or the entire United States.
 Resources on Traumatic Brain Injury (TBI)
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