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CDC State by State Incidence Report for 2000

 

Centers for Disease Control and Prevention: Preliminary Estimated Annual Rates and Numbers of TBI by State

 

State

2000

Rate

Number

Rate

Number

Rate

Number

Rate

Number

 

Population

Fatalities

Fatalities

Hospitalized

Hospitalized

ED Visits

ED Visits

Disability

Disability

 

 

 

 

 

 

 

 

 

 

Alabama

4,447,100

27.0

1,199

103.5

4,603

547.6

24,351

36.6

1,630

Alaska*

626,932

23.2

145

79.7

500

471.0

2,953

28.2

177

Arizona*

5,130,632

24.2

1,242

93.0

4,771

491.7

25,229

32.9

1,689

Arkansas

2,673,400

28.0

750

107.7

2,878

569.5

15,225

38.1

1,019

California*

33,871,648

15.8

5,352

60.7

20,547

320.9

108,698

21.5

7,274

Colorado*

4,301,261

24.1

1,037

79.7

3,428

489.5

21,054

28.2

1,214

Connecticut

3,405,565

12.3

418

47.1

1,606

249.4

8,494

16.7

568

Delaware

783,600

17.2

134

65.9

516

348.5

2,731

23.3

183

D.C.

572,059

28.1

161

108.0

618

571.3

3,268

38.2

219

Florida

15,982,378

20.1

3,217

77.3

12,352

408.9

65,345

27.4

4,373

Georgia

8,186,453

24.5

2,008

94.2

7,710

498.2

40,787

33.3

2,729

Hawaii

1,211,537

14.1

170

54.0

654

285.6

3,460

19.1

232

Idaho

1,293,953

27.9

361

107.1

1,386

566.5

7,330

37.9

490

Illinois

12,419,293

14.8

1,834

56.7

7,043

300.0

37,257

20.1

2,493

Indiana

6,080,485

20.7

1,257

79.4

4,825

419.8

25,527

28.1

1,708

Iowa

2,926,324

18.5

543

71.2

2,083

376.6

11,019

25.2

737

Kansas

2,688,418

20.0

538

76.9

2,066

406.6

10,932

27.2

732

Kentucky

4,041,769

22.3

900

85.5

3,454

452.1

18,274

30.3

1,223

Louisiana*

4,468,976

28.9

1,291

61.0

2,726

586.6

26,214

21.6

965

Maine

1,274,923

17.5

223

67.2

857

355.6

4,534

23.8

303

Maryland*

5,296,486

14.3

757

99.0

5,244

290.4

15,383

35.0

1,856

Massachusetts

6,349,097

7.9

502

30.4

1,928

160.7

10,200

10.8

683

Michigan

9,938,444

16.9

1,677

64.8

6,437

342.6

34,054

22.9

2,279

Minnesota*

4,919,479

15.5

762

84.4

4,152

314.4

15,467

29.9

1,470

Mississippi

2,844,658

28.4

809

109.2

3,106

577.6

16,432

38.7

1,100

Missouri*

5,595,211

25.3

1,418

57.0

3,189

514.7

28,797

20.2

1,129

(1)     All rates per 100,000 population per year.

(2)     Fatality rates based on NCHS Multiple-Cause-of-Death Data, 1995-7

(3)     Non-fatal injury hospitalization rates based on data from CDC-funded state TBI surveillance systems (see * above), 1995-6.  All except CA provided state-specific hospitalization incidence rates; pooled rates from these states used to estimate rates in CA, the other 36 states, and D.C.

(4)     Non-fatal, non-hospitalized, injury-related ED visit rate estimates based on NCHS National Hospital Ambulatory Medical Care Survey data. 1995-6.

(5)     Rates of new TBI-related disabilities based on estimated proportion of TBIs resulting in disability from Colorado Follow-up Study, 1996-7.

 

 

State

2000

Rate

Number

Rate

Number

Rate

Number

Rate

Number

 

Population

Fatalities

Fatalities

Hospitalized

Hospitalized

ED Visits

ED Visits

Disability

Disability

 

 

 

 

 

 

 

 

 

 

Montana

902,195

30.4

275

116.9

1,054

618.3

5,578

41.4

373

Nebraska*

1,711,263

19.6

335

55.9

957

397.3

6,799

19.8

339

Nevada

1,998,257

28.7

574

110.2

2,203

583.1

11,652

39.0

780

New Hampshire

1,235,786

14.3

177

54.9

678

290.4

3,589

19.4

240

New Jersey

8,414,350

11.1

933

42.6

3,583

225.2

18,953

15.1

1,268

New Mexico

1,819,046

25.0

455

95.9

1,745

507.6

9,233

34.0

618

New York*

18,976,457

13.3

2,520

76.8

14,574

269.7

51,185

27.2

5,159

North Carolina

8,049,313

22.6

1,816

86.6

6,972

458.2

36,883

30.7

2,468

North Dakota

642,200

17.5

112

67.2

431

355.2

2,281

23.8

153

Ohio

11,353,140

16.8

1,902

64.3

7,301

340.2

38,624

22.8

2,585

Oklahoma*

3,450,654

26.3

906

66.9

2,308

533.2

18,398

23.7

817

Oregon

3,421,399

25.9

884

99.2

3,396

525.0

17,964

35.1

1,202

Pennsylvania

12,281,054

16.6

2,033

63.5

7,804

336.1

41,282

22.5

2,762

Rhode Island*

1,048,319

11.7

123

57.7

605

238.4

2,500

20.4

214

South Carolina*

4,012,012

25.2

1,012

63.9

2,564

512.2

20,551

22.6

908

South Dakota

754,844

25.1

189

96.3

727

509.4

3,845

34.1

257

Tennessee

5,689,283

24.1

1,372

92.6

5,266

489.7

27,860

32.8

1,864

Texas

20,851,820

20.2

4,214

77.6

16,180

410.5

85,593

27.5

5,728

Utah*

2,233,169

22.2

496

69.4

1,550

450.7

10,065

24.6

549

Vermont

608,827

19.3

117

74.1

451

391.8

2,385

26.2

160

Virginia

7,078,515

20.0

1,414

76.7

5,427

405.6

28,711

27.1

1,921

Washington

5,894,121

21.5

1,268

82.6

4,870

437.1

25,763

29.2

1,724

West Virginia

1,808,344

21.9

395

84.0

1,518

444.2

8,033

29.7

538

Wisconsin

5,363,675

18.4

988

70.7

3,793

374.1

20,067

25.0

1,343

Wyoming

493,782

34.2

169

131.2

648

693.8

3,426

46.4

229

(1)     All rates per 100,000 population per year.

(2)     Fatality rates based on NCHS Multiple-Cause-of-Death Data, 1995-7

(3)     Non-fatal injury hospitalization rates based on data from CDC-funded state TBI surveillance systems (see * above), 1995-6.  All except CA provided state-specific hospitalization incidence rates; pooled rates from these states used to estimate rates in CA, the other 36 states, and D.C.

(4)     Non-fatal, non-hospitalized, injury-related ED visit rate estimates based on NCHS National Hospital Ambulatory Medical Care Survey data. 1995-6.

(5)     Rates of new TBI-related disabilities based on estimated proportion of TBIs resulting in disability from Colorado Follow-up Study, 1996-7.

 

Notes on Methods Used to Estimate State Rates and Numbers of Traumatic Brain Injuries (TBI)

 

Deaths

 

US and state-specific mortality rates

 

Data source:  National Center for Health Statistics (NCHS) Multiple-Cause-of-Death Public Use Data files

Years:  1995-1997

Case inclusion:  Deaths with a TBI-related International Classification of Disease, 9th Revision (ICD-9) code (800, 801, 803, 804, 850-854, 873, 905, or 907) listed anywhere in the sequence of conditions resulting in death

 

            US mortality rate = (# of TBI deaths in 1995 + # of TBI deaths in 1996 + # of TBI deaths in 1997) x 100,000

                                                     (US population 1995 + US population 1996 + US population 1997)

 

            State mortality rate = (# of state TBI deaths in 1995 + # of state TBI deaths in 1996 + # of TBI state deaths in 1997) x 100,000

                                                                 (State population 1995 + State population 1996 + State population 1997)

 

Hospitalizations

 

For states with TBI surveillance

(Alaska, Arizona, Colorado, Louisiana, Maryland, Missouri, Minnesota, Nebraska, New York, Oklahoma, Rhode Island, South Carolina, and Utah)

 

Data source: State TBI surveillance systems

Years:  Preliminary 1995-1996 data

Case inclusion:  Described in CDC’s Guidelines for Surveillance of Central Nervous System Injury (Atlanta, 1995)

 

For states without statewide TBI surveillance

 

State hospitalization rate = US hospitalization rate x (State mortality rate/US mortality rate)   

 

US Hospitalization rate = 

(# of surviving hospital discharges in 1995 and 1996 in the 13 surveillance states + Sacramento County, CA)  x 100,000

                 (1995 and 1996 populations of the 13 surveillance states + Sacramento County, CA)

 

 

Emergency Department (ED) Visits

 

US ED visit rate

 

Data source:  NCHS National Hospital Ambulatory Medical Care Survey

Years: 1995-1996

           

            US ED rate = [(Total number of TBI ED visits in US in 1995 and 1996) / (Total US population in 1995 and 1996)] x 100,000

 

State ED rate = US ED rate x (State mortality rate/US mortality rate)

 

 

Disability

 

Estimated proportion of nonfatal TBI-related hospitalizations resulting in disability at one year = 0.354

            Data source: Colorado TBI Registry and Follow-up Study

            Years: Preliminary 1996-1997 data

 

State disability rate = 0.354 x State hospitalization rate

 

 

State numbers from rates

 

State number = (State rate/100,000) x State population