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BIS - Chapter 1
Brain Injury Guide Review
31
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Professional
10/22/2009

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Term
Traumatic Brain Injury (TBI)
Definition
An insult to the brain, not of a degenerative or congenital nature but caused by an external phsyical force, that may produce a diminished or altered state of consciousness, which results in an impairment of cognitive ability and/or physical functioning.
Term
Acquired Brain Injury (ABI)
Definition
An injury to the brain that has occurred after birth and is not hereditary, congenital or degenerative, commonly resulting in a change in neuronal activity.
Term
Epidemiology
Definition
A branch of medical science that deals with the incidence, distribution, and control of disease in a population.
Term
Incidence
Definition
The number of cases of disease having their onset during a prescribed period of time (often expressed as a rate).
Term
Surveillance
Definition
The ongoing and systematic collection, analysis and interpretation of data used to describe and monitor a health event.
Term
Prevalence
Definition
The number of cases of a disease present during a particular interval of time (often expressed as a rate).
Term
TBI Causes
Definition
Falls, motor vehicle crashes, gunshot wounds, sports injuries, shaken baby syndrome, child abuse, domestic violence, military actions, etc.
Term
ABI Causes
Definition
TBI, tumors, blood clots, strokes, seizures, toxic exposures, infections, metabolic disorders, neurotoxic poisoning, drowning, etc.
Term
Psychosocial Behavior
Definition
Social Skills, Anger Management, Impulsivity, etc.
Term
Open Head Injury
Definition
When the skull has been penetrated and the brain is exposed.
Term
Closed Head Injury
Definition
When the skull is intact but the brain has been impacted.
Term
Risk Factors
Definition
After incurring 1 TBI, the risk for a 2nd is 3x greater, after a 2nd TBI the risk is 8x greater.
Term
Gender
Definition
TBI is more common in males than females. (1.5 times more in males, or 59% males and 41% females)
Term
The highest rate of TBI is in what age group?
Definition
0 - 4
Term
Injury Severity
Definition
Mild, moderate, or severe.
Term
Accredation
Definition
Programs or services that are in compliance with quality and performance standards as outlined and promulgated by the accrediting agency.
Term
The Olmstead Decision
Definition
In July of 1999 Supreme Court judges ruled in favor of Lois Curtis and Elaine Wilson to develop community based programs for disabled adults that were both accessible and cost-effective.
Term
TBI Act of 1996
Definition
Ruled on July 29th to provide prevention, research and improved service delivery to those with TBI's.
Term
How many people are disabled secondary to TBI?
Definition
5.3 million
Term
How many TBI's occur each year?
Definition
1.4 million (4% death, 17% hospitalization, 79% treatment and release from ED)
Term
How many people are disabled every year in the US due to TBI?
Definition
80,000 - 90,000
Term
Which race has the highest overall incident rate?
Definition
Blacks at 486 per 100,000
Term
Which races have the lowest overall incidence rate?
Definition
American Indian/Alaska Native & Asian Pacific/Pacific Islanders at 252 per 100,000
Term
Which race accounts for 81% of TBI's?
Definition
Whites
Term
Which age group has the highest incidence rate?
Definition
0 - 4
Term
Which age group has the highest death rate?
Definition
> 75
Term
Which age group has the highest hospitalization rate?
Definition
> 75
Term
Which age group has the highest ED visit rate?
Definition
0 - 4
Term
What is the number one cause of TBI related ED visits?
Definition
Falls at 31%
Term
What is the #1 cause of TBI?
Definition
Falls at 29%
Term
What is the range of rates of alcohol consumption at the incidence of TBI?
Definition
From 37% to 51%
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