Table Shells

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Traumatic Brain Injury (TBI) Surveillance System

Table Shells

OMB: 0920-1240

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Attachment G-1. Table Shells

Table 1. Associations with Indicators of Severity Using this Data Collection: Case Definition Tiers


Case Definition Tiers (Mean, Median or %)a

Indicators of Injury Severity/Interview Type

Tier 3:

Probable TBI

Tier 2:

Possible TBI

Tier 1:

Delayed Possible TBI

Adult/Proxy




Mean Time to Symptom Resolution




Mean Time to Return to Play (18 to 22 years of age)




Percent Hospitalized




Percent Received Post-TBI Examination




Percent Received TBI Diagnosis




Percent Reason for Not Seeking Care Other Than Perception that TBI was Not Seriousb




Median Extent of Impact: Social Functioningc




Median Extent of Impact: Work Functioningc




Adolescents




Mean Time to Symptom Resolution




Mean Time to Return to Play




Percent Hospitalized




Percent Checked Out For TBI




Percent Reason for Not Telling Other Than Perception TBI was Not Serious or Did Not Realize They Were Hurtb




Median Extent of Impact: Social Functioningc




Median Extent of Impact: School Activitiesc




a Statistically significantly differences between groups indicated by superscripts

b Among those who did not seek care or tell anyone about their TBI

c Subsequent functioning measured using questions adapted from the Short Form Health Survey (SF-36), range is 1 - 5 (1).



Table 2. Associations with Indicators of Severity: TBI (Tier 3: Probable, Tier 2: Possible, Tier 1: Delayed Possible) Compared to Non-Casesa

Indicators of Injury Severity/Interview Type

TBI (Median or %) b

Non-Cases (Median or %) b

Adult/Proxy



Percent Received Post-TBI Examination



Percent Received TBI Diagnosis



Percent Reason for Not Seeking Care Other Than Perception that TBI was Not Seriousb



Median Extent of Impact: Social Functioningd



Median Extent of Impact: Work Functioningd



Adolescent



Checked Out For TBI



Percent Reason for Not Telling Other Than Perception TBI was Not Serious or Did Not Realize They Were Hurtb



Median Extent of Impact: Social Functioningd



Median Extent of Impact: School Activitiesd



a Non-cases refer to head injury for which no symptoms were endorsed

b Statistically significant differences indicated by superscripts

c Among those who did not seek care or tell anyone about their TBI

d Subsequent functioning measured using questions adapted from the Short Form Health Survey (SF-36), range is 1 - 5 (1).



Table 3. Comparisons to Adolescent Reports to Parent Proxy Reports

Tier 3 and Tier 2 Estimate (CI)

Tier 3, Tier 2, Tier 1 Estimate (CI)

Tier 3, Tier 2, Tier 1 and Non-Casesa Estimate (CI)

% Agreement

Kappa

% Agreement

Kappa

% Agreement

Kappa



















a Non-cases refer to head injury for which no symptoms were endorsed

CI = Confidence Interval


Table 4. Associations with Indicators of Severity in External Data Collections (Research Studies): Case Definition Tiersa


Case Definition Tiers (Mean, Median or %)b

Indicators of Severity

Tier 3

Probable

Tier 2

Possible

Tier 1

Delayed Possible

High School RIO

Mean Time to Symptom Resolution




Mean Time to Return to Play




PARC Study




Mean Persistent Symptoms




a Statistically significantly differences between groups indicated by superscripts

Table 5. Comparison of Current Estimates to Estimates Using Healthcare Administrative Data

Population/ Data Source for Comparison

Data Source Estimate (CI)

Tier 3 and Tier 2 Estimate (CI)

Tier 3, Tier 2, Tier 1 Estimate (CI)

Tier 3, Tier 2, Tier 1 and Non-Casesa Estimate (CI)

Adults and children 5 years of age and older

Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP – NIS)





Healthcare Cost and Utilization Project Nationwide Emergency Department Sample (HCUP – NEDS)





National Electronic Injury Surveillance System – All Injury Program (NEISS – AIP)





Children 5 to 17 years of age

Truven Health Analytics MarketScan Research Databases: Medicaid and Commercial Claims





a Non-cases refer to head injury for which no symptoms were endorsed

CI = Confidence Interval




Table 6. Comparison of Current Estimates to Estimates by Activity Engaged in at Time of Injury Using Healthcare Administrative Data and Self-Report Data

Population/ Data Source for Comparison

Data Source Estimate (CI)

Tier 3 and Tier 2 Estimate (CI)

Tier 3, Tier 2, Tier 1 Estimate (CI)

Tier 3, Tier 2, Tier 1 and Non-Casesa Estimate (CI)

Adults and children 5 years of age and older: Assault

Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP – NIS)





Healthcare Cost and Utilization Project Nationwide Emergency Department Sample (HCUP – NEDS)





Adults and children 5 years of age and older: Bike

National Electronic Injury Surveillance System – All Injury Program (NEISS – AIP)





Adults and children 5 years of age and older: Motor Vehicle

Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP – NIS)





Healthcare Cost and Utilization Project Nationwide Emergency Department Sample (HCUP – NEDS)





Adults and children 5 years of age and older: Falls

Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP – NIS)





Healthcare Cost and Utilization Project Nationwide Emergency Department Sample (HCUP – NEDS)





Adults and children 5 years of age and older: Sports and Recreation Related

National Electronic Injury Surveillance System – All Injury Program (NEISS – AIP)





Children 14 to 18 years of age: Sports and Recreation Related

Youth Risk Behavior Surveillance System (YRBS), 2017





Children 14 to 18 years of age: Sports and Recreation Related, School-Based Team Sport

Youth Risk Behavior Surveillance System (YRBS), 2017





Children 14 to 18 years of age: Sports and Recreation Related, Non-School-Based Team Sport

Youth Risk Behavior Surveillance System (YRBS), 2017





Children 14 to 18 years of age: Sports and Recreation Related, Not Part of School or Community Sports Team

Youth Risk Behavior Surveillance System (YRBS), 2017





a Non-cases refer to head injury for which no symptoms were endorsed

CI = Confidence Interval






Table 7. Comparison of Current Estimates to Estimates by Health Care Provider Using Healthcare Administrative Data

Population/ Data Source for Comparison

Data Source Estimate (CI)

Tier 3 and Tier 2 Estimate (CI)

Tier 3, Tier 2, Tier 1 Estimate (CI)

Tier 3, Tier 2, Tier 1 and Non-Casesa Estimate (CI)

Adults and children 5 to 17 years of age: Truven Health Analytics MarketScan Research Databases: Medicaid and Commercial Claims

Emergency Department





Urgent Care Center





Office/Clinic





Outpatient





a Non-cases refer to head injury for which no symptoms were endorsed

CI = Confidence Interval




1. Ware JE, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care. 1992;30:473-83.



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AuthorDePadilla, Lara (CDC/ONDIEH/NCIPC)
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File Created2021-01-20

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