000 03234nab a22003137a 4500
999 _c6168
_d6168
005 20250625151505.0
008 190220s2019 -nz||||| |||| 00| 0 eng d
040 _aAFVC
100 _aKing, Doug
_98184
245 _aTraumatic brain injuries in New Zealand :
_bnational insurance (Accident Compensation Corporation) claims 2012 to 2016
_cDoug King, Patria A. Hume, Natalie Hardaker, Alan Pearce, Cloe Cummins and Trevor Clark
260 _bElsevier,
_c2019
500 _aJournal of the Neurological Sciences, 2019, 399: 61-68
520 _aAim To provide epidemiological data and related costs to the national health insurance scheme for traumatic brain injury (TBI) in New Zealand. Method A retrospective analytical review utilising detailed descriptive minor and moderate-to-severe epidemiological TBI data obtained from the Accident Compensation Corporation (ACC) for 2012–2016. Injuries were analysed by three levels of increasing severity: moderate, moderate-to-serious (MSC) and severe claims categories. Results Over the January 2012 to December 2016 period there were 97,955 claims for TBI costing ACC $1,450,643,667 [equivalent to £$743,417,120]. Falls accounted for nearly half (41.7%, 8262), and over a quarter (39.9%; $67,626,000 [£34,662,176]) of the moderate claims for TBI. Motor vehicle accidents recorded the highest percentage (36.5%), total costs ($610,978,229 [£313,170,000]) and highest mean cost per-moderate claim per-year ($47,372 ± $2401 [£24,282 ± £1231]) for MSC TBI claims. This was similar for severe claims where motor vehicles accidents accounted for 56% of the total serious claims, 65.1% of the costs with a mean cost per-serious claim of $64,913 ± 4331 [£32,759 ± £2186] per-year. Conclusion There were 97,955 TBI injury claims lodged over the duration of the study with 36% (n = 35,304) classified as MSC. The incidence of total TBI in New Zealand was 432 per 100,000 population, and 155 per 100,000 for MSC TBI claims. Despite the growing number of studies reporting on the effects of sports-related TBI, there is a paucity of studies reporting on the longitudinal effects of TBI in falls, assaults and motor vehicle accidents. Further research is warranted into the assessment and management of intimate partner violence and child abuse victims for TBI's. (Authors' abstract). This paper does not identify TBI resulting from intimate partner violence but see the paragraph on page 66 discussing the likely under-reporting of TBI as a result intimate partner violence in this dataset. Record #6168
610 0 _93188
_aAccident Compensation Corporation
650 _aASSAULT
_93410
650 _aDATA ANALYSIS
_9181
650 _aINTIMATE PARTNER VIOLENCE
_9431
650 0 _aTRAUMATIC BRAIN INJURY
_93258
651 4 _aNEW ZEALAND
_92588
700 _aHume, Patria A.
_98186
700 _aHardaker, Natalie
_98187
700 _aPearce, Alan
_98188
700 _aCummins, Cloe
_98189
710 _aClark, Trevor
_98190
773 0 _tJournal of the Neurological Sciences, 2019, 399: 61-68
830 _aJournal of the Neurological Sciences
_98185
856 _uhttps://doi.org/10.1016/j.jns.2019.01.049
_yRead abstract
942 _2ddc
_cARTICLE