Decompressive craniectomy for severe TBI

Charles A. Miller*, Daniel J. Coughlin, Randy Bell

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Unintentional injury is the leading cause of death in US patients aged 1-44 [2] and traumatic brain injury (TBI) is involved in approximately one-third of all injury deaths [3, 4]. According to the CDC there are more than 1.7 million new TBI cases each year; an estimated 275,000 are hospitalized, and 52,000 die [4, 5]. The current global TBI rate of 106 per 100,000 is increasing as developing countries expand and increase the use of motorized transportation [4, 6]. While the rate of TBI is increasing, the number of TBI-related deaths has decreased in the US. In 2010, there were approximately 17.1 TBI-related deaths per 100,000 US population compared to 18.5 per 100,000 in 2001 [4]. TBI-related medical expenses place significant short- and long-term burden on the US economy. In 2010, direct and indirect TBI-related costs were $76.5 billion dollars up from $60 billion in 2000 [3, 7, 8]. These numbers indicate the burden that TBI places only on the civilian population ignoring the military population.

Original languageEnglish
Title of host publicationNeurotrauma Management for the Severely Injured Polytrauma Patient
PublisherSpringer International Publishing
Number of pages25
ISBN (Electronic)9783319402086
ISBN (Print)9783319402062
StatePublished - 1 Jan 2017
Externally publishedYes


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