TBI Is a Significant Canadian and Global Health Issue

October 06, 2022, Kitchener, Ontario

Posted by: Robert Deutschmann, Personal Injury Lawyer

What is TBI (traumatic brain injury)?

TBI is in an injury that affects how your brain works. It is a major cause of disability and death in Canada with approximately 165,000 people sustaining a TBI every year.

Leading causes of TBI

The leading causes of TBI in Canada include transportation accidents (car, truck, cycling and motor cycle), falls in the elderly and suicide attempts in males. The majority of those hospitalized for head injury were male 63%,

Car accident TBIs are frequent and can range from concussion to catastrophic brain injury. As personal injury lawyers we see how difficult it can be for victims of head injury to be adequately compensated by insurers. We also see how often the victims are forced to suffer emotionally, financially and physically while waiting for compensation and benefits to be paid.

What should you do if you sustain a TBI in an accident?

If you or a loved one has been seriously injured in an accident and sustained a TBI it is important to contact an experienced personal injury lawyer as soon as you can to begin the process of compensation. When you call us you’ll receive a free initial consultation and if you chose us to represent you we will act on your behalf to make sure you get the care and compensation you deserve.

You’ll have the benefit of the experience of our Personal Injury / Car Accident lawyers, and our Personal Injury team, actively working on your case and you will not have to pay any fees until we have obtained a settlement for you. Our fee is based on a contingency arrangement, which means that we charge a percentage of any settlement you obtain. If there is no settlement, then you will not owe us anything.

What impact does TBI have on people and their Future?

TBI is recognized to be a global health issue. It afflicts 55 million people worldwide costing more than US$400 billion a year. It’s a leading cause of death and disability.

Several studies have shown that the victims of TBI tend to live shorter lives with lower quality of life due to the impacts of injury and loss of the ability to work.

Neuroscience Journal recently published this article about the Lancet Neurology Commission evaluating the specifics of the  

Traumatic Brain Injury ‘Remains Major Global Health Problem’

Summary: Researchers document traumatic brain injury as a global health problem that affects 55 million people worldwide and is the leading cause of injury-related death and disability.

Source: University of Cambridge

A new report highlights the advances and challenges in prevention, clinical care, and research in traumatic brain injury, a leading cause of injury-related death and disability worldwide.

The report, by the 2022 Lancet Neurology Commission, has been produced by world-leading experts, including co-lead author Professor David Menon from the Division of Anesthesia at the University of Cambridge.

The commission documents traumatic brain injury (TBI) as a global public health problem, which afflicts 55 million people worldwide, costs over US$400 billion per year, and is a leading cause of injury-related death and disability.

TBI is not only an acute condition but also a chronic disease with long-term consequences, including an increased risk of late-onset neurodegeneration, such as Parkinson’s disease and dementia.

Road traffic incidents and falls are the main causes, but while in low- and middle-income countries, road traffic accidents account for almost three times the number of TBIs as falls, in high-income countries falls cause twice the number of TBIs compared to road traffic accidents. These data have clear consequences for prevention.

Over 90% of TBIs are categorized as “mild,” but over half of such patients do not fully recover by six months after injury. Improving outcome in these patients would be a huge public health benefit.

A multidimensional approach to outcome assessment is advocated, including a focus on mental health and post-traumatic stress disorder. Outcome after TBI is poorer in females compared with males, but reasons for this are not clear.

Professor Menon said, “Traumatic brain injury remains a major global health problem, with substantial impact on patients, families and society. Over the last decade, large international collaborations have provided important information to improve understanding and care of TBI.

However, significant problems remain, especially in low and middle income countries. Continued collaborative efforts are needed to continue to improve patient outcomes and reduce the societal impact of TBI.”

The commission identified substantial disparities in care, including lower treatment intensity for patients injured by low-energy mechanisms, deficiencies in access to rehabilitation and insufficient follow-up in patients with “mild” TBI. In low- and middle-income countries, both pre-hospital and post-acute care are largely deficient.

The commission presents substantial advances in diagnostics and treatment approaches. Blood-based biomarkers perform as well—or perhaps even better—than clinical decision rules for selecting patients with mild TBI for CT scanning, and can thus help reduce unnecessary radiation risks. They also have prognostic value for outcome.

Genomic analyses suggests that 26% of outcome variance in TBI might be heritable, emphasizing the relevance of host response, which is modifiable.

Advanced monitoring of the brain in patients with severe injuries in the intensive care setting provides better insight into derangements of brain function and metabolism, providing a basis for individualizing management to the needs of a patient.

These advances have, however, not yet led to improved outcome. Mortality in patients with moderate to severe injuries appears to have decreased, but a greater number of survivors may have substantial disability.

Emeritus Professor Andrew Maas from the Antwerp University Hospital and University of Antwerp, Belgium, said, “Improving care pathways and removing current disparities in care for patients with TBI will require close collaboration between policymakers, clinicians and researchers, with input from patients and patient representatives.”

Professor Geoffrey Manley from the University of California, San Francisco and Zuckerberg San Francisco General Hospital and Trauma Center, U.S., said, “This Commission represents true team science, involving over 300 authors and contributors from around the globe working closely with the team at Lancet Neurology.

“Much of the data reported come from large-scale collaborative studies, illustrating the strength of longer-term observational research. There can be no doubt that multidisciplinary international collaboration is the way forward.”

About Deutschmann Law

Deutschmann Law serves South-Western Ontario with offices in Kitchener-Waterloo, Cambridge, Woodstock, Brantford, Stratford and Ayr. The law practice of Robert Deutschmann focuses almost exclusively in personal injury and disability insurance matters. For more information, please visit www.deutschmannlaw.com or call us at 1-519-742-7774.

It is important that you review your accident benefit file with one of our experienced personal injury / car accident lawyers to ensure that you obtain access to all your benefits which include, but are limited to, things like physiotherapy, income replacement benefits, vocational retraining and home modifications.