Understanding TBIs: Valuable Insights and Facts You Need to Know

Did you know that traumatic brain injuries (TBI) can have long-lasting effects? In this blog post, we are discussing ten TBI facts that you may not know but are essential for public knowledge. From the invisible damage caused by concussions to the surprising link between TBIs and mental health disorders, this information improves understanding of the consequences of brain injuries.

Facts about traumatic brain injury

Although often overlooked, TBIs are a major public health epidemic with potentially life-altering consequences. Whether it's a sports-related concussion or a severe brain injury from a car accident, understanding the facts is essential for prevention, early detection, and proper treatment.

This post aims to raise awareness about traumatic brain injuries (TBIs) and their impact on individuals and their families. We will blend statistics, medical research, and personal stories. By explaining the lesser-known aspects of TBIs, we hope to promote education, empathy, and support for those affected by this silent epidemic.

Common causes of traumatic brain injury

Traumatic brain injuries (TBIs) can occur in a variety of situations, but some common causes stand out. Motor vehicle accidents, including car, motorcycle, and bicycle crashes, are a leading cause of TBIs, often resulting from sudden impacts or rapid deceleration.

Falls, particularly among the elderly and young children, remain the leading cause of TBIs. Slips, trips, and falls can lead to direct head impacts or sudden changes in momentum that cause the brain to collide with the skull. Sports-related injuries, such as concussions in contact sports like football, hockey, and boxing, can also result in a TBI.

Violent acts, including assaults and gunshot wounds, can also result in traumatic brain injuries. Workplace accidents, such as falls from heights or being struck by falling objects, can also lead to TBIs. Understanding the common causes of TBIs is crucial for developing prevention strategies and ensuring prompt medical attention for those affected.

Symptoms and signs of traumatic brain injury

The symptoms and signs of a traumatic brain injury can vary depending on the severity of the injury.

In mild cases, such as a concussion, individuals may experience:

  • headaches

  • dizziness

  • nausea

  • confusion

An individual with a concussion may have difficulty concentrating, feel fatigued, or experience changes in sleep patterns.

In more severe cases, the symptoms can be more pronounced and debilitating.

Individuals may suffer from:

  • persistent headaches

  • seizures

  • slurred speech

  • loss of consciousness

Cognitive impairments, such as memory loss, difficulty with problem-solving, and impaired decision-making, are also common.

Emotional and behavioral changes are also prevalent in those with TBIs. Mood swings, irritability, anxiety, and depression are often reported. Some individuals may also experience sensory processing issues, such as sensitivity to light or sound or difficulty with balance and coordination. It's important to note that the symptoms of a TBI may not always be immediate and can sometimes take days or even weeks to appear.

The impact of traumatic brain injury on cognitive function

Traumatic brain injuries can have a significant impact on an individual's cognitive function. Some of the most common cognitive impairments associated with TBIs are memory, executive functioning, attention, and information processing difficulties.

Individuals with TBIs may struggle to:

  • retain new information

  • recall past events

  • organize their thoughts

This can lead to challenges in daily tasks, such as remembering appointments, following instructions, or making decisions. Attention and concentration difficulties make it harder for individuals to focus on tasks or filter out distractions.

Executive functions, which include problem-solving, planning, and decision-making, are also commonly impaired in those with TBIs.

This can make it challenging for individuals to:

  • adapt to new situations

  • manage their time effectively

  • make sound judgments

Language and communication skills can also be impacted, leading to difficulties in expressing oneself or understanding others.

These cognitive deficits can be assessed and treated in TBI patients by a qualified speech pathologist.

Long-term effects of traumatic brain injury

The long-term effects of traumatic brain injury can be far-reaching and impact an individual's quality of life. One of the most concerning long-term consequences is the increased risk of developing neurological disorders, such as Parkinson's disease or Alzheimer's disease.

Research has shown that individuals with a history of TBIs, even mild ones, have a higher likelihood of experiencing cognitive decline and the onset of neurodegenerative conditions later in life. This is believed to be due to the cumulative damage and inflammation caused by the initial injury, which can accelerate the degeneration of brain cells over time.

Mental health issues are also a significant long-term concern for those with TBIs. Increased rates of depression, anxiety, and post-traumatic stress disorder (PTSD) have been observed in individuals who have experienced a traumatic brain injury. These mental health challenges can further exacerbate cognitive and functional impairments, making it more difficult for individuals to adapt and thrive in their daily lives.

Statistics on traumatic brain injury

Traumatic brain injuries are a significant public health concern, with staggering statistics that highlight the widespread impact of this condition. In the United States, there were approximately 214,110 TBI-related hospitalizations in 2020 and 69, 473 TBI-related deaths in 2021.

People aged 75 years and older had the highest numbers and rates of TBI-related hospitalizations and deaths.

The leading causes of TBIs are:

  • Falls: 40.5%

  • Struck by/against events (includes recreation-related events): 15.5%

  • Motor vehicle-traffic crashes: 14.3%

  • Assaults: 10.7%

  • Unknown: 19.0%

most common causes of traumatic brain injury chart

Children and older adults are the most vulnerable populations, with the highest rates of TBI-related emergency department visits and hospitalizations.

In 2016, the total annual healthcare cost of nonfatal TBIs was over $40.6 billion. More than 2 million nonfatal injuries were related to TBI. The economic costs associated with injury, in general, are high. In 2019, CDC estimated that “the economic cost of injury was $4.2 trillion, including $327 billion in medical care, $69 billion in work loss, and $3.8 trillion in value of statistical life and quality of life losses” (Peterson et al., 2021, p. 1656). This includes direct medical expenses, as well as indirect costs, such as lost productivity and long-term care. The impact on individuals and their families can be devastating, underscoring the urgent need for improved prevention, early intervention, and comprehensive support services.

Misconceptions and myths about traumatic brain injury

Despite the growing awareness of traumatic brain injuries, there are still many misconceptions and myths. One common misconception is that a TBI must involve a loss of consciousness to be "serious". In reality, a TBI can occur even without a loss of consciousness, and the severity of the injury is not always related to the presence or duration of unconsciousness.

Another myth is that a person with a TBI will fully recover within a few weeks or months. While some individuals may experience a relatively quick recovery, the reality is that the effects of a TBI can last for years or even be lifelong, depending on the severity of the injury and the individual's response to treatment. This includes individuals who experience a concussion. Concussion symptoms that last three months or longer will typically be diagnosed as "post-concussive disorder".

Additionally, there is a myth that TBIs only affect the physical aspects of a person's functioning. This includes their motor skills and coordination. TBIs can profoundly impact cognitive, emotional, and behavioral functioning, often leading to challenges in areas like memory, attention, decision-making, and mood regulation. Dispelling these myths is crucial for ensuring proper understanding, early intervention, and effective support for individuals with traumatic brain injuries.

Preventing traumatic brain injury

Preventing traumatic brain injuries is a necessary public health priority. The consequences of these injuries can be severe and long-lasting. One of the most effective ways to prevent TBIs is through the implementation of safety measures and education on safer behaviors.

In motor vehicle accidents, the use of seatbelts, child car seats, and helmets for motorcyclists and bicyclists can significantly reduce the risk of sustaining a severe TBI. Properly using protective equipment, such as helmets and mouthguards, can help mitigate the risk of severe head injuries in sports and recreational activities.

different types of helmets for different sports

Our mission at TBI MedSLP is to educate the public, particularly parents, coaches, and healthcare providers, about the importance of TBI prevention. This includes teaching individuals how to recognize the signs and symptoms of a concussion or other head injuries. We also emphasize the need for immediate medical attention and proper recovery protocols. Additionally, workplace safety measures, such as fall prevention programs and hazard identification, can help reduce the incidence of TBIs in occupational settings.

Treatment options for traumatic brain injury

The treatment of traumatic brain injuries can be complex and multifaceted. Intervention for TBI requires a comprehensive, interdisciplinary approach. Immediately after the injury, the primary focus is on stabilizing the individual and preventing further damage to the brain. This may involve emergency medical interventions, such as airway management, control of bleeding, and the prevention of increased intracranial pressure.

Once the immediate crisis is stable, the next step is to assess the extent of the injury and develop a personalized treatment plan. This may involve various therapies, such as physical therapy to address motor function and coordination, occupational therapy to help with daily living activities, and speech therapy to address communication and cognitive deficits.

In more severe cases, medication may be prescribed to manage symptoms. Medications may include anti-seizure drugs, pain relievers, or antidepressants. Surgical interventions, such as the removal of blood clots or the repair of skull fractures, may be necessary. Rehabilitation and cognitive-behavioral therapy can also play a crucial role in helping individuals with TBIs regain their cognitive, emotional, and functional abilities over time.

Raising awareness and supporting individuals with traumatic brain injury

Traumatic brain injuries are a complex and misunderstood condition that can have long-lasting impacts on individuals and their families. By educating individuals on the realities of TBIs and discussing the 10 facts presented in this post, we hope to raise awareness and promote a deeper understanding of the impact of TBIs.

From the common causes of these injuries to the long-term effects on cognitive function and mental health, this blog has aimed to dismiss myths and misconceptions. We also provided a comprehensive overview of the traumatic brain injury landscape. By recognizing the prevalence and severity of TBIs, we can work towards more effective prevention strategies, earlier intervention, and improved support systems for those affected.

Our goal at TBI MedSLP is to educate and empower individuals, families, and communities to take a proactive approach to traumatic brain injuries. This includes advocating for increased funding and research and promoting educational campaigns. We also aim to ensure that those with TBIs can access the comprehensive care and resources they need to navigate their recovery and rebuild their lives. We are currently raising funds for the Brain Injury Alliance of Colorado and our grassroots organization! Please consider contributing to our cause and donate to our campaign!


Tracie Bearden

Tracie is a Denver-based Speech Language Pathologist and Certified Brain Injury Specialist Trainer with over 14 years of experience. She specializes in working with brain injury survivors in acute care and intensive rehabilitation settings. As the owner of TBI MedSLP, a non-profit organization. Tracie is dedicated to providing accessible and affordable brain injury education to speech pathologists, healthcare providers, and the public. Her work aims to enhance patient outcomes and awareness through comprehensive education.

https://www.tbimedslp.com
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