Neurocritical Care
outcomes.
Stroke incidence: Low education, low income, living in an impoverished area, residence in an area
with few healthcare services, Southeastern residence, living in rural areas, social isolation, and lacking
health insurance
American Indian and Alaska Native have higher rates of TBI-related hospitalizations and deaths
compared with other racial or ethnic groups. Factors contributing to this disparity include motor
vehicle accidents, substance abuse, and difficulties accessing healthcare.
Military service members saw an increase in TBI because of conflicts from 2005 to 2018
Research suggests almost half of people in correctional or detention facilities have a history of TBI
and may face challenges with accessing TBI-related care.
| d. | Those who experience homelessness are up to 10 times more likely to have a history of moderate to |
|---|
severe TBI. They have worse overall physical and mental health.
Survivors of intimate partner violence who have experienced a TBI are more likely to be diagnosed
with post traumatic stress disorder, insomnia, and depression.
Individuals living in rural areas have a greater risk of death following TBI compared with those
living in urban areas because of travel time to receive medical care and less access to Level I
Trauma Center.
Limited access to transportation can significantly impact patient adherence to medical appointments and
medication regimens, ultimately affecting health outcomes (NASEM 2017).