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Traumatic brain injury (TBI) is the number one killer and disabler of young Canadians
under the age of forty (40). Hospitalization occurs at a rate of 200 per 1 00,000
annually. According to statistics from the Brain Injury Association of Canada,
50,000 Canadians sustain brain injuries annually. In Ontario, 16,000 residents
sustain TBI; that's forty-four (44) individuals daily. The leading cause of TBI
in North America is automobile accidents (50%), falls (21%), violence (12%) and
sports/recreation (10%). Every year in Canada sixty (60) children will die and
5,000 will be seriously injured secondary to bicycle accidents. Long -term consequences
of brain injury affect the lives of about 26,000 individuals annually. Twenty-two
(22) per cent of people with catastrophic injuries never leave their homes. In
Ontario, ninety-two (92) per cent of men and one hundred (100) per cent of women
who sustain severe brain injury never return to full-time employment.
Classification
of Brain Injury
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Brain Injury
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Glasgow Coma
Scale
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Mild
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12 - 15
G.C.S.
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Moderate
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10 - 11
G.C.S.
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Severe
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3 - 9 G.C.S.
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The Glasgow Coma Scale (G.C.S.) is a practical means of monitoring changes
in the level of an individual's consciousness, and is based on eye opening, and
verbal and motor responses. If each response on the scale is given a number (high
for normal and low for impaired) the response of an individual can be cfetermined
by the summation of the numbers. The lowest total score is three (3); the highest
is fifteen (15).
Estimated
Costs of Brain Injury Clains (U.S. Dollars)
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Case Category
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Cost/Year
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Life Expectancy
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Deep persistent
coma
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$43,900
- $ 208,000
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3 - 4 months
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Persistent
vegetative state
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$180,000
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3 - 30
months
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Severe
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$273,750
- year1
thereafter $32,250-$100,000
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Normal
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Moderate
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$179,600
- year 1
thereafter $9,000 - $80,000
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Normal
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Mild
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Varies
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Normal
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(American Re-Insurance,
1993)
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