TABLE 3. Estimated number* and age-adjusted rates† of unintentional traumatic brain injury–related deaths,§ by state and mechanism of injury — United States, 2016–2018¶.
| Region**/State | Total |
Motor vehicle crashes |
Falls†† |
Struck by or against an object |
Other§§ |
|||||
|---|---|---|---|---|---|---|---|---|---|---|
| No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | No. | Rate (95% CI) | |
|
U.S. total
|
98,177
|
9.1 (9.0–9.1)
|
33,152
|
3.3 (3.3–3.4)
|
51,903
|
4.5 (4.5–4.5)
|
992
|
0.1 (0.1–0.1)
|
12,130
|
1.1 (1.1–1.2)
|
| Northeast |
15,592 |
7.7 (7.6–7.9) |
4,411 |
2.5 (2.5–2.6) |
9,267 |
4.2 (4.1–4.3) |
156 |
0.1 (0.1–0.1) |
1,758 |
0.9 (0.9–0.9) |
| Midwest |
22,746 |
9.8 (9.6–9.9) |
7,078 |
3.4 (3.3–3.5) |
12,449 |
4.9 (4.8–5.0) |
253 |
0.1 (0.1–0.1) |
2,966 |
1.3 (1.3–1.4) |
| South |
38,282 |
9.5 (9.5–9.6) |
14,723 |
3.9 (3.9–4.0) |
18,427 |
4.3 (4.3–4.4) |
380 |
0.1 (0.1–0.1) |
4,752 |
1.2 (1.2–1.2) |
| West |
21,557 |
8.7 (8.6–8.8) |
6,940 |
2.9 (2.9–3.0) |
11,760 |
4.6 (4.5–4.7) |
203 |
0.1 (0.1–0.1) |
2,654 |
1.1 (1.0–1.1) |
| Alabama |
1,379 |
8.8 (8.3–9.2) |
615 |
4.3 (3.9–4.6) |
435 |
2.5 (2.2–2.7) |
13 |
—¶¶ |
316 |
1.9 (1.7–2.2) |
| Alaska |
328 |
15.8 (14.0–17.6) |
148 |
6.6 (5.5–7.7) |
105 |
5.8 (4.6–6.9) |
—¶¶ |
— |
72 |
3.3 (2.5–4.1) |
| Arizona |
2,058 |
8.5 (8.1–8.9) |
575 |
2.7 (2.5–2.9) |
1,254 |
4.8 (4.5–5.1) |
— |
— |
221 |
1.0 (0.9–1.1) |
| Arkansas |
1,106 |
11.3 (10.6–12.0) |
491 |
5.5 (5.0–6.0) |
461 |
4.2 (3.8–4.6) |
20 |
0.2 (0.1–0.3) |
134 |
1.4 (1.2–1.6) |
| California |
8,898 |
7.1 (6.9–7.2) |
2,812 |
2.3 (2.2–2.4) |
4,832 |
3.8 (3.7–3.9) |
86 |
0.1 (0.1–0.1) |
1,168 |
0.9 (0.9–1.0) |
| Colorado |
1,858 |
10.8 (10.3–11.3) |
543 |
3.1 (2.9–3.4) |
1,049 |
6.2 (5.8–6.6) |
12 |
— |
254 |
1.4 (1.3–1.6) |
| Connecticut |
1,459 |
11.6 (11.0–12.2) |
623 |
5.7 (5.2–6.1) |
632 |
4.4 (4.0–4.7) |
12 |
— |
192 |
1.4 (1.2–1.6) |
| Delaware |
194 |
5.5 (4.7–6.3) |
37 |
1.2 (0.8–1.7) |
131 |
3.5 (2.9–4.1) |
— |
— |
26 |
0.7 (0.5–1.0) |
| District of Columbia |
124 |
6.1 (5.0–7.2) |
23 |
1.0 (0.6–1.5) |
81 |
4.0 (3.1–4.9) |
— |
— |
20 |
1.0 (0.5–1.4) |
| Florida |
7,508 |
9.5 (9.3–9.7) |
2,613 |
4.1 (4.0–4.3) |
4,128 |
4.3 (4.2–4.5) |
31 |
0.0 (0.0–0.1) |
736 |
1.0 (0.9–1.1) |
| Georgia |
3,225 |
10.4 (10.0–10.7) |
1,491 |
4.7 (4.5–4.9) |
1,299 |
4.3 (4.1–4.6) |
36 |
0.1 (0.1–0.1) |
399 |
1.3 (1.1–1.4) |
| Hawaii |
510 |
9.4 (8.5–10.3) |
132 |
3.0 (2.5–3.6) |
327 |
5.3 (4.7–5.9) |
— |
— |
49 |
1.0 (0.7–1.3) |
| Idaho |
674 |
12.7 (11.7–13.6) |
299 |
5.9 (5.2–6.6) |
297 |
5.3 (4.7–5.9) |
— |
— |
68 |
1.3 (1.0–1.6) |
| Illinois |
3,181 |
7.4 (7.1–7.6) |
908 |
2.3 (2.2–2.5) |
1,895 |
4.2 (4.0–4.4) |
30 |
0.1 (0.0–0.1) |
348 |
0.8 (0.7–0.9) |
| Indiana |
1,902 |
8.7 (8.3–9.1) |
689 |
3.4 (3.2–3.7) |
904 |
3.9 (3.6–4.1) |
29 |
0.1 (0.1–0.2) |
280 |
1.3 (1.1–1.4) |
| Iowa |
1,242 |
11.0 (10.4–11.7) |
330 |
3.4 (3.1–3.8) |
762 |
6.1 (5.7–6.6) |
15 |
— |
135 |
1.3 (1.1–1.5) |
| Kansas |
1,063 |
10.7 (10.1–11.4) |
314 |
3.6 (3.1–4.0) |
599 |
5.6 (5.1–6.0) |
— |
— |
140 |
1.5 (1.2–1.7) |
| Kentucky |
1,626 |
11.3 (10.8–11.9) |
711 |
5.3 (4.9–5.7) |
625 |
4.1 (3.7–4.4) |
28 |
0.2 (0.1–0.3) |
262 |
1.8 (1.6–2.1) |
| Louisiana |
1,363 |
9.3 (8.8–9.8) |
556 |
4.0 (3.7–4.3) |
590 |
3.8 (3.5–4.1) |
14 |
— |
203 |
1.4 (1.2–1.6) |
| Maine |
649 |
13.0 (12.0–14.1) |
206 |
5.2 (4.5–6.0) |
385 |
6.4 (5.8–7.1) |
— |
— |
52 |
1.2 (0.9–1.6) |
| Maryland |
1,454 |
7.2 (6.8–7.6) |
265 |
1.4 (1.3–1.6) |
1,038 |
5.0 (4.7–5.3) |
23 |
0.1 (0.1–0.2) |
128 |
0.6 (0.5–0.8) |
| Massachusetts |
1,870 |
7.5 (7.2–7.9) |
421 |
1.9 (1.7–2.1) |
1,270 |
4.8 (4.6–5.1) |
10 |
— |
169 |
0.7 (0.6–0.8) |
| Michigan |
2,806 |
8.0 (7.7–8.3) |
631 |
2.1 (1.9–2.2) |
1,529 |
4.1 (3.9–4.3) |
28 |
0.1 (0.1–0.1) |
618 |
1.8 (1.6–1.9) |
| Minnesota |
1,662 |
8.4 (8.0–8.9) |
234 |
1.4 (1.2–1.6) |
1,235 |
6.0 (5.7–6.3) |
11 |
— |
182 |
1.0 (0.8–1.1) |
| Mississippi |
1,150 |
12.2 (11.5–12.9) |
532 |
6.0 (5.5–6.5) |
464 |
4.5 (4.1–5.0) |
— |
— |
146 |
1.6 (1.3–1.9) |
| Missouri |
2,349 |
11.5 (11.0–12.0) |
1,009 |
5.4 (5.1–5.8) |
1,017 |
4.5 (4.2–4.7) |
32 |
0.2 (0.1–0.2) |
291 |
1.5 (1.3–1.6) |
| Montana |
454 |
12.8 (11.6–14.0) |
187 |
5.9 (5.0–6.7) |
199 |
5.0 (4.3–5.7) |
— |
— |
65 |
1.9 (1.4–2.4) |
| Nebraska |
865 |
13.6 (12.6–14.5) |
355 |
6.2 (5.5–6.8) |
385 |
5.4 (4.9–6.0) |
— |
— |
117 |
1.8 (1.5–2.2) |
| Nevada |
705 |
7.5 (7.0–8.1) |
147 |
1.6 (1.3–1.9) |
465 |
4.9 (4.5–5.4) |
— |
— |
89 |
0.9 (0.7–1.1) |
| New Hampshire |
462 |
9.5 (8.6–10.3) |
149 |
3.4 (2.8–4.0) |
262 |
5.0 (4.4–5.6) |
— |
— |
46 |
0.9 (0.7–1.2) |
| New Jersey |
1,786 |
5.8 (5.5–6.1) |
525 |
1.9 (1.8–2.1) |
993 |
3.0 (2.8–3.2) |
— |
— |
259 |
0.8 (0.7–0.9) |
| New Mexico |
752 |
10.9 (10.1–11.7) |
224 |
3.7 (3.2–4.2) |
429 |
5.7 (5.2–6.3) |
— |
— |
92 |
1.4 (1.1–1.6) |
| New York |
4,424 |
6.4 (6.2–6.6) |
1,239 |
2.0 (1.9–2.1) |
2,608 |
3.5 (3.4–3.7) |
50 |
0.1 (0.1–0.1) |
527 |
0.8 (0.7–0.9) |
| North Carolina |
3,480 |
10.5 (10.1–10.8) |
1,307 |
4.2 (4.0–4.5) |
1,705 |
4.8 (4.6–5.1) |
37 |
0.1 (0.1–0.1) |
431 |
1.3 (1.2–1.4) |
| North Dakota |
333 |
13.3 (11.8–14.8) |
162 |
6.9 (5.8–8.0) |
122 |
4.2 (3.4–4.9) |
— |
— |
44 |
2.0 (1.4–2.6) |
| Ohio |
4,394 |
11.0 (10.7–11.4) |
1,581 |
4.5 (4.3–4.7) |
2,236 |
5.1 (4.8–5.3) |
50 |
0.1 (0.1–0.2) |
527 |
1.4 (1.2–1.5) |
| Oklahoma |
1,344 |
10.4 (9.9–11.0) |
318 |
2.6 (2.3–2.9) |
842 |
6.3 (5.8–6.7) |
— |
— |
175 |
1.4 (1.2–1.7) |
| Oregon |
1,568 |
11.0 (10.5–11.6) |
564 |
4.4 (4.0–4.7) |
835 |
5.4 (5.1–5.8) |
28 |
0.2 (0.1–0.3) |
141 |
1.0 (0.8–1.2) |
| Pennsylvania |
4,290 |
9.0 (8.7–9.2) |
1,080 |
2.8 (2.6–2.9) |
2,701 |
5.0 (4.8–5.2) |
57 |
0.1 (0.1–0.2) |
452 |
1.0 (0.9–1.1) |
| Rhode Island |
313 |
7.7 (6.8–8.6) |
46 |
1.4 (1.0–1.8) |
236 |
5.4 (4.7–6.1) |
— |
— |
30 |
0.9 (0.5–1.2) |
| South Carolina |
2,434 |
15.2 (14.6–15.8) |
1,352 |
8.9 (8.5–9.4) |
820 |
4.7 (4.3–5.0) |
20 |
0.1 (0.1–0.2) |
242 |
1.5 (1.3–1.7) |
| South Dakota |
416 |
14.3 (12.9–15.7) |
139 |
5.3 (4.4–6.2) |
225 |
7.2 (6.2–8.1) |
— |
— |
47 |
1.7 (1.2–2.2) |
| Tennessee |
2,122 |
9.6 (9.2–10.0) |
623 |
3.1 (2.8–3.3) |
1,102 |
4.7 (4.4–5.0) |
28 |
0.1 (0.1–0.2) |
369 |
1.7 (1.5–1.8) |
| Texas |
6,306 |
7.7 (7.5–7.9) |
2,367 |
2.8 (2.7–2.9) |
3,096 |
3.9 (3.8–4.1) |
56 |
0.1 (0.0–0.1) |
787 |
0.9 (0.9–1.0) |
| Utah |
850 |
10.4 (9.6–11.1) |
346 |
3.8 (3.4–4.2) |
391 |
5.2 (4.7–5.7) |
— |
— |
104 |
1.2 (1.0–1.5) |
| Vermont |
339 |
15.2 (13.5–16.9) |
122 |
6.4 (5.2–7.6) |
180 |
7.2 (6.1–8.3) |
— |
— |
31 |
1.4 (0.9–1.9) |
| Virginia |
2,942 |
10.8 (10.4–11.2) |
1,283 |
4.9 (4.7–5.2) |
1,310 |
4.6 (4.4–4.9) |
42 |
0.2 (0.1–0.2) |
307 |
1.1 (1.0–1.2) |
| Washington |
2,603 |
10.9 (10.5–11.3) |
830 |
3.7 (3.4–3.9) |
1,446 |
5.9 (5.6–6.2) |
27 |
0.1 (0.1–0.2) |
300 |
1.2 (1.1–1.4) |
| West Virginia |
525 |
7.9 (7.2–8.7) |
139 |
2.5 (2.0–2.9) |
300 |
4.0 (3.6–4.5) |
15 |
— |
71 |
1.2 (0.9–1.5) |
| Wisconsin |
2,533 |
12.4 (11.9–12.9) |
726 |
4.0 (3.7–4.3) |
1,540 |
7.0 (6.6–7.3) |
30 |
0.1 (0.1–0.2) |
237 |
1.3 (1.1–1.4) |
| Wyoming | 299 | 16.1 (14.2–18.0) | 133 | 7.9 (6.5–9.2) | 131 | 6.5 (5.4–7.7) | — | — | 31 | 1.5 (1.0–2.1) |
Abbreviation: CI = confidence interval.
* Deaths with missing age were excluded.
† Per 100,000 population per year. Age-adjusted to the 2000 U.S. standard population. Adjustments made by 12 age groups: 0–4, 5–9, 10–14, 15–19, 20–24, 25–34, 35–44, 45–54, 55–64, 65–74, 74–84, and ≥85 years.
§ Record-Axis Condition codes were used (usually included both Part I and Part II of Entity-Axis Condition codes). Death estimates obtained from CDC’s National Vital Statistics System.
¶ Differences in any two rates were considered statistically significant if their confidence intervals were not overlapping.
** https://www2.census.gov/geo/pdfs/maps-data/maps/reference/us_regdiv.pdf
†† Excluded falls of undetermined intent.
§§ External cause of injury codes specify that the injury was unintentional but do not specify the actual mechanism of injury.
¶¶ Dashes indicate values suppressed for counts ≤10 and rates based on <20 count.