A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №3, 2026

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A.I. Burnasyan  FMBC clinical bulletin. 2026 № 3

E.I. Balakin, M.N. Ziyadinov, E.V. Samodumova, V.I. Pustovoit

Epidemiology of Traumatic Brain Injury in the Russian Federation

International Office, State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russiа

Contact person: Pustovoyt Vasilii Igorevicha: vipust@yandex.ru

 

Abstract
Objective: to present information on the epidemiology of traumatic brain injury in the Russian Federation based on a summarization and analysis of published studies.

Materials and methods: a narrative review with elements of a systematic literature search was conducted in PubMed/MEDLINE, Web of Science, Scopus and eLIBRARY. The study materials include original studies, reviews, and meta-analyses containing data on the global and regional epidemiology of traumatic brain injury in the Russian Federation, clinical guidelines, WHO documents, national standards, and data from the Federal State Statistics Service.

Results: according to global studies, the age-standardized incidence of TBI is approximately 340 – 350 cases per 100,000 population per year; the leading causes of falls and road traffic accidents, with the primary risk groups being young and elderly men. In Russia, the incidence is estimated at 400 – 450 cases per 100,000 population (up to 600,000 cases per year), with regional rates ranging from approximately 115 to approximately 1817 cases per 100,000 population. The structure of causes is characterized by a high proportion of domestic and criminal injuries (up to 60-70%). The contribution of TBI to traumatic mortality and primary disability reaches 20 – 25% and 15 – 20%, respectively.

Conclusion: the Russian Federation is considered a country with a high burden of TBI, which justifies the need to strengthen injury prevention, improve epidemiological surveillance, and develop systems for early diagnosis of brain injury and patient referral.

Keywords: traumatic brain injury; epidemiology; mortality; disability; risk factors

For citation: Balakin EI, Ziyadinov MN, Samodumova EV, Pustovoit VI. Epidemiology of Traumatic Brain Injury in the Russian Federation. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2026.3:92-101. (In Russian) DOI: 10.33266/2782-6430-2026-3-92-101

 

REFERENCES

  1. Ochagovaya Travma Golovnogo Mozga = Focal Brain Injury. Clinical Guidelines of the Russian Federation 2025. Neurosurgery. Approved by the Scientific and Practical Council of the Ministry of Health of the Russian Federation. Moscow, Assotsiatsiya Neyrokhirurgov Rossii Publ., 2025. 78 p. (In Russ.).
  2. Ye Z., Li Zhi, Zhong Shiyu, et al. The Recent Two Decades of Traumatic Brain Injury: a Bibliometric Analysis and Systematic Review. Int. J. Surg. London. 2024;110;6:3745–3759.
  3. National Academies of Sciences E. The Scope and Burden of Traumatic Brain Injury. Traumatic Brain Injury: a Roadmap for Accelerating Progress. Washington, National Academies Press (US), 2022. 244 p.
  4. Zaborova V. A., Budanova E.V., Tinyatov E.A., et al. Consequences of Closed Head Injury: a Systematic Review. Eur. Phys. J. Spec. Top. 2026. Doi: 10.1140/epjs/s11734-026-02289-9.
  5. Wang Y., et al. Global, Regional, and National Burdens of Traumatic Brain Injury, Spinal Cord Injury, and Skull Fracture and their Attributable Risk Factors from 1990 to 2021: a Systematic Analysis of the Global Burden of Disease Study 2021. Front. Public Health. 2025;13:1622693.
  6. Zhong H. Yiping Feng. Global Burden of Traumatic Brain Injury in 204 Countries and Territories From 1990 to 2021. Am. J. Prev. Med. 2025;68;4:754–763.
  7. Kraus J.F., McArthur D.L. Epidemiologic Aspects of Brain Injury. Scilit. 1996;14:435–450.
  8. Brazinova A., Rehorcikova V., Taylor M.S, et al. Epidemiology of Traumatic Brain Injury in Europe: a Living Systematic Review. J. Neurotrauma. 2021;38;10:1411–1440.
  9. Sabirov D.M., Rosstal’naya A.L., Makhmudov M.A. Epidemiological Features of Traumatic Brain Injury. Vestnik Ekstrennoy Meditsiny = Bulletin of Emergency Medicine. 2019;12;2:61–66 (In Russ.).
  10. Dewan Mc., Rattani A., Gupta S., et al. Estimating the Global Incidence of Traumatic Brain Injury. J. Neurosurg. 2018;30;4:1080-1097
  11. Iderdar Y., Elmadani S., Noureddine E. Characterizing the Progress in Traumatic Brain Injuries Research in North Africa: a Systematic Review. Pan Afr. Med. J. 2023;46:99.
  12. Wu L., Li Yunfei, Sun Meng, et al. Global, Regional, and National Burdens of Mild Traumatic Brain Injuries from 1990 to 2019: Findings from the Global Burden of Disease Study 2019 – a Cross-Sectional Study. Int. J. Surg. Lond. Engl. 2024;111;1:160.
  13. Dewan Mc., Mummareddy N., et al. Epidemiology of Global Pediatric Traumatic Brain Injury: Qualitative Review. World Neurosurg. 2016;91:497-509. Doi: 10.1016/j.wneu.2016.03.045.
  14. Li Y., Chen Fuqin, Zhang Junran, et al. Epidemiological Characteristics of Chinese Pediatric Traumatic Brain Injury Inpatients. Brain Inj. 2017;31:1–8.
  15. Ovsyannikov D.M., Chekhonatskiy A.A., Kolesov V.N., Bubashvili A.I. Social and Epidemiological Aspects of Traumatic Brain Injury (Review). Saratovskiy Nauchno-Meditsinskiy Zhurnal = Saratov Journal of Medical Scientific Research. 2012;8;3:777–785 (In Russ.).
  16. Yefremov V.V., et al. The Structure of Traumatic Brain Injury and the Availability of Specialized Neurological Care for Neurotrauma in Rostov-on-Don during the Novel Coronavirus Infection SARS-CoV-2. Yuzhno-Rossiyskiy Zhurnal Terapevticheskoy Praktiki = South Russian Journal of Therapeutic Practice. 2024;5;2:91–97 (In Russ.).
  17. Borisov I.V., Bondar’ V.A., Kanarskiy M.M., et al. Disability Due to Traumatic Brain Injury in Russia: Relevance and Forecasts. Mediko-Sotsial’naya Ekspertiza i Reabilitatsiya = Medical and Social Expert Evaluation and Rehabilitation. 2020;23;2:33 (In Russ.).
  18. Sominov A.B., et al. Prevalence and Structure of Traumatic Brain Injury in Some Constituent Entities of the Russian Federation. Ural’skiy Meditsinskiy Zhurnal = Ural Medical Journal. 2020;10;193:156-159 (In Russ.).
  19. Unzhakov V.V. Epidemiology of Traumatic Brain Injury. Zdravookhraneniye Dal’nego Vostoka = Public Health of the Far East. 2021;3:65-67 (In Russ.).
  20. Gizatullin Sh.Kh., Stanishevskiy A.V., Svistov D.V. Combat Gunshot Wounds to the Skull and Brain. Voprosy Neyrokhirurgii im. N.N.Burdenko = Burdenko’s Journal of Neurosurgery. 2021;85;5:124-131(In Russ.). Doi: 10.17116/neiro202185051124.
  21. Kardash A.M., Listratenko A.I., Kardash K.A. Combat Trauma of the Skull and Brain during Military Operations in a Megalopolis. Mezhdunarodnyy Nauchno-Issledovatel’skiy Zhurnal = International Research Journal. 2015;10;4:58-60 (In Russ.).
  22. Fedorkovskiy S.A., Mironenko T.V., Manatskova M.Yu. Clinical Features of Mine-Blast Trauma with Brain Damage. Aktual’nyye Voprosy Morfologii i Prakticheskoy Meditsiny = Actual issues of morphology and practical medicine. Proceedings of a Conference with International Participation. Lugansk, May 21-22, 2015. Lugansk, Luganskiy Gosudarstvennyy Meditsinskiy Universitet Publ., 2015. 264-267 (In Russ.).
  23. Popov V.Ye., Livshits M.I., Manzhos P.I., Mai R.B., Vasin R.A. Features of Gunshot Traumatic Brain Wounds in Children during Peacetime. Detskaya Khirurgiya = Russian Journal of Pediatric Surgery. 2018;22;1:42–47 (In Russ.). Doi: 10.18821/1560-9510-2018-22-1-42-47.
  24. Porodenko V.A., et al. Analysis of Cases of Concussion in Transport Injuries in the City of Krasnodar in 2016. Kubanskiy Nauchnyy Meditsinskiy Vestnik = Kuban Scientific Medical Bulletin. 2018;25;3:107–112 (In Russ.).
  25. Potapov A.A., et al. Modern Approaches to the Study and Treatment of Traumatic Brain Injury. Annaly Klinicheskoy i Eksperimental’noy Nevrologii = Annals of Clinical and Experimental Neurology. 2010;1:4-12 (In Russ.).
  26. Solov’yova Yu.A., Shurygin A.A. Epidemiology of Traumatic Brain Injury among the Adult Population of the Chelyabinsk Region. Sovremennyye Problemy Zdravookhraneniya i Meditsinskoy Statistiki = Current Problems of Health Care and Medical Statistics. 2023;1:697–714 (In Russ.).
  27. Sominov A.B., Lebedev I.A., Vorob’yov D.P., Gaibov S.S–KH., Zakharchuk Ye.V., Nesterova O.A., Dubrovina O.A. Prevalence and Structure of Traumatic Brain Injury among the Adult Population of Tyumen for the Period 2016–2020. Rossiyskiy Neyrokhirurgicheskiy Zhurnal im. Prof. A.L.Polenova = Russian Neurosurgical Journal named after Professor A.L.Polenov. 2022;14;3:97-102 (In Russ.). Doi 10.56618/20712693_2022_14_3_97.
  28. Nevrologiya = Neurology. National Guidelines. Ed. Ye.I.Guseva, A.N.Konovalova, A.B.Gekht. Moscow, GEOTAR-Media Publ., 2018. 688 p. (In Russ.). ISBN 978-5-9704-4405-4.
  29. Capizzi A., Woo J., Verduzco-Gutierrez M. Traumatic Brain Injury: an Overview of Epidemiology, Pathophysiology, and Medical Management. Med Clin North Am. 2020 Mar;104;2:213-238. Doi: 10.1016/j.mcna.2019.11.001. PMID: 32035565.
  30. James S.L. Global, Regional, and National Burden of Traumatic Brain Injury and Spinal Cord Injury, 1990–2016: a Systematic Analysis for the Global Burden of Disease Study 2016. Lancet Neurol. Elsevier. 2019;18;1:56–87.
  31. Likhterman L.B., Potapov A.A., Klevno V.A., Kravchuk A.D., Okhlopkov V.A. Consequences of Traumatic Brain Injury. Sudebnaya Meditsina = Russian Journal of Forensic Medicine. 2016;2;4:4-20 (In Russ.).
  32. Solov’yeva E.Yu., Karneyev A.N., Amelina I.P. Treatment of Patients with Consequences of Traumatic Brain Injury. Zhurnal Nevrologii i Psikhiatrii im. S.S.Korsakova = S.S.Korsakov Journal of Neurology and Psychiatry. 2023;123;3:26-33 (In Russ.).
  33. Triebel K.L., Martin R.C., Novack T.A., Dreer L.E., Turner C., Kennedy R., Marson D.C. Recovery over 6 Months of Medical Decision-Making Capacity after Traumatic Brain Injury. Arch Phys Med Rehabil. 2014 Dec;95;12:2296-303. Doi: 10.1016/j.apmr.2014.07.413. Epub 2014 Aug 22. PMID: 25152169; PMCID: PMC4652592.
  34. Newell K., Parrish J., McLaughlin J. Traumatic Brain Injury, Alaska, 2016-2021. Public Health Rep. 2025;140;2–3:255–264.
  35. Akhanov G.Zh., et al. Clinical and Epidemiological Aspects of Traumatic Brain Injury. Vestnik Kazakhskogo Natsional’nogo Meditsinskogo Universiteta = Bulletin of the Kazakh National Medical University. 2018;3:113-116 (In Russ.).
  36. Deyev I.A., Kobyakova O.S., Starodubov V.I., Aleksandrova G.A., Golubev N.A., Os’kov Yu.I., Polikarpov A.V., Shelepova Ye.A. Zabolevayemost’ vsego Naseleniya Rossii v 2023 Godu = Morbidity of the Entire Population of Russia in 2023. Statistical Materials. Moscow, Tsentral’nyy Nauchno-Issledovatel’skiy Institut Organizatsii i Informatizatsii Zdravookhraneniya Publ., 2024. 154 p. (In Russ.).
  37. Lieutaud T., Gadegbeku B., Ndiaye A., et al. The Decrease in Traumatic Brain Injury Epidemics Deriving from Road Traffic Collision Following Strengthened Legislative Measures in France. PloS One. 2016;11;11:e0167082.
  38. Peeters W., van den Brandeet R., Polinder S., et al. Epidemiology of Traumatic Brain Injury in Europe. Acta Neurochir. 2015;157;10:1683–1696.
  39. Baldwin G.T., Breiding M.J., Dawn Comstock R. Epidemiology of Sports Concussion in the United States. Handb. Clin. Neurol. 2018;158:63–74.
  40. Peters M.E. Traumatic Brain Injury (TBI) in Older Adults: Aging with a TBI Versus Incident TBI in the Aged. Int. Psychogeriatr. 2016;28;12:1931–1934.
  41. Koskinen S., Alaranta H. Traumatic Brain Injury in Finland 1991-2005: a Nationwide Register Study of Hospitalized and Fatal TBI. Brain Inj. 2008 Mar;22;3:205-14. Doi: 10.1080/02699050801938975. PMID: 18297592.
  42. Park E.S., Yang H.-J., Park J.B. Pediatric Traumatic Brain Injury: The Epidemiology in Korea. J. Korean Neurosurg. Soc. 2022;65;3:334–341.
  43. Greben’kov A.B. Sudebno-Meditsinskaya Ekspertiza Cherepno-Mozgovoy Travmy = Forensic Medical Examination of Traumatic Brain Injury. Reference and Information Materials. Kursk, Byuro Sudebno-Meditsinskoy Ekspertizy Publ., 2014. 73 p. (In Russ.).
  44. Bublik L.A., Klimovitskiy V.G. Neurotraumatism of the Adult Population of Donetsk. Clinical and Epidemiological Study of Traumatic Brain Injury and Complicated Spinal Injuries. Ukrainskiy Neyrokhirurgicheskiy Zhurnal = Ukrainian Neurosurgical Journal. 2001;1:70-72 (In Russ.).
  45. Maleki M.S., Mazaheri S.A., Hosseini S.H., Majdabadi H.A., Poursadeqiyan M., Faghihi A., Naderi Z., Bardsiri T.I., Khedri B., Amanat N., Khajehnasiri F., Ivanbagha R. Epidemiology of Traumatic Brain Injury in Iran: a Systematic Review and Meta-Analysis. Iran J Public Health. 2023 Sep;52;9:1818-1831. Doi: 10.18502/ijph.v52i9.13565. PMID: 38033848; PMCID: PMC10682591.
  46. Butkova T.V., Malsagova K.A., Nakhod V.I., et al. Candidate Molecular Biomarkers of Traumatic Brain Injury: a Systematic Review. Biomolecules. 2024;14;10:1283.
  47. Mizobuchi Y., Nagahiro S. A Review of Sport-Related Head Injuries. Korean J. Neurotrauma. 2016;12;1:1–5.
  48. Harmon K.G., Drezner J.A., Gammons M., Guskiewicz K.M., Halstead M., Herring S.A., Kutcher J.S., Pana A., Putukian M., Roberts W.O. American Medical Society for Sports Medicine Position Statement: Concussion in Sport. Br J Sports Med. 2013 Jan;47;1:15-26. Doi: 10.1136/bjsports-2012-091941. Erratum in: Br J Sports Med. 2013 Feb;47(3):184. PMID: 23243113.
  49. Hobbs J.G., Young J.S., Bailes J.E. Sports-Related Concussions: Diagnosis, Complications, and Current Management Strategies. Neurosurg Focus. 2016 Apr;40;4:E5. Doi: 10.3171/2016.1.FOCUS15617. PMID: 27032922.
  50. Theadom A., Mahon S., Hume P., Starkey N., Barker-Collo S., Jones K., Majdan M., Feigin V.L. Incidence of Sports-Related Traumatic Brain Injury of All Severities: a Systematic Review. Neuroepidemiology. 2020;54;2:192-199. Doi: 10.1159/000505424. Epub 2020 Jan 14. PMID: 31935738.
  51. Savel’yeva I.Ye. Follow-Up Study of Military Personnel and Athletes with TBI. Mezhdunarodnyy Zhurnal Prikladnykh i Fundamental’nykh Issledovaniy = International Journal of Applied and Fundamental Research. 2013;8-3:87-87 (In Russ.). URL: https://applied-research.ru/ru/article/view?id=3890.
  52. Gasanov R.I. Biomarkers of Sports Traumatic Brain Injuries. Molodoy Uchenyy = Young Scientist. 2024;6:71-74 (In Russ.). URL: https://moluch.ru/archive/505/111249.
  53. Travmy Cherepno-Mozgovyye = Traumatic Brain Injuries. Moscow, Pirogov Center Publ. (In Russ.). URL: https://www.pirogov-center.ru/specialist/diseases/detail.php?ID=561 (Date of Accessed: 22.04.2026).
  54. Rivera-Lara L., Videtta W., Calvillo E., et al. Reducing the Incidence and Mortality of Traumatic Brain Injury in Latin America. Eur. J. Trauma Emerg. Surg. Off. Publ. Eur. Trauma Soc. 2023;49;6:2381-2388. Doi: 10.1007/s00068-022-02214-4.
  55. Peterson A.B., Zhou H., Thomas K.E. Disparities in Traumatic Brain Injury-Related Deaths-United States, 2020. J. Safety Res. 2022;83:419–426. Doi: 10.1016/j.jsr.2022.10.001.
  56. Iaccarino C., Carretta A., Nicolosi F., Morselli C. Epidemiology of Severe Traumatic Brain Injury. J. Neurosurg. Sci. 2018;62;5:535–541.
  57. Liu Y, Yao X, Qian J. Thirty Years of Research on Traumatic Brain Injury Rehabilitation: a Bibliometric Study. Front. Neurol. 2023;14:1170731. Doi: 10.3389/fneur.2023.1170731.
  58. Hu J., Zhu R., Zhang Xin, et al. Bibliometric Analysis of Cognitive Dysfunction after Traumatic Brain Injury. Front. Neurosci. 2025;19:1534735. Doi: 10.3389/fnins.2025.1534735.
  59. Yan J., Wang C., Sun B. Global, Regional, and National Burdens of Traumatic Brain Injury from 1990 to 2021. Front. Public Health. Frontiers. 2025;13:1556147. Doi: 10.3389/fpubh.2025.1556147.

Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship. 
Contribution. Article was prepared with equal participation of the authors.
Article received: 23.05.2026. Accepted for publication: 15.06.20226

© 2026 Scientific journal - "Clinical Bulletin of the FMBС im. A.I. Burnasyan"
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