Clinical estimation tool Australian Life Tables 2020–22 Auditable

Life expectancy after traumatic brain injury.

Estimates life expectancy following TBI by applying an assessor-determined mortality adjustment to the Australian general-population life table. Every input is visible and editable, so the estimate can be reproduced and defended.

Inputs

Enter the assessee's details and the mortality adjustment from your chosen evidence source.

Multiplier applied to age-specific mortality. 1.0 = general population. Draw the value for the assessee's disability severity from your cited source.

Estimate

For a 35-year-old male, SMR 2.0.

years
Estimated TBI-adjusted life expectancy
General-population life expectancy
Projected age at death (baseline)
TBI-adjusted life expectancy
Projected age at death (adjusted)
Estimated reduction

Survival curve

General population TBI-adjusted

Method & sources

Auditable by design, so every figure can be traced and justified.

The general-population baseline is the Australian Life Tables 2020–22 (single-year age-specific mortality rates and life expectancies, males and females), published by the Australian Bureau of Statistics and held within the tool.

The traumatic brain injury adjustment is not pre-set: the assessor supplies a standardised mortality ratio (or a direct percentage reduction) appropriate to the individual's age, sex and severity of disability, drawn from the peer-reviewed literature. In SMR mode the multiplier is applied to each age-specific mortality rate from the current age onward, the survival curve is rebuilt, and life expectancy is recomputed. In percentage mode the tool applies the stated reduction and back-solves the equivalent multiplier so the curve stays meaningful.

Long-term survival after TBI is understood to depend mainly on age, sex and severity of disability. This tool performs the arithmetic — the clinical judgement about which value to apply, and its justification, remains the assessor's.

This tool provides an estimate to support, not replace, expert clinical judgement. The output depends entirely on the parameters entered and the appropriateness of the chosen mortality adjustment. It is general information, not medical or legal advice, and should not be relied upon in isolation.

Key references

  • Brooks JC, Shavelle RM, Strauss DJ, Hammond FM, Harrison-Felix CL. Long-term survival after traumatic brain injury, Part II: life expectancy. Arch Phys Med Rehabil 2015;96:1000–1005.
  • Brooks JC, et al. Life expectancy of 1-year survivors of traumatic brain injury, 1988–2019: updated results from the TBI Model Systems. Arch Phys Med Rehabil 2022;103:176–179.
  • Baguley IJ, Nott MT, Howle AA, et al. Late mortality after severe traumatic brain injury in New South Wales: a multicentre study. Med J Aust 2012;196:40–45.
  • Australian Bureau of Statistics. Life Tables, 2020–22 (Table 1.9). © Commonwealth of Australia.