Population based study on patients with traumatic brain injury suggests increased risk of dementia

Hao Kuang Wang, Sheng Hsiang Lin, Pi Shan Sung, Ming Hsiu Wu, Kuo Wei Hung, Liang Chao Wang, Chih Yuan Huang, Kang Lu, Han Jung Chen, Kuen Jer Tsai

研究成果: Article

85 引文 斯高帕斯(Scopus)

摘要

Objective: The relationship between traumatic brain injury (TBI) and the risk of dementia remains controversial. This population based study was designed to estimate and compare the risk of dementia in TBI and non-TBI individuals during the 5 year period after TBI. Methods: This study was a retrospective cohort study. Data were obtained from the Longitudinal Health Insurance Database 2000. We included 44 925 patients receiving ambulatory or hospital care and 224 625 non-TBI patients; patients were matched for sex, age and year of index use of healthcare. Patients <15 years of age and those admitted to the intensive care unit were excluded. Each individual was studied for 5 years to identify the subsequent development of dementia. Data were analysed by Cox proportional hazard regression. Results: During the 5 year follow-up period, 1196 TBI (2.66%) and 224 625 non-TBI patients (1.53%) patients developed dementia. During the 5 year follow-up period, TBI was independently associated with a 1.68 (range 1.57-1.80) times greater risk of dementia after adjusting for sociodemographic characteristics and selected comorbidities. Conclusions: The findings of this study suggest an increased risk of dementia among individuals with TBI. We suggest the need for more intensive medical monitoring and health education in individuals with TBI.

原文English
頁(從 - 到)1080-1085
頁數6
期刊Journal of Neurology, Neurosurgery and Psychiatry
83
發行號11
DOIs
出版狀態Published - 2012 十一月

    指紋

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology
  • Psychiatry and Mental health

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