A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

A decade of geriatric traumatic brain injuries in Finland: population-based trends




TekijätJussi P. Posti, Jussi O.T. Sipilä, Teemu M. Luoto, Päivi Rautava, Ville Kytö

KustantajaOXFORD UNIV PRESS

Julkaisuvuosi2020

JournalAge and Ageing

Tietokannassa oleva lehden nimiAGE AND AGEING

Lehden akronyymiAGE AGEING

Vuosikerta49

Numero5

Aloitussivu779

Lopetussivu785

Sivujen määrä7

ISSN0002-0729

eISSN1468-2834

DOIhttps://doi.org/10.1093/ageing/afaa037

Verkko-osoitehttps://academic.oup.com/ageing/article/49/5/779/5770854


Tiivistelmä
Background: we investigated trends of traumatic brain injury (TBI)-related hospitalisations, deaths, acute neurosurgical operations (ANO), and lengths of hospital stay (LOS) in patients aged >= 70 years in Finland using a population-based cohort.Methods: nationwide databases were searched for all admissions with a TBI diagnosis as well as later deaths for persons >= 70 years of age during 2004-2014.Results: the study period included 20,259 TBI-related hospitalisations (mean age = 80.7 years, men = 48.9%). The incidence of TBI-related hospitalisations was 283/100,000 person-years with an estimated overall annual increase of 2.9% (95% CI: 0.4-5.9%). There was an annual decrease of 2.2% in in-hospital mortality (IHM) in men (95% CI: 0.1-4.3%), with no change in women or overall. There was an annual decrease of 1.1% in odds for ANOs among hospitalised overall (95% CI: 0.1-2.1%) and of 1.4% in men (95% CI: 0.0-2.7%), while no change was observed in women. LOS decreased annually by 2.5% (95% CI: 2.1-2.9%). The incidence of TBI-related deaths was 70/100,000 person-years with an estimated annual increase of 1.6% in women (95% CI: 0.2-2.9%), but no change in men or overall. Mean ages of TBI-related admissions and deaths increased (P<0.001).Interpretation: the incidence rate of geriatric TBI-related hospitalisations increased, especially in women, but LOS and the rate of ANOs among hospitalised decreased. The overall TBI-related mortality remained stable, and IHM decreased in men, while in women, the overall mortality increased and IHM remained stable. However, the overall incidence rates of TBI-related hospitalisations and deaths and the number of cases of IHM were still higher in men.



Last updated on 2024-26-11 at 21:16