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

Aged Brain Injuries, Traumatic / diagnosis Female Finland / epidemiology Hospitalization Humans Incidence Length of Stay Male
brain geriatric incidence injury older people traumatic

Journal

Age and ageing
ISSN: 1468-2834
Titre abrégé: Age Ageing
Pays: England
ID NLM: 0375655

Informations de publication

Date de publication:
24 08 2020
Historique:
received: 09 10 2019
pubmed: 7 3 2020
medline: 29 7 2021
entrez: 6 3 2020
Statut: ppublish

Résumé

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. 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. 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). 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.

Sections du résumé

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.

Identifiants

DOI: 10.1093/ageing/afaa037 PMID: 32134443
pubmed: 32134443
pii: 5770854
doi: 10.1093/ageing/afaa037
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

779-785

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Auteurs

Jussi P Posti (JP)

Division of Clinical Neurosciences, Department of Neurosurgery, Turku University Hospital, Turku, Finland.
Turku Brain Injury Centre, Turku University Hospital, Turku, Finland.
Department of Clinical Neurosciences, University of Turku, Finland.

Jussi O T Sipilä (JOT)

Department of Clinical Neurosciences, University of Turku, Finland.
Division of Clinical Neurosciences, Department of Neurology, Turku University Hospital, Turku, Finland.
Department of Neurology, Siun sote, North Karelia Central Hospital, Joensuu, Finland.

Teemu M Luoto (TM)

Department of Neurosurgery, Tampere University Hospital, Tampere University, Tampere, Finland.

Päivi Rautava (P)

Clinical Research Center, Turku University Hospital, Turku, Finland.
Department of Public Health, University of Turku, Turku, Finland.

Ville Kytö (V)

Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.
Heart Centre, Turku University Hospital, University of Turku, Turku, Finland.
Center for Population Health Research, Turku University Hospital, University of Turku, Turku, Finland.
Administative Center, Hospital District of Southwest Finland, Turku, Finland.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › A decade of geriatric traumatic brain injuries...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Lésions traumatiques de l'encéphale › A decade of geriatric traumatic brain injuries...
questionsmedicales.fr › Régions géographiques › Europe › Pays nordiques et scandinaves › Finlande › A decade of geriatric traumatic brain injuries...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Hospitalisation › A decade of geriatric traumatic brain injuries...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A decade of geriatric traumatic brain injuries...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Incidence › A decade of geriatric traumatic brain injuries...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Hospitalisation › Durée du séjour › A decade of geriatric traumatic brain injuries...