Research Reports - Ten-year mortality after severe traumatic brain injury

Brain Inj. 2014 Sep 10:1-7

Ulfarsson T(1), Lundgren-Nilsson A, Blomstrand C, Jakobsson KE, Odén A, Nilsson M, Rosén T

Abstract Primary objective: Life expectancy may be substantially reduced for many
years after severe traumatic brain injury (TBI). This study investigated the
patterns of the short- and long-term all-cause mortality and the rates of primary
causes of death in patients with severe TBI. Subjects: This study was of 166
consecutive patients (6-82 years) with severe TBI admitted to Sahlgrenska
University Hospital, Gothenburg, Sweden, from 1999-2002. The control group
consisted of 809 subjects from the community, matched to the TBI cohort for age,
gender and postcode area at the time of the injury. Methods: Survival outcome and
cause of death were ascertained 10 years after the injury from the Swedish
National Board of Health and Welfare register. The cumulative death rates and
causes of death in cases and controls were compared. Results: The risk of death
was increased for at least 10 years after severe TBI. The distribution of the
causes of deaths differed between cases and controls in the first year of
follow-up, but not between 1-year survivors and controls. Conclusion: Further
research will be required to determine how to improve treatment so as to lower
late mortality among survivors of severe TBI.

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