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

• Published in: Age and ageing Vol. 49; no. 5; pp. 779 - 785
• Main Authors: Posti, Jussi P, Sipilä, Jussi O T, Luoto, Teemu M, Rautava, Päivi, Kytö, Ville
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 24.08.2020; Oxford Publishing Limited (England)
• Subjects: Geriatrics; Hospitalization; Medical diagnosis; Mortality; Neurosurgery; Physical trauma; Traumatic brain injury; Trends; Finland; traumatic; older people; geriatric; injury; brain; incidence
• ISSN: 0002-0729; 1468-2834
• DOI: 10.1093/ageing/afaa037

Abstract 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.