Abstract
Background: Traumatic brain injury (TBI) is the leading cause of mortality and invalidity worldwide.
Objective: To explore whether traumatic brain injury may be a risk factor for subsequent stroke and to evaluate the role of other risk factors correlated with TBI and stroke.
Methods: We analysed 643 patients presented in the emergency department of Trauma UHC, from 1stof June 2011 - 1st of December 2011. We evaluated the following factors: age, gender, and severity of head trauma, type of head trauma, systemic hypertension, atrial fibrillation, and diabetes mellitus.
Results: During 1-year of follow upperiod 32 (4.97%) strokes occurred in TBI patients. The evaluation was done in correlation with the other risk factors taken into account in the study.
Conclusions: The role of TBI is underestimated in the evaluation of stroke. This study demonstrated that during the first year after TBI, 13.53 % of patients experienced stroke. After careful statistical cor-relations with the selected co-morbidities, we found that the diagnosis of stroke was strongly related with TBI.
References
Rutland-BrownW, LangloisJA, Thomas KE, XiYL. Incidence of traumatic brain injury in the United States, 2003.J Head Trauma Rehabil 2006; 21: 544.
TagliaferriF, CompagnoneC, KorsicM, etal. A sys-tematic review of brain injury epidemiology in Europe. Acta Neurochir (Wien) 2006;148:255.
HillierSL, HillerJE, Metzer J.Epidemiology of traumatic brain injury in South Australia. Brain-Inj1997; 11: 649.
LangloisJA, Keyl PM, Guralnik JM, et al. Characteristics of older pedestrians who have difficulty crossing the street. Am JPublic Health1997; 87: 393.
KrausJF, Mc Arthur DL. Epidemiologic aspects of brain injury. NeurolClin1996; 14: 435.
IlieG, BoakA, AdlafEM, etal. Prevalence and correlates of traumatic brain injuries among adolescents. JAMA 2013; 309: 2550.
Vital M, Traumatic brain injury. Hope through research: National Institute of Neurological Disorders and Stroke. NIH Publication No 02-158.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.