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The Risk of Traumatic Brain Injury Occurring Among Patients with Parkinson Disease: A 14-Year Population-Based Study.

Abstract：

BACKGROUND:Previous studies have implicated traumatic brain injury (TBI) as a risk factor for Parkinson disease (PD). However, the incidence risk of new-onset TBI among patients with PD is not well established. This study investigated the contribution of PD to new-onset TBI associations. METHODS:The study selected 6076 patients with PD and using 1:2 propensity score matching 12,152 general population cohorts in a longitudinal population database in Taiwan. The Cox proportional hazard regression model was used to estimate the hazard ratio of TBI adjusted with the potential confounding factors. RESULTS:The incidence of TBI in patients with PD (2.57%) and compared cohorts (1.81%) was significantly different (P = 0.0007). Patients with PD had a higher risk of TBI (hazard ratio, 1.63; 95% confidence interval, 1.32-2.01) compared with the general population. Patients with PD with TBI incidence had a higher Charlson Comorbidity Index than did the general population with TBI (P < 0.0001). Fall is the major cause of TBI in patients with PD. CONCLUSIONS:This study shows that patients with PD have a high risk of TBI, and the major cause of TBI in patients with PD is fall.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Eric Nyam TT,Ho CH,Wang YL,Lim SW,Wang JJ,Chio CC,Kuo JR,Wang CC

doi

10.1016/j.wneu.2018.02.027

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

e328-e335

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)30297-3

journal_volume

113

pub_type

杂志文章

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