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Incidence of head injury and traumatic brain injury among people with Alzheimer’s disease

Bibliographic Data

ID11172185
AuthorsSarianna Ilmaniemi (0000-0002-0211-4816, University of Eastern Finland, corresponding author), Heidi Taipale (0000-0002-3281-934X, University of Eastern Finland), Antti Tanskanen (0000-0002-3795-3126, Karolinska Institutet), Jari Tiihonen (0000-0002-0400-6798, Karolinska Institutet), Sirpa Hartikainen (0000-0002-4714-455X, University of Eastern Finland), Anna-Maija Tolppanen (0000-0001-9270-9268, University of Eastern Finland)
Year2019
Volume73
Issue5
Pages451-454
Publication date2019-05-01
Open AccessNo
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech-2018-211960
PMID30782855
OpenAlexW2916770626
LanguageEN
References cited20

BACKGROUND: Injuries caused by falling are a major health concern among older population. For older people, falls are the leading cause of head injuries; especially, persons with cognitive disorders have an increased risk of falling. OBJECTIVE: To compare the incidence of head injury and traumatic brain injury (TBI) among persons with Alzheimer's disease (AD) with persons without AD. METHODS: This register-based study was conducted on a nationwide cohort, which includes all community-dwelling persons diagnosed with AD in Finland in 2005-2011. Persons with previous head injuries were excluded, leaving 67 172 persons with AD. For each person with AD, a matching person without AD and previous head injury were identified with respect to age, sex and university hospital district. The Cox proportional hazard model and competing risk analyses were used to estimate HR for head injury and TBI. RESULTS: Persons with AD had 1.34-fold (95% CI 1.29 to 1.40) risk of head injuries and 1.49-fold (95% CI 1.40 to 1.59) risk of TBIs after accounting for competing risks of death and full adjustment by socioeconomic status, drug use and comorbidities. CONCLUSION: Persons with AD are more likely to have a head injury or TBI incident than persons without AD

Cohort · Cohort study · Confidence interval · Disease · Environmental health · Falling (accident) · Hazard ratio · Head injury · Head trauma · Incidence (geometry) · Injury prevention · Occupational safety and health · Pathology · Poison control · Population · Psychiatry · Traumatic brain injury · Balance, Gait, and Falls Prevention · Emergency Medicine · Internal Medicine · Medicine · Surgery · Traumatic Brain Injury and Neurovascular Disturbances · Traumatic Brain Injury Research · Pediatrics

  • A Proportional Hazards Model for the Subdistribution of a Competing Risk

    Jason P Fine, Robert J Gray et al.•Journal of the American…•1999

Highly citedNo

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