TY - JOUR PY - 2018// TI - The risk of traumatic brain injury occurring among patients with Parkinson'sdisease: a 14-year population-based study JO - World neurosurgery A1 - Eric Nyam, Tee-Tau A1 - Ho, Chung-Han A1 - Wang, Yu-Lin A1 - Lim, Sher-Wei A1 - Wang, Jhi-Joung A1 - Chio, Chung-Ching A1 - Kuo, Jinn-Rung A1 - Wang, Che-Chuan SP - e328 EP - e335 VL - 113 IS - N2 - BACKGROUND: Previous studies have implicated traumatic brain injury (TBI) as a risk factor for Parkinson's 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. MATERIAL AND METHODS: The study selected 6,076 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 (HR) 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=.0007). Patients with PD had a higher risk ofTBI (HR =1.63; 95% confidence interval [CI], 1.32-2.01) compared to the general population.Patients with PD with TBI incidence had a higher Charlson'scomorbidity index score than the general population with TBI outcome (p<.0001). Fall is the major cause of TBI in patients with PD.

CONCLUSIONS: This study demonstrated that patients with PDhave a highrisk of TBI, andthe major cause of TBI in patients with PD is fall.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 1878-8750 UR - http://dx.doi.org/10.1016/j.wneu.2018.02.027 ID - ref1 ER -