TY - JOUR PY - 2021// TI - Epidemiology of chronic effects of traumatic brain injury JO - Journal of neurotrauma A1 - Haarbauer-Krupa, Juliet A1 - Pugh, Mary Jo A1 - Prager, Eric M. A1 - Harmon, Nicole A1 - Wolfe, Jessica A1 - Yaffe, Kristine C. SP - ePub EP - ePub VL - ePub IS - ePub N2 - Although many patients diagnosed with traumatic brain injury (TBI), particularly mild TBI, recover from their symptoms within a few weeks, a small but meaningful subset experience symptoms that persist for months or years after injury and significantly impact quality of life for the individual and their family. The factors associated with an increased likelihood of negative TBI outcomes include not only characteristics of the injury and injury mechanism, but also the individual's age, pre-injury status, comorbid conditions, environment, and propensity for resilience. In this article, as part of the Brain Trauma Blueprint: TBI State of the Science framework, we examine the epidemiology of long-term outcomes of TBI, including incidence, prevalence, and risk factors. We identify the need for increased longitudinal, global, standardized, and validated assessments on incidence, recovery, and treatments, as well as standardized assessments of the influence of genetics, race, ethnicity, gender, and environment on TBI outcomes. By identifying how epidemiological factors contribute to TBI outcomes in different groups of people and potentially impact differential disease progression, we can guide investigators and clinicians towards more precise patient diagnosis along with tailored management and improve clinical trial designs, data evaluation and patient selection criteria.

Language: en

LA - en SN - 0897-7151 UR - http://dx.doi.org/10.1089/neu.2021.0062 ID - ref1 ER -