Titre
Concussion and Risk of Chronic Medical and Behavioral Health Comorbidities.
Type
article
Institution
Externe
Périodique
Auteur(s)
Izzy, S.
Auteure/Auteur
Tahir, Z.
Auteure/Auteur
Grashow, R.
Auteure/Auteur
Cote, D.J.
Auteure/Auteur
Jarrah, A.A.
Auteure/Auteur
Dhand, A.
Auteure/Auteur
Taylor, H.
Auteure/Auteur
Whalen, M.
Auteure/Auteur
Nathan, D.M.
Auteure/Auteur
Miller, K.K.
Auteure/Auteur
Speizer, F.
Auteure/Auteur
Baggish, A.
Auteure/Auteur
Weisskopf, M.G.
Auteure/Auteur
Zafonte, R.
Auteure/Auteur
Liens vers les personnes
ISSN
1557-9042
Statut éditorial
Publié
Date de publication
2021-06-01
Volume
38
Numéro
13
Première page
1834
Dernière page/numéro d’article
1841
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
While chronic neurological effects from concussion have been studied widely, little is known about possible links between concussion and long-term medical and behavioral comorbidities. We performed a retrospective cohort study of 9205 adult patients with concussion, matched to non-concussion controls from a hospital-based electronic medical registry. Patients with comorbidities before the index visit were excluded. Behavioral and medical comorbidities were defined by International Classification of Diseases, Ninth and Tenth Revision codes. Groups were followed for up to 10 years to identify comorbidity incidence after a concussion. Cox proportional hazards models were used to calculate associations between concussion and comorbidities after multi-variable adjustment. Patients with concussion were 57% male (median age: 31; interquartile range [IQR] = 23-48 years) at enrollment with a median follow-up time of 6.1 years (IQR = 4.2-9.1) and well-matched to healthy controls. Most (83%) concussions were evaluated in outpatient settings (5% inpatient). During follow-up, we found significantly higher risks of cardiovascular risks developing including hypertension (hazard ratio [HR] = 1.7, 95% confidence interval [CI]: 1.5-1.9), obesity (HR = 1.7, 95% CI: 1.3-2.0), and diabetes mellitus (HR = 1.8, 95% CI: 1.4-2.3) in the concussion group compared with controls. Similarly, psychiatric and neurological disorders such as depression (HR = 3.0, 95% CI: 2.6-3.5), psychosis (HR = 6.0, 95% CI: 4.2-8.6), stroke (HR = 2.1 95% CI: 1.5-2.9), and epilepsy (HR = 4.4, 95% CI: 3.2-5.9) were higher in the concussion group. Most comorbidities developed less than five years post-concussion. The risks for post-concussion comorbidities were also higher in patients under 40 years old compared with controls. Patients with concussion demonstrated an increased risk of development of medical and behavioral health comorbidities. Prospective studies are warranted to better describe the burden of long-term comorbidities in patients with concussion.
Sujets
PID Serval
serval:BIB_84F7DE087379
PMID
Date de création
2022-12-07T10:02:51.610Z
Date de création dans IRIS
2025-05-20T21:35:37Z