Department of Anaesthesia, Centre of Head and Orthopaedics (Ms Graff) and Department of intensive Care, Centre for Cancer and Organ Diseases (Dr Egerod), University Hospital Rigshospitalet, Copenhagen, Denmark; Department of Public Health, The Research Unit for General Practice and Section of General Practice (Drs Siersma and Møller) and Department of Psychology, Faculty of Social Science (Dr Rytter), University of Copenhagen, Copenhagen, Denmark; Department of Occupational Medicine and Social Medicine, Copenhagen University Hospital Holbaek, Holbaek, Denmark (Dr Møller); and Department of Neurology, University Hospital Bispebjerg-Frederiksberg, Copenhagen, Denmark (Dr Rytter).
J Head Trauma Rehabil. 2020 Mar/Apr;35(2):E86-E94. doi: 10.1097/HTR.0000000000000501.
To examine long-term trends in marital stability, academic achievement, income, and socioeconomic status in patients with concussion.
Danish national register-based cohort study with 5 years of follow-up.
A total of 23 549 hospital-admitted or emergency-treated patients between 18 and 60 years of age with concussion (International Classification of Diseases, Tenth Revision [ICD-10] diagnosis S06.0) and 22 228 matching controls.
Outcomes were the differences between patients with concussion and controls in the change from injury date to 5 years postinjury in the dichotomized outcomes-martial stability, academic achievement, income, and socioeconomic status.
Fewer patients had high education (19.43%) compared with controls (23.96%) and the adjusted odds ratio (OR) of high education beyond the difference in prevalence at baseline became even lower at 5 years of follow-up (OR: 0.93, 95% confidence interval [CI]: 0.90-0.95). Patients were to a lesser extent gainfully employed (67.05%) compared with controls (77.32%) and had lower odds of being gainfully employed (OR: 0.83, 95% CI: 0.79-0.88), self-employed, leaders, or managers (OR: 0.89, 95% CI: 0.84-0.95) at 5 years postinjury, beyond differences at baseline.
Academic achievement and socioeconomic status are affected by concussion. There is no evidence that marital stability and income are affected. Supporting interventions should be considered those at risk of persistent symptoms.
研究脑震荡患者婚姻稳定性、学业成绩、收入和社会经济地位的长期变化趋势。
丹麦全国基于登记的队列研究，随访 5 年。
共纳入 23549 名年龄在 18 至 60 岁之间因脑震荡（国际疾病分类，第十版 [ICD-10] 诊断 S06.0）住院或急诊治疗的患者和 22228 名匹配对照。
结果是脑震荡患者与对照组在损伤日期至 5 年随访期间，在婚姻稳定性、学业成绩、收入和社会经济地位等二分结局上的变化差异。
与对照组（23.96%）相比，接受教育程度较高的患者较少（19.43%），而在基线差异之外，高教育程度的调整后比值比（OR）在 5 年随访时甚至更低（OR：0.93，95%置信区间 [CI]：0.90-0.95）。与对照组（77.32%）相比，患者就业（67.05%）程度较低，且就业的可能性较低（OR：0.83，95% CI：0.89-0.88），在 5 年随访时，除了基线差异外，自雇、领导者或经理（OR：0.89，95% CI：0.84-0.95）。
学业成绩和社会经济地位受到脑震荡的影响。没有证据表明婚姻稳定性和收入受到影响。应考虑针对持续性症状风险的支持性干预措施。
