Möttönen Julius, Kuitunen Ilari, Ponkilainen Ville T, Mattila Ville M
Faculty of Medicine and Life Sciences, University of Tampere, Kalevantie 3, 33100, Tampere, Finland.
Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Eur J Epidemiol. 2025 Mar 23. doi: 10.1007/s10654-025-01218-9.
Pediatric traumatic brain injury (pTBI) can lead to considerable mortality, morbidity, mental impairment, and physical disability over time. The direct impact of pTBI on educational attainment is unclear. We included all pediatric 0- to 17-year-old patients who were at least 26 years old at the end of the follow-up with a diagnosis of TBI in the Finnish Care Registry for Health Care (years 1998 to 2018) to form our study group (pTBI group). The reference group comprised patients with ankle and wrist fractures. The pTBI group was further divided into concussions and specific intracranial injuries. We compared this information to Statistics Finland´s Degree/Qualification data to evaluate educational attainment at 3 main levels. All comparisons were made using logistic regression with 95% confidence intervals (CI). The pTBI group comprised 8 487 patients and the reference group comprised 15,552 patients. In total, 7594 pTBI patients had a concussion and 892 a specific intracranial injury. The pTBI group had lower odds of attaining any tertiary education compared with the reference group (odds ratio [OR] 0.85; CI 0.80, 0.90). The pTBI group was also more likely to remain at a lower tertiary education than attain higher tertiary education (OR 0.81; CI 0.74, 0.87). Patients with specific intracranial injuries were more likely not to attain any tertiary education compared to patients with concussions (OR 0.78; CI 0.68, 0.90). People with pTBI had lower educational attainment at all higher educational levels than the reference population with ankle and wrist injuries.
随着时间的推移，小儿创伤性脑损伤（pTBI）可导致相当高的死亡率、发病率、智力损害和身体残疾。pTBI对教育程度的直接影响尚不清楚。我们纳入了芬兰医疗保健注册中心（1998年至2018年）中所有在随访结束时至少26岁且诊断为TBI的0至17岁儿科患者，以组成我们的研究组（pTBI组）。参照组包括踝关节和腕关节骨折患者。pTBI组进一步分为脑震荡和特定颅内损伤。我们将这些信息与芬兰统计局的学位/资格数据进行比较，以评估三个主要教育水平的教育程度。所有比较均使用95%置信区间（CI）的逻辑回归进行。pTBI组包括8487名患者，参照组包括15552名患者。总共有7594名pTBI患者患有脑震荡，892名患有特定颅内损伤。与参照组相比，pTBI组获得任何高等教育的几率较低（优势比[OR]0.85；CI 0.80，0.90）。pTBI组也更有可能停留在较低的高等教育水平而不是获得更高的高等教育水平（OR 0.81；CI 0.74，0.87）。与脑震荡患者相比，患有特定颅内损伤的患者更有可能无法获得任何高等教育（OR 0.78；CI 0.68，0.90）。与踝关节和腕关节受伤的参照人群相比，pTBI患者在所有高等教育水平上的教育程度都较低。
