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创伤性脑损伤与后续精神和神经疾病的关联:一项荟萃分析。

Association of Traumatic Brain Injury with Subsequent Psychiatric and Neurological Conditions: A Meta-Analysis.

作者信息

Arora Simran, Arora Ravi

机构信息

MD, University of Debrecen, Hungary.

Consultant Internal Medicine, Diabetes and Endocrinology, NMC Specialty Hospital, Abu Dhabi, UAE.

出版信息

J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S222-S225. doi: 10.4103/jpbs.jpbs_1534_24. Epub 2025 Mar 6.

Abstract

This research aims to evaluate the association between traumatic brain injury (TBI) and the development of subsequent neurological and psychiatric disorders. A comprehensive literature search was conducted using PubMed for studies published from 1995 to 2012. Fifty-seven studies were included based on predefined inclusion criteria. Data were extracted independently by two reviewers, and pooled odds ratios (ORs) with 95% "confidence intervals (CIs)" were calculated using random-effects models. Subgroup analyses based on TBI severity and time intervals between injury and diagnosis were performed. The pooled OR for TBI and the development of any neurological or psychiatric disorder was 1.69 (95% CI 1.46-1.95). TBI increased the risk for neurological disorders (OR 1.57, 95% CI 1.32-1.85) and psychiatric disorders (OR 2.03, 95% CI 1.52-2.70). Parkinson's disease, Alzheimer's disease, bipolar disorder, and depression were all significantly associated with TBI. TBI is a significant risk factor for the development of both neurological and psychiatric disorders. The findings highlight the importance of long-term monitoring of TBI patients to mitigate adverse outcomes and emphasize the need for preventive strategies. Clinical Relevance: This analysis underscores the need for interdisciplinary approaches to manage and prevent long-term complications in TBI survivors.

摘要

本研究旨在评估创伤性脑损伤(TBI)与随后发生的神经和精神疾病之间的关联。使用PubMed对1995年至2012年发表的研究进行了全面的文献检索。根据预先确定的纳入标准,纳入了57项研究。由两名审阅者独立提取数据,并使用随机效应模型计算合并比值比(OR)及95%置信区间(CI)。基于TBI严重程度以及损伤与诊断之间的时间间隔进行了亚组分析。TBI与发生任何神经或精神疾病的合并OR为1.69(95%CI 1.46 - 1.95)。TBI增加了患神经疾病的风险(OR 1.57,95%CI 1.32 - 1.85)和精神疾病的风险(OR 2.03,95%CI 1.52 - 2.70)。帕金森病、阿尔茨海默病、双相情感障碍和抑郁症均与TBI显著相关。TBI是发生神经和精神疾病的重要危险因素。这些发现突出了对TBI患者进行长期监测以减轻不良后果的重要性,并强调了预防策略的必要性。临床相关性:该分析强调了采用跨学科方法来管理和预防TBI幸存者长期并发症的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d1/12156727/16f3a7213d0c/JPBS-17-222-g001.jpg

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