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. 2026 Apr 10;47(5):409. doi: 10.1007/s10072-025-08706-6

Table 1.

Characteristics of the studies included

Author
(year)
Data collection era Country Study design Sample size Age TBI severity Follow-up Duration (years) SMR (95% CI) LE (years) Included in meta-analysis (y/n)
Baguley et al., 2012 [49] 1990–2007 Australia Retro 2545 16–70 at time of injury GCS < 9 9.3 (range, 2–19.5) 3.19 (95% CI, 2.80–3.60). y
Baguley et al., 2008 [47] 1990–2009 Australia Retro 966 16–70 GCS < 9 10.5 (range, 1.7–18.8) 13.2 y
Brooks et al., 2021 [30] 1988–2019 US Retro 14,803 ≥ 16 GCS < 13 1 y

Lower than age- and sex-matched general population (GP).

- Walks well: absolute reduction ~ 7–8 y at age 20, ~ 4 y at age 60; relative reduction 13–15% (women), 14–20% (men).

- Greater functional limitations: lower LE.

- Non-ambulatory, fed by others: LE = 24 y at age 20 (both sexes); reduction of 33.1 y (58%) in men and 37.9 y (61%) in women vs. GP

y
Brooks et al., 2015 [31] 1988–2010 US Population based cohort 12,481 ≥ 16 GCS < 13 ≥ 1 y 2.4 (95% CI, 2.2–2.6)

The estimates of age- and sex-specific LE were lower than those of the U.S. GP.

LE was related to the severity of disability (walking and feeding skills).

y
Brooks et al., 2013 [32] 1988–2011 US Retro 7228 ≥ 16 GCS < 13 1–20 years 2.1 (95% CI, 1.9–2.3) y
Cameron et al., 2008 [33] 1988–1991 US Population-based matched cohort 1290 18–64; minor to severe TBI (ISS) 10 y y
Claridge et al., 2010 [34] 1985–1999 US Retro 7800 < 16 = pediatric, 16–65 = adult, > 65 = elderly); moderate/severe vs. mild (GCS); 5–20 years y
Colantonio et al., 2008 [46] 1993–1995 Canada Retro 2721 ≥ 15; moderate to severe TBI (AIS) up to 9 years y
Dams-O’Connor et al., 2015 [35] 1989; 2000 US Retro 4178 for GOS-E; 7817 for DRS ≥ 16 GCS < 13 up to 9 years y
Esterov et al., 2021 [36] 1987–1999 US Retro 1257 < 16, 16–65, > 65; GCS < 13 mean time of 10 years y
Flaada et al., 2007 [37] 1985–1999 US Retro 1433 16–80

Mild

Mod/Sev (GCS)

5 y y
Forslund et al., 2019 [51] 2005–2007 EU Pro 97 16–65; GCS < 13 10 y y
Groswasser et al., 2017 [53] 1979–1985 Israel Pro 279 mean age at injury was 26.6 years (SD = 11.87), and the median was 23.0 years mild to severe (GCS) 22–27 y Shortening of LE in comparison with the GP is 3.58 years. Estimated shortening of LE by severity for mild, moderate and severe injury were − 0.51, 4.11 and 13.77 years, respectively. y
Harrison-Felix et al., 2015 [38] 2001–2010 US Retro 6913 ≥16 GCS < 13 up 10.2 year 2.23 (95% CI, 2.11–2.35) On average, reduced LE by 9 years. y
Harrison-Felix et al., 2012 [39] 1988–2009 US Retro 8573 ≥ 16 GCS < 13 up 20.3 years 2.25 (95% CI, 2.10–2.40) On average, reduced LE by 6.7 years. y
Harrison-Felix et al., 2006 [40] 1988–2001 US Pro 2140 ≥ 16 GCS < 9 mean 3.1 years (range, 1–11.8 years) y
Maidan et al., 2017 [50] 2013 EU Cross-sectional 374,636 0–85+; head injury ICD code;
McCrea et al., 2021 [47] 2014–2018 Canada Pro 434 ≥ 17 GCS 3–12; Up 1y
McMillan et al., 2011 [52] 1995–1996 UK Retro 757 ≥ 15 GCS < 13 up to 13 years
Nakase-Richardson et al., 2012 [41] 1988–2009 US Retro 396 ≥ 16 GCS = 3 1–5 years n
Ratcliff et al., 2005 [42] 1974–1984; 1988;1989 US Pro 642 ≥ 14 head injury ICD code; 1–18 years 2-fold increased risk for mortality compared to the general population. y
Selassie et al., 2005 [43] 1999–2001 US Retro 3679 ≥ 16 severe TBI (AIS) 1 y 7.1 (95% CI, 6.3–7.9) within 15 months of hospital dis- charge. Reported SMRs for selected causes of death and stratified by age (95% CI). y
Ventura Harrison-Felix et al., 2010 [44] 1988–2003 US Retro 18,988 ≥ 15 AIS 1–6 1–20 y 2.47 (95% CI, 2.31–2.65). On average, reduction of 6 years. y
Wiegers et al., 2021 [54] EU, UK, Australia Pro 874 ≥ 16 GCS < 9 0.5 y y
Wilkins et al., 2019 [45] US Pro 559 16–80 GCS < 9 2 y y