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 |