New Commission published in Lancet Neurology discusses prevention, care and research of TBI

Mon 17 Oct 2022

A new commission has examined TBI worldwide, making a number of recommendations aimed at TBI prevention.

The report, published in the Lancet Neurology, reveals that more than half of patients categorized as having a “mild” traumatic brain injury (mTBI) are not fully recovered 6 months after their injury.

The authors also report that fewer than 10% of patients discharged after presenting to emergency department for TBI in Europe currently receive any follow-up.

Falls among patients 65 years old or above are reported to account for 30-40% of hospital admissions for TBI in high-income countries. In middle to low-income countries, most TBIs are reported to be caused by road traffic incidents, followed by violence and falls.

Outcomes following mTBI were poorer in women compared with men, although the reasons for this are unclear.

Access to rehabilitation services is reported to be inconsistent, with no protocols existing for treating long-term problems.

Reflecting on the first Lancet Neurology Commission on TBI, published in 2017, the authors discuss the advances made and continuing challenges in the prevention, care and research of TBI, with implications for policy makers, clinicians and researchers. The report concludes with a list of main messages and recommendations.

For further details of the report, visit https://www.thelancet.com/article/S1474-4422(22)00309-X/fulltext

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