1998年至2018年芬兰儿童创伤性脑损伤对受教育程度的影响:一项基于登记册的回顾性全国队列研究

IF 5.9 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Julius Möttönen, Ilari Kuitunen, Ville T. Ponkilainen, Ville M. Mattila
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引用次数: 0

摘要

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、精神损伤和身体残疾。pTBI对受教育程度的直接影响尚不清楚。我们纳入了所有0至17岁的儿童患者,这些患者在随访结束时至少26岁,并在芬兰医疗保健护理登记处(1998年至2018年)诊断为TBI,以形成我们的研究组(pTBI组)。参照组包括踝关节和腕关节骨折的患者。pTBI组进一步分为脑震荡组和特异性颅内损伤组。我们将这些信息与芬兰统计局的学位/资格数据进行比较,以评估三个主要水平的教育程度。所有比较均采用95%置信区间(CI)的逻辑回归进行。pTBI组有8487例患者,对照组有15552例患者。总共有7594例pTBI患者有脑震荡,892例有特异性颅内损伤。与对照组相比,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组也更有可能继续接受较低的高等教育,而不是接受高等教育(OR 0.81;Ci 0.74, 0.87)。与脑震荡患者相比,有特异性颅内损伤的患者更有可能没有接受过任何高等教育(OR 0.78;Ci 0.68, 0.90)。与踝关节和手腕损伤的参考人群相比,pTBI患者在所有高等教育水平上的受教育程度都较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of childhood traumatic brain injury on educational attainment in Finland from 1998 to 2018: a retrospective register-based nationwide cohort study

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.

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来源期刊
European Journal of Epidemiology
European Journal of Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
21.40
自引率
1.50%
发文量
109
审稿时长
6-12 weeks
期刊介绍: The European Journal of Epidemiology, established in 1985, is a peer-reviewed publication that provides a platform for discussions on epidemiology in its broadest sense. It covers various aspects of epidemiologic research and statistical methods. The journal facilitates communication between researchers, educators, and practitioners in epidemiology, including those in clinical and community medicine. Contributions from diverse fields such as public health, preventive medicine, clinical medicine, health economics, and computational biology and data science, in relation to health and disease, are encouraged. While accepting submissions from all over the world, the journal particularly emphasizes European topics relevant to epidemiology. The published articles consist of empirical research findings, developments in methodology, and opinion pieces.
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