ArticleBrain & spine2026
The increasing burden of alcohol-related traumatic brain injury in older adults - Two decades of population-based data from Southwestern Norway.
Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: The objective of this study was to assess epidemiological patterns of alcohol-related traumatic brain injury (TBI) in older adults over a period of 20 years. Methods: This is an observational population-based study utilizing prospectively collected data from the institutional trauma registry at Stavanger University Hospital in Southwestern Norway. Patients aged 60 years and older admitted due to TBI between January 1, 2004, and December 31, 2023, were included. Patient demographics and trauma-related variables, and outcome after TBI were described. Results: A total of 1021 older patients with TBI were admitted during the 20 year-study period; 172 (17%) were under the influence of alcohol. Most patients suffered mild TBI (73%), and fall related injuries were the most common mechanism of injury (76%). The crude incidence rate increased from 40 to 81 TBI cases per 100 000 population yearly. Alcohol-related TBI tripled, while non-alcohol-related cases doubled during the study period. The overall 30-day mortality rate was 16%. Conclusion: This study shows an increasing number of hospital-registered TBI in older patients, with also increasing alcohol-related TBI in this age group. The triad of aging, alcohol consumption, and TBI represents an essential future challenge, requiring focused efforts and evidence-based interventions to reduce both human and socio-economic burdens.
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