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Association of Traumatic Brain Injury With and Without Loss of Consciousness With Neuropathologic Outcomes in Community-Dwelling Older Persons

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Key Points Question Is traumatic brain injury (TBI) with and without loss of consciousness (LOC) associated with dementia-related neuropathologic outcomes in older persons? Findings In this cross-sectional analysis of 1689… Click to show full abstract

Key Points Question Is traumatic brain injury (TBI) with and without loss of consciousness (LOC) associated with dementia-related neuropathologic outcomes in older persons? Findings In this cross-sectional analysis of 1689 autopsied participants from 3 community-based cohort studies, participants with TBI with LOC had greater amyloid-β burden and higher odds of gross infarcts and microinfarcts, whereas those with TBI without LOC had higher odds of neocortical Lewy bodies and cortical microinfarcts. Meaning Even without LOC, TBI may be associated with higher odds of neurodegenerative and vascular pathologic findings in later life.

Keywords: traumatic brain; without loss; older persons; brain injury; neuropathologic outcomes; loss consciousness

Journal Title: JAMA Network Open
Year Published: 2022

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