The TRACK-TBI LONG study has shown that outcomes are highly variable in the 7 years after traumatic brain injury (TBI). Although many patients remain stable, almost one-third experience declines in cognitive, psychiatric and functional state. These findings suggest that TBI is a chronic disease and that its management should change accordingly.
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Acknowledgements
The authors gratefully acknowledge support from the UK National Institute for Health Research (NIHR) Academic Clinical Lectureship (N.S.N.G.), the UK Dementia Research Institute Care Research and Technology Centre (N.S.N.G. and D.J.S.) and the NIHR Clinical Research Facility and Biomedical Research Centre (BRC) at Imperial College Healthcare NHS Trust (N.S.N.G. and D.J.S.).
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D.J.S. serves on the concussion advisory board of the UK Rugby Football Union and undertakes clinical private practice including medicolegal assessments. D.J.S. has received research funding from the Rugby Football Union, Premiership Rugby and the Football Association (UK). N.S.N.G. declares no competing interests.
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Sharp, D.J., Graham, N.S.N. Clinical outcomes evolve years after traumatic brain injury. Nat Rev Neurol 19, 579–580 (2023). https://doi.org/10.1038/s41582-023-00868-1
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DOI: https://doi.org/10.1038/s41582-023-00868-1
