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Updated: Apr 20, 2026

Development of an Uncomplicated Mild Traumatic Brain Injury Model Modified by Weight-Drop Method and Evidenced by Magnetic Resonance Imaging
Published on: April 11, 2025
Increased risk of ischemic stroke in patients with mild traumatic brain injury: a nationwide cohort study
Yi-Kung Lee, Chen-Wen Lee, Ming-Yuan Huang
1Emergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No,2, Minsheng Rd, Chiayi County 622, Dalin Township, Taiwan. drsu119@gmail.com.
Background:
It is known that the risk of stroke in patients with traumatic brain injury might be increased. However, the relationship between mild traumatic brain injury and ischemic stroke has never been established. We conducted a study of patients in Taiwan with mild traumatic brain injury to evaluate if they had a higher risk of stroke compared with the general population.
Methods:
We utilized a sampled National Health Insurance claims database containing one million beneficiaries. We followed all adult beneficiaries older than 18 years from January 1, 2007 to December 31, 2010 to determine if they were diagnosed with ischemic stroke. We further identified patients with mild traumatic brain injury and compared their risk of ischemic stroke with the general population.
Results:
We identified 24,905 patients with mild traumatic brain injury and 719,811 patients without mild traumatic brain injury. After controlling for age, gender, urbanization level, socioeconomic status, diabetes, hypertension, coronary artery disease, hyperlipidemia, history of alcohol intoxication, malignancies, heart failure, atrial fibrillation, smoking, obesity, epilepsy, peripheral artery disease and Charlson Comorbidity Index score, the adjusted hazard ratio for ischemic stroke was 1.46 (95% confidence interval, 1.33-1.62).
Conclusion:
Mild traumatic brain injury is an independent significant risk factor for ischemic stroke.
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Traumatic Brain Injury l: Introduction
Transient Ischemic Attack l: Introduction
Ischemic Stroke l: Introduction
Increased Intracranial Pressure ll: Pathophysiology
Ischemic Stroke ll: Pathophysiology
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