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Many adults are admitted to hospital after a head injury but little is
known about the incidence of subsequent disability because studies of
outcome have focused on selected groups. Thornhill et al (p 1631)
identified a cohort of young people and adults admitted to hospital
with head injury and followed up groups representative of initially
mild, moderate, and severe head injuries to determine outcome one year
later. They found a high frequency of disability after mild as well as
moderate and severe injuries. They estimated an annual incidence of
persisting disability in young people and adults of 100-50 per 100 000
population
much higher than previous estimates. The authors believe
that underappreciation of the frequency of problems after head injuries
contributes to inadequate services after discharge.