Second promotor: Prof. dr. Joukje van der Naalt
Traumatic brain injury (TBI) is one of the most important causes of morbidity and mortality in adults. Mild TBI (mTBI) accounts for 85% of cases and 15-20% of those patients suffer from persistent complaints that interfere with resumption of daily activities. The number of elderly sustaining a TBI is increasing due to growing life expectancy and now comprises 20% of all TBI hospital admissions. The majority of TBI in the elderly is caused by a fall and related to high health care costs. Concomitant brain injury is often not reported, although repetitive head injury is related to worsening of symptoms, cognitive decline and dementia. Yet, the effect of mild TBI on cognitive and physical functioning and its relation with long-term psychosocial functioning and quality of life in elderly patients who are more vulnerable to develop persistent complaints in view of age-related cognitive decline has scarcely been investigated.