Analysis of patients with spinal cord trauma associated                with traumatic brain injury

Neto, João Simão de Melo; Tognola, Waldir Antônio; Spotti, Antônio Ronaldo; Morais, Dionei Freitas de

doi:10.1590/s1808-18512014130400459

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…In the isolated SCI group, 75% of individuals were aged 13-17 (half of those were ages [16][17] and 25% between 0-13. In the DD group, 75% were 6-17 (half of those were ages 15-17) and 25% between the ages of 0-6.…”

Section: Agementioning

confidence: 99%

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Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population

Gober,

Shapiro,

Tiozzo

et al. 2023

Front. Neurol.

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IntroductionDual diagnosis (DD) with traumatic brain injury (TBI) and spinal cord injury (SCI) poses clinical and rehabilitation challenges. While comorbid TBI is common among adults with SCI, little is known about the epidemiology in the pediatric population. The primary objective of this study was to evaluate the prevalence of TBI among children in the United States hospitalized with SCI. Secondary objectives were to compare children hospitalized with DD with those with isolated SCI with regards to age, gender, race, hospital length of stay, and hospital charges.MethodsA retrospective analysis of hospital discharges among children aged 0–18 years occurring between 2016–2018 from U.S. hospitals participating in the Kids’ Inpatient Database. ICD-10 codes were used to identify cases of SCI, which were then categorized by the presence or absence of comorbid TBI.Results38.8% of children hospitalized with SCI had a co-occurring TBI. While DD disproportionately occurred among male children (67% of cases), when compared with children with isolated SCI, those with DD were not significantly more likely to be male. They were more likely to be Caucasian. The mean age of children with DD (13.2 ± 5.6 years) was significantly less than that of children with isolated SCI (14.4 ± 4.3 years). DD was associated with longer average lengths of stay (6 versus 4 days) and increased mean total hospital charges ($124,198 versus $98,089) when compared to isolated SCI.ConclusionComorbid TBI is prevalent among U.S. children hospitalized with SCI. Future research is needed to better delineate the impact of DD on mortality, quality of life, and functional outcomes.

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Section: Agementioning

confidence: 99%

“…Studies have shown that most spinal injuries in children occur at a higher location in the cervical spine, particularly at the C0-C2 level ( 16 ). These high cervical SCI levels are more likely to be associated with brain injury ( 17 , 18 ).…”

Section: Introductionmentioning

confidence: 99%

Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population

Gober,

Shapiro,

Tiozzo

et al. 2023

Front. Neurol.

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“…Although traditionally investigated separately [3,4], one of the most commonly co-occurring conditions when someone suffers an SCI is Traumatic Brain Injury (TBI). Some research indicates that between 20-60% of people with a SCI will also have at least a mild TBI, particularly in those who acquire a traumatic SCI through motor collisions and falls [5,6,7].…”

Section: Introductionmentioning

confidence: 99%

Improving the Rehabilitation of Individuals Admitted to England’s National Spinal Injuries Centre with Traumatic Brain Injury

Falshaw,

King,

Cotter

2024

Preprint

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Study Design: Mixed methods service improvement project. Retrospective analysis of clinical documentation and qualitative focus group with clinicians. Objectives Although traumatic brain injury (TBI) and spinal cord injury (SCI) often co-occur, many barriers have been found to identifying TBI in SCI rehabilitation and adapting treatment accordingly. This study aimed to compare the number of TBIs detected at the English National Spinal Injury Centre to figures found in previous research, and understand the barriers to adapting SCI rehabilitation in the presence of TBI. Setting: United Kingdom inpatient spinal cord injury rehabilitation unit. Methods This mixed methods study assessed the documentation at each stage of 88 patients’ treatment where a TBI could be detected and used to inform rehabilitation, and subsequently, a focus group was conducted with staff to explore the barriers to detecting TBI and adapting SCI rehabilitation. Results Results suggested that data related to TBI were inconsistently recorded, the number of TBIs at the Centre was lower than previous research, and several barriers were interpreted from the focus group. Conclusions TBI in SCI populations may be an invisible unmet need. Several barriers may exist which prevent clinicians from detecting TBI in this population and adapting rehabilitation accordingly. Findings have implications for rehabilitation for individuals with TBI and SCI admitted to the service.

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“…The spinal cord injury (SCI) refers to vertebral column lesions that may result in transient or irreversible consequences, depending on the affected tissues during trauma. 1 , 2 , 3 The clinical complications after SCI are being evaluated 3 , 4 , 5 to improve interventions and achieve better prognosis for these patients, reducing socioeconomic costs and mortality. However, there are few studies addressing the characteristics and clinical aspects of patients undergoing surgery.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery

Neto¹,

Vidotto²,

Gomes³

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo identify the characteristics of patients with spinal cord injury (SCI) undergoing surgery.MethodsPreviously, 321 patients with SCI were selected. Clinical and socio-demographic variables were collected.ResultsA total of 211 patients were submitted to surgery. Fall and injuries in the upper cervical and lumbosacral regions were associated with conservative treatment. Patients with lesions in the lower cervical spine, worse neurological status, and unstable injuries were associated with surgery. Individuals undergoing surgery were associated with complications after treatment. The authors assessed whether age influenced the characteristics of patients submitted to surgery. Subjects with <60 years of age were associated with motorcycle accidents and the morphologies of injury were fracture-dislocation. Elderly individuals were associated to fall, SCI in the lower cervical spine and the morphology of injury was listhesis. Subsequently, the authors analyzed the gender characteristics in these patients. Women who suffered car accidents were associated to surgery. Women were associated with paraparesis and the morphologic diagnosis was fracture-explosion, especially in the thoracolumbar transition and lumbosacral regions. Men who presented traumatic brain injury and thoracic trauma were related to surgery. These individuals had a worse neurological status and were associated to complications. Men and the cervical region were most affected, thereby, these subjects were analyzed separately (n = 92). The presence of complications increased the length of hospital stay. The simultaneous presence of morphological diagnosis, worst neurological status, tetraplegia, sensory, and motor alterations were associated with complications. Pneumonia and chest trauma were associated with mortality.ConclusionThese factors enable investments in prevention, rehabilitation, and treatment.

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Analysis of patients with spinal cord trauma associated with traumatic brain injury

Cited by 5 publications

References 15 publications

Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population

Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population

Improving the Rehabilitation of Individuals Admitted to England’s National Spinal Injuries Centre with Traumatic Brain Injury

Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery

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