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Concomitant spine t...
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Riemann, Lennart
(författare)
Concomitant spine trauma in patients with traumatic brain injury : Patient characteristics and outcomes
- Artikel/kapitelEngelska2022
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2022-08-18
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Frontiers Media S.A.2022
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electronicrdacarrier
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LIBRIS-ID:oai:DiVA.org:umu-221580
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-221580URI
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https://doi.org/10.3389/fneur.2022.861688DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:150591077URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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OBJECTIVE: Spine injury is highly prevalent in patients with poly-trauma, but data on the co-occurrence of spine trauma in patients with traumatic brain injury (TBI) are scarce. In this study, we used the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) database to assess the prevalence, characteristics, and outcomes of patients with TBI and a concurrent traumatic spinal injury (TSI).METHODS: Data from the European multi-center CENTER-TBI study were analyzed. Adult patients with TBI (≥18 years) presenting with a concomitant, isolated TSI of at least serious severity (Abbreviated Injury Scale; AIS ≥3) were included. For outcome analysis, comparison groups of TBI patients with TSI and systemic injuries (non-isolated TSI) and without TSI were created using propensity score matching. Rates of mortality, unfavorable outcomes (Glasgow Outcome Scale Extended; GOSe < 5), and full recovery (GOSe 7-8) of all patients and separately for patients with only mild TBI (mTBI) were compared between groups at 6-month follow-up.RESULTS: A total of 164 (4%) of the 4,254 CENTER-TBI core study patients suffered from a concomitant isolated TSI. The median age was 53 [interquartile range (IQR): 37-66] years and 71% of patients were men. mTBI was documented in 62% of cases, followed by severe TBI (26%), and spine injuries were mostly cervical (63%) or thoracic (31%). Surgical spine stabilization was performed in 19% of cases and 57% of patients were admitted to the ICU. Mortality at 6 months was 11% and only 36% of patients regained full recovery. There were no significant differences in the 6-month rates of mortality, unfavorable outcomes, or full recovery between TBI patients with and without concomitant isolated TSI. However, concomitant non-isolated TSI was associated with an unfavorable outcome and a higher mortality. In patients with mTBI, a negative association with full recovery could be observed for both concomitant isolated and non-isolated TSI.CONCLUSION: Rates of mortality, unfavorable outcomes, and full recovery in TBI patients with and without concomitant, isolated TSIs were comparable after 6 months. However, in patients with mTBI, concomitant TSI was a negative predictor for a full recovery. These findings might indicate that patients with moderate to severe TBI do not necessarily exhibit worse outcomes when having a concomitant TSI, whereas patients with mTBI might be more affected.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Alhalabi, Obada T
(författare)
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Unterberg, Andreas W
(författare)
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Younsi, Alexander
(författare)
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Brorsson, CamillaUmeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,CENTER-TBI(Swepub:umu)brca0001
(bidragsgivare)
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Koskinen, Lars-Owe D.,Professor,1955-Umeå universitet,Neurovetenskaper,CENTER-TBI(Swepub:umu)lako0002
(bidragsgivare)
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Sundström, NinaUmeå universitet,Institutionen för strålningsvetenskaper,CENTER-TBI(Swepub:umu)nian0004
(bidragsgivare)
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Umeå universitetInstitutionen för kirurgisk och perioperativ vetenskap
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Frontiers in Neurology: Frontiers Media S.A.131664-2295
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