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Sökning: id:"swepub:oai:DiVA.org:umu-221580" > Concomitant spine t...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004842naa a2200481 4500
001oai:DiVA.org:umu-221580
003SwePub
008240227s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:150591077
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2215802 URI
0247 a https://doi.org/10.3389/fneur.2022.8616882 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1505910772 URI
040 a (SwePub)umud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Riemann, Lennart4 aut
2451 0a Concomitant spine trauma in patients with traumatic brain injury :b Patient characteristics and outcomes
264 c 2022-08-18
264 1b Frontiers Media S.A.c 2022
338 a electronic2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
653 a CENTER-TBI
653 a outcome
653 a spine trauma
653 a traumatic brain injury
653 a traumatic spine injury
7001 a Alhalabi, Obada T4 aut
7001 a Unterberg, Andreas W4 aut
7001 a Younsi, Alexander4 aut
7001 a Brorsson, Camillau Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,CENTER-TBI4 ctb0 (Swepub:umu)brca0001
7001 a Koskinen, Lars-Owe D.,c Professor,d 1955-u Umeå universitet,Neurovetenskaper,CENTER-TBI4 ctb0 (Swepub:umu)lako0002
7001 a Sundström, Ninau Umeå universitet,Institutionen för strålningsvetenskaper,CENTER-TBI4 ctb0 (Swepub:umu)nian0004
7102 a Umeå universitetb Institutionen för kirurgisk och perioperativ vetenskap4 org
7730 t Frontiers in Neurologyd : Frontiers Media S.A.g 13q 13x 1664-2295
8564 u https://doi.org/10.3389/fneur.2022.861688y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1841008/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-221580
8564 8u https://doi.org/10.3389/fneur.2022.861688
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:150591077

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