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  4. Epidemiology and Assessment of Traumatic Spinal Cord Injury With Concomitant Brain Injury: An Observational Study in a Regional Trauma Center

Epidemiology and Assessment of Traumatic Spinal Cord Injury With Concomitant Brain Injury: An Observational Study in a Regional Trauma Center

Ann Rehabil Med, 2023 · DOI: https://doi.org/10.5535/arm.23054 · Published: October 1, 2023

Spinal Cord InjuryBrain InjuryPublic Health

Simple Explanation

This study looks at patients who have both a spinal cord injury (SCI) and a traumatic brain injury (TBI). It aims to understand how often these injuries occur together and how they affect patient recovery. The researchers reviewed the medical records of 363 patients with SCI to see how many also had a TBI. They also looked at how the combination of injuries affected the patients' initial assessments and recovery. The study found that patients with both SCI and TBI showed a higher rate of neurological improvement compared to those with SCI alone, suggesting that the initial assessment of SCI severity might be underestimated in patients with concomitant TBI.

Study Duration
2016-2020
Participants
363 individuals with traumatic SCI
Evidence Level
Not specified

Key Findings

  • 1
    The study found that among 363 patients with T-SCI, 296 (81.5%) were males, and 67 (18.5%) were females, with an average age of 57.1 years.
  • 2
    The initial evaluation was performed on average 11 days after the injury, and a follow-up examination was performed 43 days after.
  • 3
    The conversion rate was statistically significant (p=0.010) between the SCI and the SCI+TBI groups.

Research Summary

This study investigated the epidemiology of patients with SCI alone and those with SCI+TBI. A significant difference in the AIS conversion rate between the two groups was found. The patient might have been initially evaluated as AIS A due to decreased cognition and cooperation, resulting in high AIS conversion.

Practical Implications

Improved Initial Assessment

Healthcare professionals should be aware that concomitant TBI can affect the initial assessment of SCI severity, potentially leading to underestimation of the injury. Cognitive evaluations should be included.

Rehabilitation Strategies

Rehabilitation programs should be tailored to address both SCI and TBI, considering the cognitive and emotional impairments caused by TBI that can hinder recovery.

Registry Development

Establishing a global SCI patient registry that includes TBI information is crucial for improving data collection and evaluation standards for patients with combined injuries.

Study Limitations

  • 1
    Retrospective study design leading to inconsistent timing of evaluations.
  • 2
    Small sample size not fully representative of the broader Korean population.
  • 3
    Data limited to a single university hospital, introducing selection bias.

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