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  4. The incidence and impact of ‘Tandem Neurotrauma’

The incidence and impact of ‘Tandem Neurotrauma’

Brain and Spine, 2023 · DOI: https://doi.org/10.1016/j.bas.2023.102702 · Published: October 21, 2023

Spinal Cord InjuryNeurologyBrain Injury

Simple Explanation

Traumatic brain injury (TBI) and spinal cord injury (SCI) are significant public health concerns due to their associated mortality and morbidity. TBI and SCI can coexist, posing clinical challenges, such as spinal precautions potentially worsening intracranial pressure and complicating intensive care. The incidence of concurrent TBI and SCI, known as tandem neurotrauma, is poorly characterized, with varying reports.

Study Duration
11 Years
Participants
167,793 patients
Evidence Level
Not specified

Key Findings

  • 1
    The incidence of tandem neurotrauma increased tenfold between 2008 and 2018.
  • 2
    Patients with tandem neurotrauma required more surgeries and ICU admissions and had longer stays in the ICU and hospital.
  • 3
    Patients with tandem neurotrauma had higher 30-day mortality compared to isolated TBI or SCI.

Research Summary

The study evaluated the incidence and impact of tandem neurotrauma in the UK using data from the TARN registry. The annual incidence of tandem neurotrauma increased significantly between 2008 and 2018. Tandem neurotrauma leads to increased mortality and additional care requirements, highlighting the need for further research.

Practical Implications

Improved Clinical Management

Recognizing tandem neurotrauma can help clinicians anticipate increased care needs, such as ICU admission and multiple surgeries.

Targeted Rehabilitation Strategies

Developing specific rehabilitation strategies for tandem neurotrauma patients can improve functional outcomes.

Further Research

Additional research is needed to identify risk factors and determinants of outcome in tandem neurotrauma.

Study Limitations

  • 1
    Patient recruitment in the TARN registry is less than 100%.
  • 2
    The analysis is limited to the type of data used by TARN.
  • 3
    Limited data on long-term outcomes and sub-group characterization.

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