Clinical Characterization of Comatose Patients With Cervical Spine Injury and Traumatic Brain Injury

Tian, Hengli; Guo, Yan; Hu, Jin; Rong, Bo-Ying; Gan, Wang; Gao, Wenwei; Chen, Shih-Wen; Chen, Hao

doi:10.1097/ta.0b013e31819db57c

Cited by 36 publications

(39 citation statements)

References 11 publications

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“…Examining subgroups of studies that reported the prevalence in patients with GCS 3-12 and GCS less than or equal to 8 did not reduce the heterogeneity. However, four studies reported the prevalence of concomitant cervical spinal injury in patients with TBI or head injury injured in a motor vehicle accident (MVA) [2,15,21,41]. The I 2 statistic indicated that there was only moderate heterogeneity between these studies (I 2 = 51.44%; 95% CI 0.00-83.95%).…”

Section: Cervical Spinal Injury In Tbimentioning

confidence: 99%

“…Eleven publications reported the prevalence of concomitant cervical spinal injury in patients with a TBI [2,12,15,21,27,28,30,33,34,37,41]. The total sample size including all studies reporting this prevalence is 573,870 patients, with sample sizes of individual studies ranging from 265 [37] to 334,864 [28].…”

Section: Cervical Spinal Injury In Tbimentioning

confidence: 99%

“…Most included studies were single-centre studies reporting the prevalence of concomitant injury in admission to a single trauma centre within a set time-period [1,2,7,9,21,23,24,27,30,33,35,37,41,47]. All other studies included in this review reported the prevalence of concomitant injury from review of a multi-centre trauma database [6,12,15,16,19,28,34].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…However, most studies did not specifically exclude paediatric patients [1,7,9,12,16,23,24,27,28,33,34,37,41,47] and included a limited number of paediatric patients in their analysis. These studies were only included if they took place in adult hospitals/trauma centres or reported the number of paediatric patients included to be minimal.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Nine included studies were conducted in the USA [2,7,9,15,16,21,28,33,34]; 3 in the UK [1,12,19]; 2 in China [41,47]; and 1 in each of Pakistan [30], Taiwan [6], Australia [27], South Africa [37], Japan [23], Germany [24], and Canada [35]. Studies were not excluded based on publication year.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Prevalence of concomitant traumatic cranio-spinal injury: a systematic review and meta-analysis

Pandrich

Demetriades

2018

Neurosurg Rev

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The biomechanical relationship between cranial and spinal structures makes concomitant injury likely. Concomitant craniospinal injuries are important to consider following trauma due to the serious consequences of a missed injury. The objective of this review was to estimate the prevalence of concomitant cranio-spinal injury in the adult trauma population. A systematic search of MEDLINE and EMBASE databases to identify observational studies reporting the prevalence of concomitant cranio-spinal injury in the general adult trauma population was conducted on 21 March 2017. The prevalence of concomitant cervical spinal injury in patients with a traumatic brain injury (TBI); the prevalence of concomitant spinal injury in patients with a TBI; the prevalence of concomitant TBI in patients with a cervical spinal injury; and the prevalence of concomitant TBI in patients with a spinal injury were calculated by meta-analysis. Twenty-one studies met the inclusion criteria and were included in this review. The prevalence of concomitant cervical spinal injury in patients with a TBI was found to be 6.5% (95% CI 6.0-7.1%); the prevalence of concomitant spinal injury in patients with a TBI to be 12.4-12.5%; the prevalence of concomitant TBI in patients with a cervical spinal injury to be 40.4% (95% CI 33.0-48.0%); and the prevalence of concomitant TBI in patients with a spinal injury to be 32.5% (95% CI 10.8-59.3%). This review reports the prevalence of concomitant cranio-spinal injury and highlights the importance of considering concomitant injury in patients with a cranial or spinal traumatic injury.

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Section: Cervical Spinal Injury In Tbimentioning

confidence: 99%