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Traumatic spinal cord injury and concomitant brain injury: a cohort study
Author(s) -
Hagen E. M.,
Eide G. E.,
Rekand T.,
Gilhus N. E.,
Gronning M.
Publication year - 2010
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.2010.01376.x
Subject(s) - concomitant , medicine , traumatic brain injury , cohort , incidence (geometry) , spinal cord injury , cohort study , poison control , pediatrics , surgery , spinal cord , emergency medicine , psychiatry , physics , optics
Hagen EM, Eide GE, Rekand T, Gilhus NE, Gronning M. Traumatic spinal cord injury and concomitant brain injury: a cohort study. Acta Neurol Scand: 2010: 122 (Suppl. 190): 51–57. © 2010 John Wiley & Sons A/S. Objective – To assess the temporal trends in the incidence and demographic characteristics of traumatic spinal cord injury (TSCI) with clinical concomitant traumatic brain injury (TBI), in an unselected, geographically defined cohort, 1952–2001. Material and methods – The patients were identified from hospital records. TBI was classified as none, mild, moderate, and severe. Results – Of 336 patients, 157 (46.7%) patients had a clinical concomitant TBI. Clinical TBI was classified as mild in 30.1%, moderate in 11.0% and severe in 5.7%. The average annual incidence increased from 3.3 per million in the first decade to 10.7 per million in the last. Alcohol was the strongest risk factor of clinical TBI (OR = 3.69) followed by completeness of TSCI (OR = 2.18). Conclusions – The incidence of TSCI with concomitant TBI has increased during the last 50 years. Alcohol and completeness of injury are strong risk factors. Increased awareness of dual diagnoses is necessary.