The Influence of Morphology on Cervical Injury Characteristics

Abstract Introduction Burn morbidity and mortality increases with advancing age. Frailty is characterized by reduced homeostatic reserves and is associated with an increased biological age compared to chronological age. Our primary aim was to determine whether frailty as assessed on admission would be predictive of outcomes in the burn population. Methods We conducted a single institution 7-month retrospective chart review of all admitted acute burn patients ages 45 and older. Patient and injury characteristics were collected and compared using standard statistical analysis. Frailty scores were assessed upon admission using the FRAIL Scale. Results Eighty-five patients met inclusion criteria and were able to complete the FRAIL assessment. Patient and injury characteristics are listed in Table 1. Mean burn size was 6.7%TBSA (95%CI 4.9–8.4%). 34 patients (40%) were classified as robust (FRAIL score 0), 26(30.6%) as pre-frail (FRAIL score 1-Patients in the pre-frail/frail cohort received more palliative care consultations (p=.096) and had a longer length of stay (3.3d vs 7.55d p = .002), while prefrail patients had a similar LOS to frail patients (7.46 vs 7.64d p =.938). Patients in the pre-frail/frail cohort were also more likely to be discharged to a higher level of care than they were admitted from(p=.032) with prefrail patients experience an escalation in level of care more frequently than frail patients. The distribution by age by half-decade ranges is in Figure 1. By age 55–59, the majority of patients were prefrail or frail. Conclusions We demonstrated that frailty as assessed by the FRAIL score was predictive of increased length of stay and an escalation in post discharge care. In addition, patients characterized as pre-frail experience outcomes similar to frail patients and should be managed as such. Given the prevalence of frailty and prefrailty in the younger group of patients, we advocate for routine frailty screening beginning at age 55.

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The National Interscholastic Cycling Association (NICA) Mountain Biking Injury Surveillance System (ISS): Analysis of 66,588 Student Athlete-Years of Injury Data

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115856 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5856

Author(s):

Meredith Ehn ◽

Masaru Teramoto ◽

Daniel M. Cushman ◽

Kristen Saad ◽

Stuart Willick

Keyword(s):

Surveillance System ◽

Student Athletes ◽

The United States ◽

Injury Surveillance ◽

Mountain Biking ◽

Student Athlete ◽

Mountain Bike ◽

Injury Surveillance System ◽

Injury Characteristics ◽

Mountain Bike Racing

Interscholastic youth cross-country mountain bike racing in the United States has grown significantly over the past decade, yet little is known about the risk profile in this age group. Aiming to protect participants, we implemented a prospective, longitudinal injury surveillance system for the purpose of better understanding youth mountain biking injuries and implementing safety measures. Data were collected during competition years 2018–2020, totaling 66,588 student athlete-years. Designated reporters from each team received weekly emails with exposure and incident report forms. Variables analyzed included demographic, rider-related, trail-related, and other data. Injury characteristics during the COVID-19 pandemic in 2020 were compared to the years 2018 and 2019. More student athletes participated in the 2020 season (25,261) than in prior seasons (18,575 in 2018 and 22,752 in 2019). During competition year 2020, overall injury proportion was lower (1.7% versus 3.0% in 2018 and 2.7% in 2019). Variables associated with injury, body part injured, type of injury, time-loss, and disposition following injury were similar between all years. Despite the pandemic and resultant changes to competition, student athletes continued to ride their bikes and become injured, but the proportion of injuries differed. This report details injury characteristics in youth mountain bike racing, including a comparison of before and during the pandemic.

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Posttraumatic cerebral infarction in severe traumatic brain injury: characteristics, risk factors and potential mechanisms

Acta Neurochirurgica ◽

10.1007/s00701-015-2559-5 ◽

2015 ◽

Vol 157 (10) ◽

pp. 1697-1704 ◽

Cited By ~ 11

Author(s):

Shengwen Liu ◽

Xueyan Wan ◽

Sheng Wang ◽

Lulu Huang ◽

Mingxin Zhu ◽

...

Keyword(s):

Risk Factors ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Cerebral Infarction ◽

Severe Traumatic Brain Injury ◽

Injury Characteristics ◽

Posttraumatic Cerebral Infarction

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Hemodynamic, behavioral and biochemical disturbances induced by an experimental cranio-cervical injury (whiplash) in rats

Journal of the Autonomic Nervous System ◽

10.1016/0165-1838(85)90030-x ◽

1985 ◽

Vol 13 (2) ◽

pp. 137-147 ◽

Cited By ~ 13

Author(s):

Francis Boismare ◽

Jacques Boquet ◽

Nicholas Moore ◽

Pierre Chretien ◽

Christian Saligaut ◽

...

Keyword(s):

Cervical Injury

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IVIRI of Acute Cervical Injury: Correlation with Neurologic Deficit

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1995.33.4.527 ◽

1995 ◽

Vol 33 (4) ◽

pp. 527

Author(s):

Sang Joon Kim ◽

Hyun Ki Yoon ◽

Dae Chul Suh ◽

Myung Jin Shin ◽

Boo Kyung Hah ◽

...

Keyword(s):

Neurologic Deficit ◽

Cervical Injury

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Determination of cervical stenosis in rugby players using an alternative radiographic method

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2018-000411 ◽

2018 ◽

Vol 4 (1) ◽

pp. e000411

Author(s):

Gustavo C Bornholdt ◽

Bruno Siqueira Campos Lopes ◽

Pedro Francisco Senne Paz ◽

Arnaldo José Hernandez ◽

André Pedrinelli

Keyword(s):

Cervical Canal ◽

Cervical Stenosis ◽

Size Parameter ◽

Cervical Injury ◽

Radiographic Method ◽

Institutional Review ◽

Vertebral Bodies ◽

The Mean ◽

Rugby Players

PurposeTo find a radiographic method that best correlates with the mean subaxial cervical space available for the cord (MSCSAC) by using a fixed size parameter as radiographic reference, in contrast to the use of vertebral bodies as reference in the mean subaxial cervical Torg ratio (MTorg).MethodsThe study was approved by an institutional review board and written informed consent was obtained. Radiographs and cervical neck MRI were obtained from 18 male rugby athletes (age 18–30 years). Rheumatic disease, symptomatic cervical orthopaedic disease and previous cervical injury were used as exclusion criteria. MSCSAC and MTorg were calculated for each individual as the space available for the cord and Torg ratio averages from C3 to C6, respectively. A new radiographic method, using a metal bar as a size parameter (the corrected diameter of the cervical canal - CDCC), was also calculated for each individual, as well as its average from C3 to C6 (mean corrected diameter of the cervical canal - MCDCC). Values obtained for MCDCC and MTorg were correlated with those obtained by the MSCSAC using Pearson’s coefficient.ResultsFour volunteers were excluded due to previous cervical injury. In total, 14 subjects had their radiographs and MRIs analysed. Pearson’s correlation between MSCSAC and MTorg was 0.5706 (p=0.033). The correlation between MSCSAC and MCDCC was 0.6903 (p=0.006).ConclusionMCDCC correlates better than MTorg with MSCSAC and may be a better radiographic option than MTorg for cervical stenosis evaluation.

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