Incidence of Neck Pain in Pediatric Mild Traumatic Brain Injury in the Emergency Department

Neurology ◽  
2020 ◽  
Vol 95 (20 Supplement 1) ◽  
pp. S10.3-S11
Author(s):  
Brieana Hope Rodriguez ◽  
Danny Thomas
Keyword(s):  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Neck Pain ◽  
Mild Traumatic Brain Injury ◽  
Motor Vehicle ◽  
Pediatric Population ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents

ObjectiveTo determine (1) the frequency of reported cervical spine pain in patients diagnosed with mild traumatic brain injury (mTBI) in the Children's Hospital of Wisconsin emergency department (ED), and (2) the predictors of number of follow up visits for concussion related symptoms between those with and without neck pain.BackgroundThere has been little research on the frequency of concomitant injury, specifically neck pain associated with TBI in the pediatric population. Given the potential influence of neck pain on recovery from mTBI, we sought to report on the frequency of reported neck pain in the sample of pediatric ED patients reporting mTBI symptoms.Design/MethodsThe sample was obtained through a retrospective analysis in the setting of Children's Hospital of Wisconsin Emergency Department with a subject selection of patients diagnosed with a concussion/mTBI between the dates of 11/1/2015–06/30/2018.ResultsWe analyzed 652 charts. The frequency of reported neck pain in the pediatric population being evaluated for mTBI in the ED was 13.8%. Of these patients, 32.2% had subsequent follow up visits related to their concussion/neck pain compared to 31.1% in patients without neck pain in the ED. In regards to the TBI cause, 47.8% were due to accidental falls, 40.3% were due to other accidents not related to motor vehicles, and 10.0% were due to motor vehicle accidents.ConclusionsIn comparison to the adult mTBI population, the pediatric mTBI population had a significantly less reported frequency of neck pain in the ED. This is not surprising as the majority of adults presenting for concussions and neck pain are post-motor vehicle accidents, whereas the majority of children are presenting after accidental falls. There did not seem to be an association between concussions with concomitant neck pain and prolonged recovery or increased morbidity as determined by follow up visits.

Mild traumatic brain injury from motor vehicle accidents: Factors associated with return to work

1999 ◽  
Vol 80 (4) ◽  
pp. 392-398 ◽  
Author(s):  
Carol F. Ruffolo ◽  
Judith F. Friedland ◽  
Deirdre R. Dawson ◽  
Angela Colantonio ◽  
Peter H. Lindsay
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Return To Work ◽  
Mild Traumatic Brain Injury ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Factors Associated ◽  
Vehicle Accidents

scholarly journals Traumatic Brain Injury Related Hospitalization and Mortality in California

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Clint Lagbas ◽  
Shahrzad Bazargan-Hejazi ◽  
Magda Shaheen ◽  
Dulcie Kermah ◽  
Deyu Pan
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Age Groups ◽  
Motor Vehicle Accidents ◽  
Elderly Male ◽  
Cross Sectional ◽  
Discharge Data ◽  
Vehicle Accidents

Objective. The aim of this study is to describe the traumatic brain injury (TBI) population and causes and identify factors associated with TBI hospitalizations and mortality in California.Methods. This is a cross-sectional study of 61,188 patients with TBI from the California Hospital Discharge Data 2001 to 2009. We used descriptive, bivariate, and multivariate analyses in SAS version 9.3.Results. TBI-related hospitalizations decreased by 14% and mortality increased by 19% from 2001 to 2009. The highest percentages of TBI hospitalizations were due to other causes (38.4%), falls (31.2%), being of age≥75years old (37.2%), being a males (58.9%), and being of Medicare patients (44%). TBIs due to falls were found in those age≤4years old (53.5%),≥75years old (44.0%), and females (37.2%). TBIs due to assaults were more frequent in Blacks (29.0%). TBIs due to motor vehicle accidents were more frequent in 15–19 and 20–24 age groups (48.7% and 48.6%, resp.) and among Hispanics (27.8%). Higher odds of mortality were found among motor vehicle accident category (adjusted odds ratio (AOR): 1.27, 95% CI: 1.14–1.41); males (AOR: 1.36, 95% CI: 1.27–1.46); and the≥75-year-old group (AOR: 6.4, 95% CI: 4.9–8.4).Conclusions. Our findings suggest a decrease in TBI-related hospitalizations but an increase in TBI-related mortality during the study period. The majority of TBI-related hospitalizations was due to other causes and falls and was more frequent in the older, male, and Medicare populations. The higher likelihood of TBI-related mortalities was found among elderly male≥75years old who had motor vehicle accidents. Our data can inform practitioners, prevention planners, educators, service sectors, and policy makers who aim to reduce the burden of TBI in the community. Implications for interventions are discussed.

scholarly journals Post-Traumatic Headache After Mild Traumatic Brain Injury In A One-Year Follow Up Study – Risk Factors And Return To Work

2021 ◽  
Author(s):  
Yvonn Kraemer ◽  
Kaisa Mäki ◽  
Ivan Marinkovic ◽  
Taina Nybo ◽  
Harri Isokuortti ◽  
...  
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Return To Work ◽  
Mild Traumatic Brain Injury ◽  
Outpatient Clinic ◽  
Post Traumatic ◽  
One Year

Abstract Background: Post-traumatic headache (PTH) is a common symptom following mild traumatic brain injury (mTBI). Patients at risk to develop acute PTH (aPTH) and further persistent PTH (pPTH) need to be recognized. Methods: This is a one-year follow-up of 127 patients with mTBI, aged 18 to 68, referred to outpatient clinic in the Helsinki University Hospital. Symptoms were assessed at the emergency department (ED), with structured interview at outpatient clinic visit and with Rivermead post-concussion symptom questionnaire at one, three, and 12 months after injury. Psychiatric disorders were assessed with Structured Clinical Interview for DSM-IV Axis I disorders at 3-4 months and return to work (RTW) from patient records. Results: At one month, 77/127 patients (61%) had aPTH. According to multiple logistic regression analysis, risk factors for aPTH were headache at the emergency department (ED) (OR 5.43), other pain (OR 3.19), insomnia (OR 3.23), and vertigo (OR 5.98). At three months, 17 patients (22% of aPTH patients) had developed pPTH, and at one year, 4 patients (24% of pPTH patients) still presented with pPTH. Risk factors for pPTH at three months were older age (OR 1.06) and current insomnia (OR 12.3). The frequency of psychiatric disorders did not differ between the groups. pPTH patients performed worse on their RTW. Conclusions: Risk factors for aPTH were insomnia, headache at ED, other pain, and vertigo and for pPTH, insomnia and older age. RTW rate was lower among pPTH patients.

scholarly journals Analysis of patients with spinal cord trauma associated with traumatic brain injury

2014 ◽  
Vol 13 (4) ◽  
pp. 302-305 ◽  
Author(s):  
João Simão de Melo Neto ◽  
Waldir Antônio Tognola ◽  
Antonio Ronaldo Spotti ◽  
Dionei Freitas de Morais
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Spinal Cord ◽  
Brain Injury ◽  
Injury Risk ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents ◽  
Risk Of Death ◽  
Cord Injury

Objective: Characterize victims of spinal cord injury (SCI) associated with traumatic brain injury (TBI) and risk factors. Methods: Study conducted with 52 victims of SCI associated with TBI. The variables studied were: sex; age; marital status; occupation; educational level; religion; etiology and the lesion area; neurological condition by the ASIA scale; associated injuries and potential risk factors. Results: The male (85%), aged between 21-30 years (25%), civil status stable union (56%), low level of education (69%) and the Roman Catholic religion (77%) presented the greater number of victims. Motor vehicle accidents (58%) were the main etiology. The cervical segment had higher injury risk (RR=3.48, p<0.0001). The neurological status ASIA-E (52%), the syndromic neck pain (35%) and the rate of mild TBI (65%) were the most frequent. Complications occurred in 13 patients with increased frequency of pneumonia (62%). The length of hospital stay was significantly higher (20±28 days) and 17% of patients died. Men (RR=2.14, p=0.028) and individuals exposed to motor vehicle accidents (RR=1.91, p=0.022) showed a higher risk of these lesions concurrently. Moreover, these patients had 2.48 (p<0.01) higher risk of death than victims of SCI alone. Conclusion: The SCI associated with TBI was more frequent in men, young adults, and individuals exposed to motor vehicle accidents. The cervical spine is more likely to be affected. Furthermore, the length of hospitalization is significantly higher and the subjects analyzed have higher risk of death.

scholarly journals Retroclival and spinal subdural hematoma after traumatic brain injury - A case report and literature review

2019 ◽  
Vol 10 ◽  
pp. 86 ◽  
Author(s):  
Saúl Solorio-Pineda ◽  
Adriana Ailed Nieves-Valerdi ◽  
José Alfonso Franco-Jiménez ◽  
Guillermo Axayacalt Gutiérrez-Aceves ◽  
Luis Manuel Buenrostro-Torres ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Subdural Hematoma ◽  
Brain Injuries ◽  
Motor Vehicle ◽  
Pediatric Population ◽  
Traumatic Injury ◽  
Vascular Lesions ◽  
Vehicle Accidents ◽  
Spinal Subdural Hematoma

Background: Retroclival hematomas are rare and occur mostly in the pediatric population. They are variously attributed to trauma, apoplexy, and vascular lesions. With motor vehicle accidents (MVAs), the mechanism of traumatic injury is forced flexion and extension. There may also be associated cervical spinal and/or clivus fractures warranting fusion. Case Description: A 35-year-old male sustained a traumatic brain injury after a fall of 5 m at work. His Glasgow coma scale (GCS) on admission was 13 (M6V3O4). He had no cranial nerve deficits. The brain computed tomography (CT) showed a retroclival subdural hematoma that extended to the C2 level. Conclusions: Most retroclival hematomas are attributed to MVAs, and cranial CT and magnetic resonance studies typically demonstrate a combination of posterior fossa hemorrhage with retroclival hematomas (intra or extradural). Patients with retroclival hematomas but high GCS scores on admission usually have better prognoses following traumatic brain injuries attributed to MVA. Notable however is the frequent association with additional cervical and/or craniocervical injuries (e.g. such as odontoid fracture) that may warrant surgery/fusión.

scholarly journals Assessment of Follow-up Care After Emergency Department Presentation for Mild Traumatic Brain Injury and Concussion

2018 ◽  
Vol 1 (1) ◽  
pp. e180210 ◽  
Author(s):  
Seth A. Seabury ◽  
Étienne Gaudette ◽  
Dana P. Goldman ◽  
Amy J. Markowitz ◽  
Jordan Brooks ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Emergency Department Presentation ◽  
Follow Up Care
Sign in / Sign up

Export Citation Format

Share Document