Traumatic spinal cord injury and concomitant brain injury: a cohort study
E. M. Hagen
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
Search for more papers by this authorG. E. Eide
Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway
Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway
Search for more papers by this authorT. Rekand
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Search for more papers by this authorN. E. Gilhus
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
Search for more papers by this authorM. Gronning
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
Search for more papers by this authorE. M. Hagen
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
Search for more papers by this authorG. E. Eide
Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway
Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway
Search for more papers by this authorT. Rekand
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Search for more papers by this authorN. E. Gilhus
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
Search for more papers by this authorM. Gronning
Department of Neurology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
Search for more papers by this authorConflicts of interest : none.
Abstract
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.
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