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Conference Paper: Univariate and Multivariable Analyses on Independent Predictors for Cervical Spinal Injury in Patients with Head Injury

TitleUnivariate and Multivariable Analyses on Independent Predictors for Cervical Spinal Injury in Patients with Head Injury
Authors
KeywordsCervical spinal injury
Head injury
Hypotension
Spinal cord injury
Thoracic injury
Traumatic brain injury
Issue Date2022
Citation
World Neurosurgery, 2022, v. 166, p. e832-e840 How to Cite?
AbstractObjective: This study aims to identify independent factors associated with cervical spinal injuries in head-injured patients. The extent of injuries to other body parts was assessed by the Abbreviated Injury Scale (AIS) and was included in the analysis. Methods: Consecutive head-injured patients admitted via the emergency department from January 1, 2014 to December 31, 2016 were retrospectively reviewed. The inclusion criteria were head-injured patients with an Abbreviated Injury Scale (AIS) score ≥2 (i.e., head injuries with intracranial hematoma or skull fracture). Patients with minor head injuries with only scalp abrasions or superficial lacerations without significant intracranial injuries (i.e., head injury AIS score = 1) were excluded. The primary outcome was to identify independent predictors associated with cervical spinal injuries in these head-injured patients. Univariate and multivariable analyses were conducted. Results: A total of 1105 patients were identified. Of these patients, 11.2% (n = 124) had cervical spinal injuries. Univariate and multivariable analyses identified male gender (P = 0.006), the presence of thoracic injury (including rib fracture, hemothorax, or pneumothorax) (P = 0.010), and hypotension with systolic blood pressure <90 mm Hg on admission (P = 0.009) as independent predictors for cervical spinal injury in head-injured patients. Conclusions: This study showed that about 1 in 10 patients with significant head injury had cervical spine injury, usually associated with fracture or dislocation. Male gender, the presence of thoracic injury, and hypotension on admission were independent risk factors associated with cervical spinal injuries.
Persistent Identifierhttp://hdl.handle.net/10722/325576
ISSN
2023 Impact Factor: 1.9
2023 SCImago Journal Rankings: 0.654
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, David Yuen Chung-
dc.contributor.authorHe, Orson Yuzhong-
dc.contributor.authorPoon, Wai Sang-
dc.contributor.authorNg, Stephanie Chi Ping-
dc.contributor.authorYeung, Janice Hiu Hung-
dc.contributor.authorHung, Kevin Kei Ching-
dc.contributor.authorMak, Wai Kit-
dc.contributor.authorChan, Danny Tat Ming-
dc.contributor.authorCheung, Nai Kwong-
dc.contributor.authorGriffith, James F.-
dc.contributor.authorGraham, Colin A.-
dc.contributor.authorWong, George Kwok Chu-
dc.date.accessioned2023-02-27T07:34:26Z-
dc.date.available2023-02-27T07:34:26Z-
dc.date.issued2022-
dc.identifier.citationWorld Neurosurgery, 2022, v. 166, p. e832-e840-
dc.identifier.issn1878-8750-
dc.identifier.urihttp://hdl.handle.net/10722/325576-
dc.description.abstractObjective: This study aims to identify independent factors associated with cervical spinal injuries in head-injured patients. The extent of injuries to other body parts was assessed by the Abbreviated Injury Scale (AIS) and was included in the analysis. Methods: Consecutive head-injured patients admitted via the emergency department from January 1, 2014 to December 31, 2016 were retrospectively reviewed. The inclusion criteria were head-injured patients with an Abbreviated Injury Scale (AIS) score ≥2 (i.e., head injuries with intracranial hematoma or skull fracture). Patients with minor head injuries with only scalp abrasions or superficial lacerations without significant intracranial injuries (i.e., head injury AIS score = 1) were excluded. The primary outcome was to identify independent predictors associated with cervical spinal injuries in these head-injured patients. Univariate and multivariable analyses were conducted. Results: A total of 1105 patients were identified. Of these patients, 11.2% (n = 124) had cervical spinal injuries. Univariate and multivariable analyses identified male gender (P = 0.006), the presence of thoracic injury (including rib fracture, hemothorax, or pneumothorax) (P = 0.010), and hypotension with systolic blood pressure <90 mm Hg on admission (P = 0.009) as independent predictors for cervical spinal injury in head-injured patients. Conclusions: This study showed that about 1 in 10 patients with significant head injury had cervical spine injury, usually associated with fracture or dislocation. Male gender, the presence of thoracic injury, and hypotension on admission were independent risk factors associated with cervical spinal injuries.-
dc.languageeng-
dc.relation.ispartofWorld Neurosurgery-
dc.subjectCervical spinal injury-
dc.subjectHead injury-
dc.subjectHypotension-
dc.subjectSpinal cord injury-
dc.subjectThoracic injury-
dc.subjectTraumatic brain injury-
dc.titleUnivariate and Multivariable Analyses on Independent Predictors for Cervical Spinal Injury in Patients with Head Injury-
dc.typeConference_Paper-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.wneu.2022.07.105-
dc.identifier.pmid35926701-
dc.identifier.scopuseid_2-s2.0-85136251374-
dc.identifier.volume166-
dc.identifier.spagee832-
dc.identifier.epagee840-
dc.identifier.eissn1878-8769-
dc.identifier.isiWOS:000877423400057-

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