19 August 2023: Clinical Research
Concurrent Spinal Trauma in Patients with Traumatic Head Injury: A Seven-Year Retrospective Analysis
Wenye He ABCF , Jun Pan CDEF*DOI: 10.12659/MSM.939215
Med Sci Monit 2023; 29:e939215
Table 2 Traumatological parameters of the enrolled patients at the time of admission in the Emergency Department.
| Parameters | Total | Cohorts | Comparisons | |||||
|---|---|---|---|---|---|---|---|---|
| Signs and symptoms appeared in the follow-up period | Patients with head injuries | Patients with spinal injuries | Patients without spinal injuries | |||||
| Numbers of patients | 1,501 | 179 | 1,322 | P value | 95% confidence interval | Df | ||
| Time from traumatic injuries before admission to the Emergency Department (h) | Median (Q3–Q1) | 2.8 (4–2) | 4 (4.5–3.5)* | 2.5 (3.5–2) | N/A | N/A | ||
| >3 | 1,051 (70) | 163 (91)* | 888 (67) | 2.641 to 7.203 | N/A | |||
| ≤3 | 460 (30) | 16 (9) | 434 (33) | |||||
| Cause of traumatic injuries | Motor vehicle accident(s) | 879 (59) | 134 (75) | 745 (57) | N/A | 4 | ||
| Falls | >3 m | 61 (4) | 16 (9) | 45 (3) | ||||
| ≤3 m | 295 (20) | 4 (2) | 291 (22) | |||||
| Stuck with object(s) | 148 (10) | 24 (13) | 124 (9) | |||||
| The other reason(s) | 118 (7) | 1 (1) | 117 (9) | |||||
| The Abbreviated Injury Scale score | 0 | 243 (16) | 2 (1) | 241 (18) | N/A | 6 | ||
| 1 | 551 (35.9) | 9 (5) | 542 (42) | |||||
| 2 | 269 (18) | 27 (15) | 242 (18) | |||||
| 3 | 176 (12) | 42 (23) | 134 (10) | |||||
| 4 | 159 (11) | 51 (29) | 108 (8) | |||||
| 5 | 101 (7) | 46 (26) | 55 (4) | |||||
| 6 | 2 (0.1) | 2 (1) | 0 (0) | |||||
| Eppendorf-Cologne Scale score | 0 | 295 (20) | 5 (3) | 290 (22) | N/A | 3 | ||
| 1 | 601 (40) | 39 (22) | 562 (43) | |||||
| 2 | 445 (30) | 100 (55) | 345 (26) | |||||
| 3 | 160 (10) | 35 (20) | 125 (9) | |||||
| Thoracic injuries (including rib fracture, pneumothorax, or hemothorax) | Yes | 230 (15) | 55 (31) | 175 (13) | 1.844 to 3.259 | N/A | ||
| No | 1271 (85) | 124 (69) | 1147 (87) | |||||
| Variables are depicted as frequency (percentages) or median (Q3–Q1). * Higher than those of patients without spinal injuries. All results were considered significant if the value was less than 0.05. # Using the approximation of Katz. N/A – not applicable; Df – degree of freedom. | ||||||||