ArticleArchives of orthopaedic and trauma surgery2013
Impact of concomitant injuries on outcomes after traumatic brain injury.
Article in Archives of orthopaedic and trauma surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Diagnostic accuracy of physical examination findings for midfacial fractures: a systematic review and meta-analysis.Clinical oral investigations · 2022Pooled it
- In-hospital costs after severe traumatic brain injury: A systematic review and quality assessment.PloS one · 2019Pooled it
- 25-Year experience with adult polytraumatized patients in a European level 1 trauma center: polytrauma between 1995 and 2019. What has changed? A retrospective cohort study.Archives of orthopaedic and trauma surgery · 2023Trial
- Timing of fracture fixation for femur and pelvis fractures in patients with severe traumatic brain injury - an analysis of the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Impact of concomitant injuries on clinical outcomes in patients with isolated versus non-isolated traumatic brain injury.Clinical and experimental emergency medicine · 2025Article
- The normative modelling framework for traumatic brain injury.Brain : a journal of neurology · 2025Review
- Incidence and predictors of mortality among traumatic brain injury patients in Ethiopia: a systematic review and meta-analysis.Journal of trauma and injury · 2025Article
- Sex-stratified patterns in geriatric patients with mild traumatic brain injury and intracranial bleeding: a retrospective cohort study.International journal of emergency medicine · 2025Article
- Association Between Metabolic and Inflammatory Biomarkers and Prognosis in Traumatic Brain Injury: A Focus on Short- and Medium-Term Mortality.Journal of inflammation research · 2025Article
- Predictive Modeling of Long-Term Care Needs in Traumatic Brain Injury Patients Using Machine Learning.Diagnostics (Basel, Switzerland) · 2024Article
- A proposed stratification system to address the heterogeneity of Subdural Hematoma Outcome reporting in the literature.Neurosurgical review · 2024Article
- Early vs Late Fixation of Extremity Fractures Among Adults With Traumatic Brain Injury.JAMA network open · 2024Article
- Impact of a Femoral Fracture on Outcome after Traumatic Brain Injury-A Matched-Pair Analysis of the TraumaRegister DGUJournal of clinical medicine · 2023Article
- The effect of age and sex on outcomes following isolated moderate to severe traumatic brain injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Predictors of thoracic and lumbar spine injuries in patients with TBI: A nationwide analysis.Injury · 2022Article
- Age and traumatic brain injury as prognostic factors for late-phase mortality in patients defined as polytrauma according to the New Berlin Definition: experiences from a level I trauma center.Archives of orthopaedic and trauma surgery · 2021Article
- Adult sports-related traumatic spinal injuries: do different activities predispose to certain injuries?Journal of neurosurgery. Spine · 2021Article
- Optic nerve sheath diameter on facial CT: a tool to predict traumatic brain injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Catastrophic consequences: can the feline parasite Toxoplasma gondii prompt the purrfect neuroinflammatory storm following traumatic brain injury?Journal of neuroinflammation · 2020Review
- Morbidity after traumatic spinal injury in pediatric and adolescent sports-related trauma.Journal of neurosurgery. Spine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with traumatic brain injury (TBI) frequently have concomitant injuries; we aimed to investigate their impact on outcomes.
methodsBetween February 2002 and April 2010, 17 Austrian centers prospectively enrolled 863 patients with moderate and severe TBI into observational studies. Data on accident, treatment, and outcomes were collected. Patients who survived until intensive care unit (ICU) admission and had survivable TBI were selected, and were assigned to "isolated TBI" or "TBI + injury" groups. Six-month outcomes were classified as "favorable" if Glasgow Outcome Scale (GOS) scores were five or four, and were classified as "unfavorable" if GOS scores were three or less. Univariate statistics (Fisher's exact test, t test, χ(2)-test) and logistic regression were used to identify factors associated with hospital mortality and unfavorable outcome.
resultsOf the 767 patients, 403 (52.5 %) had isolated TBI, 364 (47.5 %) had concomitant injuries. Patients with isolated TBI had higher mean age (53 vs. 44 years, P = 0.001); hospital mortality (30.0 vs. 27.2 %, P = 0.42) and rate of unfavorable outcome (50.4 vs. 41.8 %, P = 0.02) were higher, too. There were no significant mortality differences for factors like age groups, trauma mechanisms, neurologic status, CT findings, or treatment factors. Concomitant injuries were associated with higher mortality (33.3 vs. 12.5 %, P = 0.05) in patients with moderate TBI, and were significantly associated with more ventilation, ICU, and hospitals days. Logistic regression revealed that age, Glasgow Coma Scale score, pupillary reactivity, severity of TBI and CT score were the main factors that influenced outcomes.
conclusionsConcomitant injuries have a significant effect upon the mortality of patients with moderate TBI. They do not affect the mortality in patients with severe TBI.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.