Evidence map›Paper›PMID 30592685›Full record

ArticleJournal of women's health (2002)2019

Neck Injury Comorbidity in Concussion-Related Emergency Department Visits: A Population-Based Study of Sex Differences Across the Life Span.

Mitchell Sutton, Vincy Chan, Michael Escobar, Tatyana Mollayeva, Zheng Hu, Angela Colantonio

Open access · hybridAbstract read
In one paragraph

Article in Journal of women's health (2002), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Assault-related anoxia and neck injuries in US emergency departments.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024
    Article
  6. Observational
  7. Cognition and post-concussive symptom status after pediatric mild traumatic brain injury.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Mitchell Sutton1 Toronto Rehabilitation Institute-University Health Network, Toronto, Canada.
Vincy Chan1 Toronto Rehabilitation Institute-University Health Network, Toronto, Canada.
Michael Escobar2 Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Tatyana Mollayeva1 Toronto Rehabilitation Institute-University Health Network, Toronto, Canada.
Zheng Hu2 Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Angela Colantonio1 Toronto Rehabilitation Institute-University Health Network, Toronto, Canada.
University Health Network · CAUniversity of Toronto · CA

Funding

Comorbidity in traumatic brain injury and risk of all-cause mortality, functional and financial burden: a decade-long population based cohort studyR21HD089106 · NICHD · UNIVERSITY HEALTH NETWORK · PI COLANTONIO, ANGELA · 2016 to 2017
$297k
NICHD NIH HHS R21 HD089106
6 · The paper itself

Abstract

backgroundThe cervical spine region can be especially vulnerable to concurrent injury in concussion, with research suggesting that females may be at greater risk due to their weaker and anatomically distinct necks. The main objective of our research was to study sex differences in the rate of neck injury comorbidity across the life span among patients with a concussion diagnosis in the emergency department (ED) setting, by cause of injury (motor vehicle collisions [MVC] and sports). MATERIALS AND

methodsAll patients with a first concussion-related ED visit between fiscal years 2002/2003 and 2011/2012 (inclusive) in Ontario were identified in population-based health administrative data using the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Canada (ICD-10-CA) codes. Age-dependent odds ratios of comorbid neck injury for sex were estimated using polynomial multivariable logistic regression models, adjusting for sociodemographic characteristics.

resultsFemales with a concussion had significantly higher odds of sustaining a comorbid neck injury between the ages of 5-49 years for all concussion-related ED visits, 15-49 years for MVC-related concussion ED visits, and 10-39 years for sports-related concussion ED visits, holding all other covariates in the model constant.

conclusionsThese results support the consideration of increased screening for comorbid neck injuries, particularly for females, to allow for early intervention. Furthermore, the increased risk of comorbid neck injury in females with a concussion-related ED visit was age-dependent, with the interaction between sex and age following a nonlinear trend. As such, future studies on concussions should consider linear and nonlinear sex and age interactions.

Indexed as

Sex CharacteristicsAdolescentAdultAge FactorsBrain ConcussionCervical VertebraeChildChild, PreschoolComorbidityEmergency Service, HospitalFemaleHumansLogistic ModelsMaleMiddle AgedNeck Injuriesconcussionmotor vehicleneck injurysexsports

Identifiers

PMID30592685
PMCPMC6482894
OpenAlexW2907476950

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.