Evidence map›Paper›PMID 31493383›Full record

ArticleArchives of physical medicine and rehabilitation2020

Frequency of Primary Neck Pain in Mild Traumatic Brain Injury/Concussion Patients.

Jeffrey A King, Michael A McCrea, Lindsay D Nelson

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Jeffrey A KingMedical College of Wisconsin Department of Neurosurgery, Milwaukee, Wisconsin, United States. Electronic address: jeking@mcw.edu.
Michael A McCreaMedical College of Wisconsin Department of Neurosurgery, Milwaukee, Wisconsin, United States.
Lindsay D NelsonMedical College of Wisconsin Department of Neurosurgery, Milwaukee, Wisconsin, United States.
Medical College of Wisconsin · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
Clinical Phenotyping of Mild Traumatic Brain Injury (mTBI)R03NS100691 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI NELSON, LINDSAY · 2017 to 2018
$167k
NCATS NIH HHS UL1 TR001436NINDS NIH HHS R03 NS100691
6 · The paper itself

Abstract

objectivesTo determine (1) the frequency of neck pain overall and relative to other symptoms in patients presenting to a level I trauma center emergency department (ED) with mild traumatic brain injury (mTBI) and (2) the predictors of primary neck pain in this population.

designCohort study.

settingLevel I trauma center ED.

participantsPatients presenting to the ED with symptoms of mTBI having been exposed to an event that could have caused mTBI (N=95).

interventionsNot applicable.

main outcome measuresFrequency of self-reported neck pain as measured by Sport Concussion Assessment Tool 3 (SCAT3) symptom questionnaire at <3, 8, 15, and 45 days post injury. Primary neck pain was defined in 2 ways: (1) neck pain rated as equal or greater in severity than all other SCAT3 symptoms and (2) neck pain worse than all other symptoms.

resultsThe frequency of any reported neck pain was 68.4%, 50.6%, 49%, and 41.9% within 72 hours and at 8, 15, and 45 days, respectively. Frequency of primary neck pain (equal or worse/worse definitions) was 35.8%/17.9%, 34.9%/14.5%, 37%/14.8%, and 39.2%/10.8% across the 4 follow-up assessments. Participants who sustained their injuries in motor vehicle collisions had a higher rate of primary neck pain than those with other mechanisms of injury.

conclusionsA sizable percentage of patients who present to level I trauma center EDs with mTBI report neck pain, which is commonly rated as similar to or worse than other mTBI-related symptoms. Primary neck pain is more common after motor vehicle collisions than with other mechanisms of injury. These findings support consensus statements identifying cervical injury as an important potential concurrent diagnosis in patients with mTBI.

Indexed as

Accidents, TrafficAdultBrain ConcussionEmergency Service, HospitalFemaleHumansMaleNeck PainProspective StudiesSeverity of Illness IndexTrauma CentersBrain concussionEmergency service, hospitalNeck painRehabilitation

Identifiers

PMID31493383
PMCPMC6930963
OpenAlexW2972190378

What OpenQuestion holds

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LicenceTDM
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.