Evidence map›Paper›PMID 32847526›Full record

ArticleBMC neurology2020

Patients with mild traumatic brain injury and acute neck pain at the emergency department are a distinct category within the mTBI spectrum: a prospective multicentre cohort study.

Sophie M Coffeng, Bram Jacobs, Myrthe E de Koning, Gerard Hageman, Gerwin Roks, Joukje van der Naalt

Abstract readMulticenter Study
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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.

Sophie M CoffengDepartment of Emergency Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-8569-2146
Bram JacobsDepartment of Neurology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. b.jacobs@umcg.nl.ORCID https://orcid.org/0000-0002-7078-8118
Myrthe E de KoningDepartment of Neurology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0003-3151-4998
Gerard HagemanDepartment of Neurology, Hospital Medisch Spectrum Twente, Enschede, The Netherlands.ORCID https://orcid.org/0000-0002-3816-5535
Gerwin RoksDepartment of Neurology, Elisabeth Tweesteden Hospital Tilburg, Tilburg, The Netherlands.ORCID https://orcid.org/0000-0002-1393-9848
Joukje van der NaaltDepartment of Neurology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-9873-2418

Funding

Hersenstichting PS2012-06
6 · The paper itself

Abstract

backgroundAcute neck pain (ANP) has recently been demonstrated to be a predictor of persistent posttraumatic complaints after mild traumatic brain injury (mTBI). The aim of this study was to determine specific characteristics of patients with ANP following mTBI, their posttraumatic complaints and relationship with functional outcome.

methodsData from a prospective follow-up study of 922 mTBI patients admitted to the emergency department (ED) in three level-one trauma centres were analysed. Patients were divided into two groups: 156 ANP patients and 766 no acute neck pain (nANP) patients. Posttraumatic complaints were evaluated 2 weeks and 6 months post-injury using standardized questionnaires and functional outcome was evaluated at 6 months with the Glasgow Outcome Scale Extended (GOSE).

resultsANP patients were more often female (p < 0.01), younger (38 vs. 47 years, p < 0.01) with more associated acute symptoms at the ED (p < 0.05) compared to nANP patients. More motor vehicle accidents (12% vs. 6%, p = 0.01) and less head wounds (58% vs. 73%, p < 0.01) in ANP patients indicated 'high-energy low-impact' trauma mechanisms. ANP patients showed more posttraumatic complaints 2 weeks and 6 months post-injury (p < 0.05) and more often incomplete recovery (GOSE < 8) was present after 6 months (56% vs. 40%, p = 0.01).

conclusionsMTBI patients with acute neck pain at the ED constitute a distinct group within the mTBI spectrum with specific injury and demographic characteristics. Early identification of this at risk group already at the ED might allow specific and timely treatment to avoid development of incomplete recovery.

Indexed as

Emergency Service, HospitalAdultBrain ConcussionCohort StudiesFemaleFollow-Up StudiesGlasgow Outcome ScaleHumansMaleMiddle AgedNeck PainProspective StudiesRisk FactorsSurveys and QuestionnairesYoung AdultMild traumatic brain injuryNeck painOutcomePosttraumatic complaints

Identifiers

PMID32847526
PMCPMC7450585

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Registered trials

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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.