Evidence map›Paper›PMID 41986539›Full record

ArticleSpinal cord2026

Effects of concomitant traumatic brain injury on the epidemiology, access to treatment services and outcomes after traumatic spinal cord injury: A retrospective cohort study.

Julio C Furlan, Di Wang, Dilnur Kurban

Abstract read
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In one paragraph

Article in Spinal cord, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Julio C FurlanLyndhurst Centre, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada. jcfurlan@gmail.com.ORCID http://orcid.org/0000-0002-2038-0018
Di WangPraxis Spinal Cord Institute, Vancouver, BC, Canada.ORCID http://orcid.org/0009-0006-2084-3680
Dilnur KurbanPraxis Spinal Cord Institute, Vancouver, BC, Canada.ORCID http://orcid.org/0009-0001-0765-3616

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesTo assess the impact of concomitant traumatic brain injury (TBI) on demographic data, injury characteristics, management choices, access to optimal care, and clinical, neurological and functional outcomes after acute traumatic spinal cord injury (tSCI).

setting18 acute care centers and 12 rehabilitation facilities across Canada.

methodsData for the study was selected from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) from 2004 to 2020 in Canada. The tSCI-alone group was compared with the tSCI+TBI group regarding injury epidemiology, management, and outcomes post-tSCI.

resultsThere were 966 individuals with tSCI+TBI and 3520 individuals with tSCI alone. The latter included older and more predominantly White individuals who typically sustained a less severe tSCI, less often at cervical levels due to falls. While need for surgical spinal cord decompression and spine stabilization was more common in the tSCI-alone group (p = 0.0087), mechanical ventilation was more often required in the tSCI+TBI group (p < 0.0001). In-hospital mortality rate, length of stay in the acute care and rehabilitation centers were greater in the tSCI+TBI group (p < 0.0001). However, both groups had similar changes in the motor scores from admission to discharge from the hospital (p = 0.6096). While both groups had similar frequencies of pain (p = 0.9848), spasticity was more frequent in the tSCI+TBI group (p < 0.0001).

conclusionsOur results underscore significant differences between the tSCI+TBI group and the SCI-alone group regarding the injury epidemiology, management and outcomes. Those results suggest that concomitant TBI should be considered a major potential confounder in future SCI research studies.

Indexed as

Brain Injuries, TraumaticHealth Services AccessibilitySpinal Cord InjuriesAdultAgedCanadaCohort StudiesFemaleHumansMaleMiddle AgedRegistriesRetrospective StudiesTreatment Outcome

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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.