Missed diagnosis of traumatic brain injury in patients with traumatic spinal cord injury.
DOI:
https://doi.org/10.2340/16501977-1261Keywords:
Traumatic brain injury, Traumatic spinal cord injury, DiagnosisAbstract
OBJECTIVE: To determine the frequency of missed acute care traumatic brain injury diagnoses in patients with traumatic spinal cord injury, and to examine risk factors for missed traumatic brain injury diagnosis. DESIGN: Prospective magnetic resonance imaging and neuro-psychological assessment plus retrospective medical record review, including computed tomography. SUBJECTS: Ninety-two adults with traumatic spinal cord injury recruited from a large, tertiary spinal cord injury program, initially referred from urban teaching hospitals with neurotrauma facilities. METHODS: Diagnosis of traumatic brain injury made with clinical neurological indices (i.e., Glasgow Coma Scale, post-traumatic amnesia, and loss of consciousness), neuroimaging (computed tomography and structural magnetic resonance imaging), and neuropsychological tests of attention and speed of processing, memory, and executive functionDownloads
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From 2024, articles are published under the CC-BY licence. This license permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication.
