Journal of Rehabilitation Research & Development (JRRD)

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Volume 52 Number 6, 2015
   Pages 669 — 676

Abstract — Traumatic brain injury in U.S. Veterans with traumatic spinal cord injury

Graham H. Creasey, MD;1–2* Zoia C. Lateva, PhD;1 Sophia Miryam Schüssler-Fiorenza Rose, MD, PhD;1–2 Jon Rose, PhD1

1Spinal Cord Injury and Disorders Center, Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; 2Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA

Abstract — Patients with both a spinal cord injury (SCI) and traumatic brain injury (TBI) are often very difficult to manage and can strain the resources of clinical units specialized in treating either diagnosis. However, a wide range of estimates exists on the extent of this problem. The aim of this study was to describe the scope of the problem in a well-defined population attending a comprehensive SCI unit. Electronic medical records of all patients with SCI being followed by the SCI unit in a U.S. Veterans' hospital were searched to identify those with concurrent TBI. The data were analyzed for age, sex, cause of injury, level and completeness of SCI, cognitive impairment, relationship with Active Duty military, and date of injury. Of 409 Veterans with a traumatic SCI, 99 (24.2%) were identified as having had a concurrent TBI. The occurrence did not appear to be closely related to military conflict. Reports of TBI were much more common in the last 20 yr than in previous decades. Documentation of TBI in patients with SCI was inconsistent. Improved screening and documentation could identify all patients with this dual diagnosis and facilitate appropriate management.

Key words: Active Duty military, cognitive impairment, electronic medical records, military trauma, polytrauma, retrospective study, spinal cord injury, traumatic brain injury, Veterans, Veterans Health Administration.


View HTML ¦ View PDF ¦ Contents Vol. 52, No.6

This article and any supplementary material should be cited as follows:
Creasey GH, Lateva ZC, Schüssler-Fiorenza Rose SM, Rose J. Traumatic brain injury in U.S. Veterans with traumatic spinal cord injury. J Rehabil Res Dev. 2015;52(6): 669–760.
http://dx.doi.org/10.1682/JRRD.2014.11.0291
ResearcherID/ORCID: Graham H. Creasey, MD: J-6136-2015/0000-003-1720-4491; Zoia C. Lateva, PhD: J-6142-2015; Sophia Miryam Schüssler-Fiorenza Rose, MD, PhD: 0000-0002-6311-6671; Jon Rose, PhD: J-6141-2015/0000-0003-3350-5526
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