Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review
Objective: To map existing knowledge on screening and rehabilitation outcomes for co-occurring traumatic brain injury among people with traumatic spinal cord injury (SCI). Methods: Articles focusing on screening and rehabilitation outcomes in participants sustaining co-occurring traumatic brain inj...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medical Journals Sweden
2025-01-01
|
| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm/article/view/41897 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841560978005688320 |
|---|---|
| author | Deborah L. Snell Phoebe Wynands Jennifer Dunn Joanne Nunnerley Alice Theadom |
| author_facet | Deborah L. Snell Phoebe Wynands Jennifer Dunn Joanne Nunnerley Alice Theadom |
| author_sort | Deborah L. Snell |
| collection | DOAJ |
| description | Objective: To map existing knowledge on screening and rehabilitation outcomes for co-occurring traumatic brain injury among people with traumatic spinal cord injury (SCI).
Methods: Articles focusing on screening and rehabilitation outcomes in participants sustaining co-occurring traumatic brain injury and traumatic spinal cord injury (all ages) were identified in Ovid, Scopus, Web of Science, CINAHL, and ProQuest Dissertations and Theses electronic databases. There were no limitations on study design, date, or geographical location. Articles were excluded if they were not available in English. Data were extracted into the Rayyan online collaboration platform and summarized descriptively.
Results: Twenty-five studies were included, with a mix of retrospective, case-control, and prospective cohort designs. Screening under-estimated traumatic brain injury incidence when approaches relied on inconsistently collected traumatic brain injury indicators, especially for mild traumatic brain injury. Rehabilitation outcomes included length of stay, functional outcomes, cognitive functioning, complication rates, and employment. Although mixed, outcomes among persons with moderate to severe co-occurring traumatic brain injury especially, appeared poorer than those with spinal cord injury alone.
Conclusions: Multivariable approaches to traumatic brain injury ascertainment and greater consistency in documenting acute traumatic brain injury indicators may improve reliability of capturing traumatic brain injury and traumatic brain injury severity among persons with traumatic spinal cord injury. Impacts of co-occurring traumatic brain injury appear greater relative to SCI alone but few studies analysed outcomes based on traumatic brain injury severity.
|
| format | Article |
| id | doaj-art-8a3e83631f4947af9544c7f14e891a76 |
| institution | Kabale University |
| issn | 1651-2081 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-8a3e83631f4947af9544c7f14e891a762025-01-03T09:19:26ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-01-015710.2340/jrm.v57.41897Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping reviewDeborah L. Snell0Phoebe Wynands1Jennifer Dunn2Joanne Nunnerley3Alice Theadom4Department of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New ZealandDepartment of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New ZealandDepartment of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New ZealandDepartment of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New ZealandDepartment of Psychology and Neuroscience and the TBI Network, Auckland University of Technology, Auckland, New ZealandObjective: To map existing knowledge on screening and rehabilitation outcomes for co-occurring traumatic brain injury among people with traumatic spinal cord injury (SCI). Methods: Articles focusing on screening and rehabilitation outcomes in participants sustaining co-occurring traumatic brain injury and traumatic spinal cord injury (all ages) were identified in Ovid, Scopus, Web of Science, CINAHL, and ProQuest Dissertations and Theses electronic databases. There were no limitations on study design, date, or geographical location. Articles were excluded if they were not available in English. Data were extracted into the Rayyan online collaboration platform and summarized descriptively. Results: Twenty-five studies were included, with a mix of retrospective, case-control, and prospective cohort designs. Screening under-estimated traumatic brain injury incidence when approaches relied on inconsistently collected traumatic brain injury indicators, especially for mild traumatic brain injury. Rehabilitation outcomes included length of stay, functional outcomes, cognitive functioning, complication rates, and employment. Although mixed, outcomes among persons with moderate to severe co-occurring traumatic brain injury especially, appeared poorer than those with spinal cord injury alone. Conclusions: Multivariable approaches to traumatic brain injury ascertainment and greater consistency in documenting acute traumatic brain injury indicators may improve reliability of capturing traumatic brain injury and traumatic brain injury severity among persons with traumatic spinal cord injury. Impacts of co-occurring traumatic brain injury appear greater relative to SCI alone but few studies analysed outcomes based on traumatic brain injury severity. https://medicaljournalssweden.se/jrm/article/view/41897Traumatic brain injurytraumatic spinal cord injurydual diagnosisscreeningrehabilitation outcomes |
| spellingShingle | Deborah L. Snell Phoebe Wynands Jennifer Dunn Joanne Nunnerley Alice Theadom Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review Journal of Rehabilitation Medicine Traumatic brain injury traumatic spinal cord injury dual diagnosis screening rehabilitation outcomes |
| title | Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review |
| title_full | Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review |
| title_fullStr | Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review |
| title_full_unstemmed | Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review |
| title_short | Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review |
| title_sort | screening and outcomes of co occurring traumatic brain injury among people with spinal cord injury a scoping review |
| topic | Traumatic brain injury traumatic spinal cord injury dual diagnosis screening rehabilitation outcomes |
| url | https://medicaljournalssweden.se/jrm/article/view/41897 |
| work_keys_str_mv | AT deborahlsnell screeningandoutcomesofcooccurringtraumaticbraininjuryamongpeoplewithspinalcordinjuryascopingreview AT phoebewynands screeningandoutcomesofcooccurringtraumaticbraininjuryamongpeoplewithspinalcordinjuryascopingreview AT jenniferdunn screeningandoutcomesofcooccurringtraumaticbraininjuryamongpeoplewithspinalcordinjuryascopingreview AT joannenunnerley screeningandoutcomesofcooccurringtraumaticbraininjuryamongpeoplewithspinalcordinjuryascopingreview AT alicetheadom screeningandoutcomesofcooccurringtraumaticbraininjuryamongpeoplewithspinalcordinjuryascopingreview |