Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population
IntroductionDual diagnosis (DD) with traumatic brain injury (TBI) and spinal cord injury (SCI) poses clinical and rehabilitation challenges. While comorbid TBI is common among adults with SCI, little is known about the epidemiology in the pediatric population. The primary objective of this study was...
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1241550/full |
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| author | Joslyn Gober Lauren T. Shapiro Eduard Tiozzo Nanichi A. Ramos Roldán Cristina M. Brea Katherine Lin Adriana Valbuena |
| author_facet | Joslyn Gober Lauren T. Shapiro Eduard Tiozzo Nanichi A. Ramos Roldán Cristina M. Brea Katherine Lin Adriana Valbuena |
| author_sort | Joslyn Gober |
| collection | DOAJ |
| description | IntroductionDual diagnosis (DD) with traumatic brain injury (TBI) and spinal cord injury (SCI) poses clinical and rehabilitation challenges. While comorbid TBI is common among adults with SCI, little is known about the epidemiology in the pediatric population. The primary objective of this study was to evaluate the prevalence of TBI among children in the United States hospitalized with SCI. Secondary objectives were to compare children hospitalized with DD with those with isolated SCI with regards to age, gender, race, hospital length of stay, and hospital charges.MethodsA retrospective analysis of hospital discharges among children aged 0–18 years occurring between 2016–2018 from U.S. hospitals participating in the Kids’ Inpatient Database. ICD-10 codes were used to identify cases of SCI, which were then categorized by the presence or absence of comorbid TBI.Results38.8% of children hospitalized with SCI had a co-occurring TBI. While DD disproportionately occurred among male children (67% of cases), when compared with children with isolated SCI, those with DD were not significantly more likely to be male. They were more likely to be Caucasian. The mean age of children with DD (13.2 ± 5.6 years) was significantly less than that of children with isolated SCI (14.4 ± 4.3 years). DD was associated with longer average lengths of stay (6 versus 4 days) and increased mean total hospital charges ($124,198 versus $98,089) when compared to isolated SCI.ConclusionComorbid TBI is prevalent among U.S. children hospitalized with SCI. Future research is needed to better delineate the impact of DD on mortality, quality of life, and functional outcomes. |
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| format | Article |
| id | doaj.art-90c19838740e48f5a48e498d8c394305 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-11T21:21:04Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-90c19838740e48f5a48e498d8c3943052023-09-28T06:00:58ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-09-011410.3389/fneur.2023.12415501241550Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric populationJoslyn Gober0Lauren T. Shapiro1Eduard Tiozzo2Nanichi A. Ramos Roldán3Cristina M. Brea4Katherine Lin5Adriana Valbuena6Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, United StatesSouth Texas Veterans Health Care System and Department of Rehabilitation Medicine, University of Texas Health San Antonio, San Antonio, TX, United StatesDepartment of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, United StatesIntroductionDual diagnosis (DD) with traumatic brain injury (TBI) and spinal cord injury (SCI) poses clinical and rehabilitation challenges. While comorbid TBI is common among adults with SCI, little is known about the epidemiology in the pediatric population. The primary objective of this study was to evaluate the prevalence of TBI among children in the United States hospitalized with SCI. Secondary objectives were to compare children hospitalized with DD with those with isolated SCI with regards to age, gender, race, hospital length of stay, and hospital charges.MethodsA retrospective analysis of hospital discharges among children aged 0–18 years occurring between 2016–2018 from U.S. hospitals participating in the Kids’ Inpatient Database. ICD-10 codes were used to identify cases of SCI, which were then categorized by the presence or absence of comorbid TBI.Results38.8% of children hospitalized with SCI had a co-occurring TBI. While DD disproportionately occurred among male children (67% of cases), when compared with children with isolated SCI, those with DD were not significantly more likely to be male. They were more likely to be Caucasian. The mean age of children with DD (13.2 ± 5.6 years) was significantly less than that of children with isolated SCI (14.4 ± 4.3 years). DD was associated with longer average lengths of stay (6 versus 4 days) and increased mean total hospital charges ($124,198 versus $98,089) when compared to isolated SCI.ConclusionComorbid TBI is prevalent among U.S. children hospitalized with SCI. Future research is needed to better delineate the impact of DD on mortality, quality of life, and functional outcomes.https://www.frontiersin.org/articles/10.3389/fneur.2023.1241550/fulldual diagnosisPediatricstraumatic brain injuryspinal cord injuryepidemiology |
| spellingShingle | Joslyn Gober Lauren T. Shapiro Eduard Tiozzo Nanichi A. Ramos Roldán Cristina M. Brea Katherine Lin Adriana Valbuena Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population Frontiers in Neurology dual diagnosis Pediatrics traumatic brain injury spinal cord injury epidemiology |
| title | Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population |
| title_full | Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population |
| title_fullStr | Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population |
| title_full_unstemmed | Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population |
| title_short | Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population |
| title_sort | dual diagnosis of tbi and sci an epidemiological study in the pediatric population |
| topic | dual diagnosis Pediatrics traumatic brain injury spinal cord injury epidemiology |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1241550/full |
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