1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1089/neu.2020.7415" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/neu.2020.7415</a> ISSN 1557-9042 0897-7151 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1089/neu.2020.7415" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1089/neu.2020.7415</a> <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Update Year & Number January 2021 List NEOMED College NEOMED College of Medicine Student NEOMED Department NEOMED Student Publications Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Trends in demographics and markers of injury severity in traumatic cervical spinal cord injury. Publisher An entity responsible for making the resource available Journal of Neurotrauma Date A point or period of time associated with an event in the lifecycle of the resource 2021 2021-01-08 Subject The topic of the resource cervical; epidemiology; MRI; spinal cord injury; trauma Creator An entity primarily responsible for making the resource Aarabi B; Albrecht JS; Simard JM; Chryssikos T; Schwartzbauer G; Sansur CA; Crandall K; Gertner M; Howie B; Wessell A; Cannarsa G; Caffes N; Oliver J; Shanmuganathan K; Olexa J; Lomangino CD; Scarboro M Description An account of the resource Over the past four decades, there have been progressive changes in the epidemiology of traumatic spinal cord injury (tSCI). We assessed trends in demographic and injury-related variables in traumatic cervical spinal cord injury (tCSCI) patients over an 18-year period at a single Level I trauma center. We included all magnetic resonance imaging-confirmed tCSCI patients ≥15 years of age for years 2001-2018. Among 1420 patients, 78.3% were male with a mean age 51.5 years. Etiology included falls (46.9%), motor vehicle collisions (MVCs; 34.2%), and sports injuries (10.9%). Median American Spinal Injury Association (ASIA) Motor Score (AMS) was 44, complete tCSCI was noted in 29.6% of patients, fracture dislocations were noted in 44.7%, and median intramedullary lesion length (IMLL) was 30.8 mm (complete injuries 56.3 mm and incomplete injuries 27.4 mm). Over the study period, mean age and proportion of falls increased (p < 0.001) whereas proportion attributable to MVCs and sports injuries decreased (p < 0.001). Incomplete injuries, AMS, and the proportion of patients with no fracture dislocations increased whereas complete injuries decreased significantly. IMLL declined (p = 0.17) and proportion with hematomyelia did not change significantly. In adjusted regression models, increase in age and decreases in prevalence of MVC mechanism and complete injuries over time remained statistically significant. Changes in demographic and injury-related characteristics of tCSCI patients over time may help explain the observed improvement in outcomes. Further, improved clinical outcomes and drop in IMLL may reflect improvements in initial risk assessment and pre-hospital management, advances in healthcare delivery, and preventive measures including public education. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1089/neu.2020.7415" target="_blank" rel="noreferrer noopener">10.1089/neu.2020.7415</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Format The file format, physical medium, or dimensions of the resource journalArticle 2021 Aarabi B Albrecht JS Caffes N Cannarsa G cervical Chryssikos T Crandall K Epidemiology Gertner M Howie B January 2021 List Journal of neurotrauma journalArticle Lomangino CD MRI NEOMED College of Medicine NEOMED Student Publications Olexa J Oliver J Sansur CA Scarboro M Schwartzbauer G Shanmuganathan K Simard JM spinal cord injury trauma Wessell A