Medical College of Wisconsin Department of Neurosurgery, Milwaukee, Wisconsin, United States.
Medical College of Wisconsin Department of Neurosurgery, Milwaukee, Wisconsin, United States.
Arch Phys Med Rehabil. 2020 Jan;101(1):89-94. doi: 10.1016/j.apmr.2019.08.471. Epub 2019 Sep 4.
To determine (1) the frequency of neck pain overall and relative to other symptoms in patients presenting to a level I trauma center emergency department (ED) with mild traumatic brain injury (mTBI) and (2) the predictors of primary neck pain in this population.
Cohort study.
Level I trauma center ED.
Patients presenting to the ED with symptoms of mTBI having been exposed to an event that could have caused mTBI (N=95).
Not applicable.
Frequency of self-reported neck pain as measured by Sport Concussion Assessment Tool 3 (SCAT3) symptom questionnaire at <3, 8, 15, and 45 days post injury. Primary neck pain was defined in 2 ways: (1) neck pain rated as equal or greater in severity than all other SCAT3 symptoms and (2) neck pain worse than all other symptoms.
The frequency of any reported neck pain was 68.4%, 50.6%, 49%, and 41.9% within 72 hours and at 8, 15, and 45 days, respectively. Frequency of primary neck pain (equal or worse/worse definitions) was 35.8%/17.9%, 34.9%/14.5%, 37%/14.8%, and 39.2%/10.8% across the 4 follow-up assessments. Participants who sustained their injuries in motor vehicle collisions had a higher rate of primary neck pain than those with other mechanisms of injury.
A sizable percentage of patients who present to level I trauma center EDs with mTBI report neck pain, which is commonly rated as similar to or worse than other mTBI-related symptoms. Primary neck pain is more common after motor vehicle collisions than with other mechanisms of injury. These findings support consensus statements identifying cervical injury as an important potential concurrent diagnosis in patients with mTBI.
确定（1）在因轻度创伤性脑损伤（mTBI）到一级创伤中心急诊部就诊的患者中，整体及相对于其他症状的颈部疼痛的发生频率，以及（2）该人群中主要颈部疼痛的预测因素。
队列研究。
一级创伤中心急诊部。
出现 mTBI 症状并因可能导致 mTBI 的事件而到急诊部就诊的患者（N=95）。
不适用。
使用运动性脑震荡评估工具 3 （SCAT3）症状问卷在受伤后<3、8、15 和 45 天测量的自我报告颈部疼痛的频率。主要颈部疼痛有两种定义方式：（1）颈部疼痛的严重程度与所有其他 SCAT3 症状相等或更高，以及（2）颈部疼痛比所有其他症状都更严重。
在 72 小时内和 8、15 和 45 天分别有 68.4%、50.6%、49%和 41.9%的患者报告出现任何颈部疼痛。主要颈部疼痛（相等或更差/更差定义）的发生率分别为 35.8%/17.9%、34.9%/14.5%、37%/14.8%和 39.2%/10.8%，在 4 次随访评估中均如此。在机动车事故中受伤的患者比其他受伤机制患者更易出现主要颈部疼痛。
有相当大比例的因 mTBI 到一级创伤中心急诊部就诊的患者报告颈部疼痛，这些疼痛通常被认为与其他 mTBI 相关症状相似或更严重。与其他受伤机制相比，在机动车事故中受伤后更易出现主要颈部疼痛。这些发现支持将颈椎损伤确定为 mTBI 患者潜在的重要并发诊断的共识声明。
