Impact of cervical collars on intracranial pressure values in traumatic brain injury: A systematic review and meta-analysis of prospective studies

Vista sencilla de ítem
dc.contributor.authorNúñez-Patiño, Rafael A.
dc.contributor.authorRubiano, Andrés M.
dc.contributor.authorGodoy, Daniel Agustin
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-05-13T19:53:37Z
dc.date.available2020-05-13T19:53:37Z
dc.date.issued2020
dc.description.abstractenglishBackground Spinal cord injury (SCI) is present in around 2–4% of trauma victims. More than half of this injuries are located at the cervical region. Twenty percent of victims with cervical spinal trauma and 5% of patients with severe traumatic brain injury (TBI) will have an SCI. Cervical immobilization with rigid or semirigid collars is routinely used as prophylactic or definitive treatment intervention in general trauma care. An important adverse effect of cervical collars application is the increase in intracranial pressure (ICP) values. This systematic review and meta-analysis aim to estimate the overall magnitude of ICP changes after cervical collar application. Methods Major electronic databases (Ovid/Medline, Embase and Cochrane Library) were systematically searched for prospective studies that assessed ICP changes after cervical collar applications. Study level characteristics and ICP values before, during and after cervical collar application, were extracted. The meta-analysis was performed using random-effects model. Results Five studies comprising 86 patients were included in the systematic review and the quantitative synthesis. The overall increase in ICP after collar application was statistically significant (weighted mean difference [WMD] = 4.43; 95%CI 1.70, 7.17; P < 0.01), meaning an overall ICP increase of approximately 4.4 mmHg. The decrease in ICP values after collar removal reached statistical significance (WMD = − 2.99; 95%CI − 5.45, − 0.52; P = 0.02), meaning an overall ICP decrease of approximately 3 mmHg after collar removal. ICP values before and after cervical collar application were not statistically significant (WMD = 0.49; 95%CI − 1.61, 2.59; P = 0.65), meaning no ICP change. Conclusions Heterogeneous studies of application of cervical collars as a partial motion restriction strategy after injuries have demonstrated increases in ICP in TBI patients. Increases in ICP can induce complications in TBI patients. Appropriate selection criteria for cervical motion restriction in TBI patients need to be considered.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s12028-019-00760-1
dc.identifier.issn1556-0961
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2705
dc.language.isoeng
dc.publisherSpringerspa
dc.publisher.journalNeurocritical Carespa
dc.relation.ispartofseriesNeurocritical Care, 1556-0961, Vol 32, 2020, pag 469–477spa
dc.relation.urihttps://link.springer.com/article/10.1007/s12028-019-00760-1
dc.rights.creativecommons2020
dc.rights.localAcceso cerradospa
dc.subject.decsColumna vertebralspa
dc.subject.decsCráneospa
dc.subject.keywordsCervical collarspa
dc.subject.keywordsIntracranial pressurespa
dc.subject.keywordsIntracranial hypertensionspa
dc.subject.keywordsTraumatic brain injuryspa
dc.subject.keywordsMeta-analysisspa
dc.titleImpact of cervical collars on intracranial pressure values in traumatic brain injury: A systematic review and meta-analysis of prospective studiesspa
dc.title.translatedImpact of cervical collars on intracranial pressure values in traumatic brain injury: A systematic review and meta-analysis of prospective studiesspa
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

Archivos

Bloque original
Mostrando 1 - 1 de 1
Miniatura
Nombre:
Núñez‑Patiño, Rafael A..pdf
Tamaño:
893.64 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Artículos