دورية أكاديمية
أعرض في EDS

Trends in the presentation and management of traumatic spinal cord lesions above T6: 20-Year experience in a tertiary-level hospital in Spain.

التفاصيل البيبلوغرافية
العنوان: Trends in the presentation and management of traumatic spinal cord lesions above T6: 20-Year experience in a tertiary-level hospital in Spain.
المؤلفون: Arijón IE; Critical Care Unit, Hospital Universitario Lucus Augusti, Lugo, Spain., Galeiras R; Critical Care Unit, Complexo Hospitalario Universitario A Coruña, Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña, Spain., Quiroga LS; Critical Care Unit, Hospital Universitario Lucus Augusti, Lugo, Spain., Velasco MEF; Spinal Cord Injury Unit (SCIU), Complexo Hospitalario Universitario A Coruña, A Coruña, Spain., Pértega Díaz S; Research Support Unit, Nursing and Healthcare Research Group, Rheumatology and Health Research Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Sergas, Universidade da Coruña, A Coruña, Spain.
المصدر: The journal of spinal cord medicine [J Spinal Cord Med] 2022 Sep; Vol. 45 (5), pp. 720-727. Date of Electronic Publication: 2021 Jan 14.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Taylor & Francis Country of Publication: England NLM ID: 9504452 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2045-7723 (Electronic) Linking ISSN: 10790268 NLM ISO Abbreviation: J Spinal Cord Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Abingdon : Taylor & Francis
Original Publication: Jackson Heights, NY : American Paraplegia Society, [1995-
مواضيع طبية MeSH: Spinal Cord Injuries*/complications , Spinal Cord Injuries*/epidemiology , Spinal Cord Injuries*/therapy , Spinal Injuries*, Humans ; Length of Stay ; Retrospective Studies ; Spain/epidemiology ; Tertiary Care Centers
مستخلص: Objective: To analyze the changes in demographic and lesion characteristics of persons with acute traumatic spinal cord injury (ATSCI) above T6 over a period of 20 years, and to evaluate their impact on ICU resources use, length of stay and mortality.
Design: Retrospective observational study.
Setting: Intensive Care Unit (ICU) of the University Hospital Complex of A Coruña, Spain.
Participants: The study included 241 persons between 1998 and 2017 with an ATSCI above T6. For the purposes of the analysis, the overall study period was divided into three subperiods.
Results: Both the mean age of the people with ATSCI (49 vs. 51 vs. 57 years; P = 0.046) and the Charlson Comorbidity Index were higher during the last subperiod (mean: 1.9 ± 2.2; P < 0.01). The most frequent cause of the injury was falls, whose percentage increased over the years. The most common classification in the American Spinal Injury Association Impairment scale was grade A. An increase in the score of the Acute Physiology and Chronic Health Evaluation (APACHE II) score was observed (median: 9 vs. 10 vs. 15; P < 0.01). The length of stay in the ICU has decreased significantly over the years (30 ± 19 vs. 22 ± 14 vs. 19 ± 13 days). No significant differences were found between the rates of ICU or in-hospital mortality recorded over the three subperiods.
Conclusions: Despite the progressive increase in the age, comorbidity, and APACHE II, the length of ICU stay decreased significantly, with no associated changes in the mortality rates.
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فهرسة مساهمة: Keywords: Acute spine trauma; Epidemiology; Mortality; Spinal cord injury
تواريخ الأحداث: Date Created: 20210114 Date Completed: 20221003 Latest Revision: 20221120
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9542266
DOI: 10.1080/10790268.2020.1851857
PMID: 33443464
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-7723
DOI:10.1080/10790268.2020.1851857