دورية أكاديمية
Time to Mobility Is Associated With Pulmonary Complications in Patients With Spine Fractures.
| العنوان: | Time to Mobility Is Associated With Pulmonary Complications in Patients With Spine Fractures. |
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| المؤلفون: | Jackson ML; General Surgery Residency Program, University of South Alabama, Mobile, AL, USA., Thomas SC; General Surgery Residency Program, Brookwood Baptist Health, Birmingham, AL, USA., Joyner MR; General Surgery Residency Program, University of Tennessee Knoxville, Knoxville, TN, USA., Hu M; Anesthesiology Residency Program, Wake Forest University, Winston-Salem, NC, USA., Larry Lee YL; Department of Surgery, University of South Alabama, Mobile, AL, USA., Capasso T; Department of Surgery, University of South Alabama, Mobile, AL, USA., Polite NM; Department of Surgery, University of South Alabama, Mobile, AL, USA., Kinnard CM; Department of Surgery, University of South Alabama, Mobile, AL, USA., Mbaka MI; Department of Surgery, University of South Alabama, Mobile, AL, USA., Williams A; Department of Surgery, University of South Alabama, Mobile, AL, USA., Simmons JD; Department of Surgery, University of South Alabama, Mobile, AL, USA., Butts CC; Department of Surgery, University of South Alabama, Mobile, AL, USA. |
| المصدر: | The American surgeon [Am Surg] 2024 Aug; Vol. 90 (8), pp. 2049-2053. Date of Electronic Publication: 2024 Apr 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress |
| مواضيع طبية MeSH: | Spinal Fractures*/complications , Spinal Fractures*/therapy , Spinal Fractures*/mortality, Humans ; Female ; Male ; Retrospective Studies ; Middle Aged ; Adult ; Time Factors ; Aged ; Pneumonia/etiology ; Thoracic Vertebrae/injuries ; Injury Severity Score ; Cervical Vertebrae/injuries ; Physical Therapy Modalities ; Lung Diseases/etiology ; Lumbar Vertebrae/injuries ; Immobilization ; Risk Factors |
| مستخلص: | Introduction: Treatment of spine fractures may require periods of prolonged immobilization which prevents effective pulmonary toileting. We hypothesized that patients with longer time to mobilization, as measured by time to first physical therapy (PT) session, would have higher pulmonary complications. Methods: We performed a retrospective review of all trauma patients with cervical and thoracolumbar spinal fractures admitted to a level 1 trauma center over a 12-month period. Demographic data collection included age, gender, BMI, pulmonary comorbidities, concomitant rib fractures, admission GCS, Injury Severity Score (ISS), GCS at 24 h, treatment with cervical or thoracolumbar immobilization, and time to first PT evaluation. The primary outcome was the presence of any one of the following complications: unplanned intubation, pneumonia, or mortality at 30 days. Multivariable logistic regression analysis was used to assess significant predictors of pulmonary complication. Results: In total, 491 patients were identified. In terms of overall pulmonary complications, 10% developed pneumonia, 13% had unplanned intubation, and 6% died within 30 days. In total, 19% developed one or more complication. Overall, 25% of patients were seen by PT <48 h, 33% between 48 and 96 h, 19% at 96 h to 1 week, and 7% > 1 week. Multivariable logistic regression analysis showed that time to PT session (OR 1.010, 95% CI 1.005-1.016) and ISS (OR 1.063, 95% CI 1.026-1.102) were independently associated with pulmonary complication. Conclusion: Time to mobility is independently associated with pulmonary complications in patients with spine fractures. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: mobility; pulmonary complication; spinal fractures; trauma |
| تواريخ الأحداث: | Date Created: 20240403 Date Completed: 20240803 Latest Revision: 20240803 |
| رمز التحديث: | 20240803 |
| DOI: | 10.1177/00031348241241702 |
| PMID: | 38566605 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1555-9823 |
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| DOI: | 10.1177/00031348241241702 |