Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Survival in 222 Patients With Severe CSCI: An 8-Year Epidemiologic Survey in Western China (2019) |
Auteurs : | Chenxin Liu ; Xiaojiang Yang ; Bing Meng |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 10, 2019) |
Article en page(s) : | p. 1872-1880 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Analyse de survie ; Odds ratio ; Réadaptation ; Thérapeutique ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To assess the survival and the predictors of mortality in patients with severe cervical spinal cord injuries (CSCI). Design Retrospective study. Participants From January 1, 2010, to May 31, 2018, patients who suffered from severe CSCIs in Western China were enrolled in this study (N=222). Interventions Not applicable. Main Outcome Measures Survival rates and mortality risk factors. Measures were calculated by the product-limit method (Kaplan-Meier) and the Cox model. Results The overall 1-year, 3-year, 5-year, and 8-year postoperative mortalities were 24.4%, 30.6%, 33.3%, 36.2%, and 39.0%, respectively. Most deaths occurred within 36 months after the injury. According to the Cox proportional hazards model, the significant predictors of survival were as follows: (1) age; (2) neurologic level; (3) treatment options (surgical or conservative); (4) ventilator support (P<.05 the mortality for older patients>50y) was 50.2%, which was significantly higher than that for younger patients (32.4%, .05). However, patients who received late-term surgery (>7d) had a higher mortality risk (P<.05 the overall mortality risk of patients who needed ventilator support was much higher than those did not need> Conclusions Age, neurologic level, ventilator dependence, treatment options, and timing to surgery were main risk factors for mortality in patients with severe CSCIs. Better understanding of the predictors for survival could possibly contribute to the improvement of survival rates. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319300140 |