Complications and mortality after acute traumatic spinal cord injury in Saint Petersburg, Russia

Мирзаева, Л. М.; Лобзин, С В; Tcinzerling, N. V.; Sarana, Andrey М.; Gilhus, Nils Erik; Rekand, Tiina

doi:10.1038/s41393-020-0458-y

Cited by 8 publications

(17 citation statements)

References 31 publications

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“…In-hospital mortality at TOARILUC during 2015 to 2016 was 32% (12 patients, median survival was 22.5 days), ventilator support and/or high age increased the risk for death, also found in previous studies (93,94). This study's in-hospital mortality rate was similar to recent findings in Botswana (95) but higher than in Russia (96) and the first year mortality rate after tSCI in many Western countries (89,94) including the neighboring country Greece (mortality rate 20%) (97).…”

Section: Survival After Traumatic Spinal Cord Injury In North Macedoniasupporting

confidence: 87%

“…Complications commonly reported in other studies were surprisingly infrequently reported among the North Macedonian study population, i.e. DVT (n=0), pulmonary embolism (PE) (n=0) and UVI (n =1) (29,93,96,108).We assume the possible reason for low DVT and PE incidence is that patients that died did not get autopsied, thus the reason for death could not be stated. A reason for the reported low incidence of UVI in North Macedonia might be that all participants were on antibiotic treatment during their stay at hospital.…”

Section: Complications After Acute Traumatic Spinal Cord Injury In No...mentioning

confidence: 84%

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Community dwelling life- and health issues among persons living with chronic spinal cord injury in North Macedonia

et al. 2021

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Section: Survival After Traumatic Spinal Cord Injury In North Macedoniasupporting

confidence: 87%

Section: Complications After Acute Traumatic Spinal Cord Injury In No...mentioning

confidence: 84%

Community dwelling life- and health issues among persons living with chronic spinal cord injury in North Macedonia

et al. 2021

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“…Furthermore, individuals with spinal cord injury have a much higher mortality rate than the general population. 4–7 The most common cause of death is cardiovascular disease. 4…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of robotic-assisted gait training on cardiopulmonary fitness and exercise capacity for incomplete spinal cord injury: A systematic review and meta-analysis of randomized controlled trials

Ding

Wang

et al. 2022

Clin Rehabil

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Objective To determine the effects of robotic-assisted gait training on cardiopulmonary fitness and exercise capacity for people with incomplete spinal cord injury. Methods PubMed, Embase, Web of Science, PEDro, CENTRAL and CINAHL were searched from inception until September 4, 2022. Randomized controlled trials that evaluated the effects of robotic-assisted gait training on cardiopulmonary fitness and exercise capacity for individuals with incomplete spinal cord injury were selected. Mean differences (MD) with 95% confidence interval (CI) were calculated. The methodological quality was evaluated by the Cochrane Risk of Bias 2.0 tool. Subgroup analyses were conducted according to the time since injury. Results In total 19 studies involving 770 patients were eligible for analysis. Individuals with acute incomplete spinal cord injury in robotic-assisted gait training groups showed significantly greater improvements in 6-minute walking test (MD 53.32; 95% CI 33.49 to 73.15; P < 0.001), lower extremity motor scale (MD 5.22; 95% CI 3.63 to 6.80; P < 0.001) and walking index for spinal cord injury II (MD 3.18; 95% CI 1.34 to 5.02; P < 0.001). Robotic-assisted gait training improved peak oxygen consumption to a greater degree for chronic incomplete spinal cord injury patients (MD 4.90; 95% CI 0.96 to 8.84; P = 0.01). Conclusion Robot-assisted gait training may be a feasible and effective intervention in terms of cardiopulmonary fitness and exercise capacity for individuals with incomplete spinal cord injury.

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“…Generally, spinal cord injury causes respiratory muscle dysfunction and the loss of supra-spinal control of the autonomic nerves, resulting in complications related to the respiratory and cardiovascular systems [ 7 , 8 , 9 , 10 ]. It is reasonable that the severity of spinal cord injuries was strongly related to early mortality since these complications are the leading causes of death in the acute phase of traumatic cervical spine injuries [ 23 , 24 ]. Similarly, a previous retrospective study including patients aged >60 years with traumatic cervical spine injuries reported that complete spinal cord injury was associated with a 5.1-times-higher risk of in-hospital mortality than incomplete spinal cord injury [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases

Kobayashi

Yokogawa

Kato

et al. 2023

JCM

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For older patients with decreased reserve function, traumatic cervical spine injuries frequently lead to early mortality. However, the prognostic factors for early mortality remain unclear. This study included patients aged ≥65 years and hospitalized for treatment of traumatic cervical spine injuries in 78 hospitals between 2010 and 2020. Early mortality was defined as death within 90 days after injury. We evaluated the relationship between early mortality and the following factors: age, sex, body mass index, history of drinking and smoking, injury mechanisms, presence of a cervical spine fracture and dislocation, cervical ossification of the posterior longitudinal ligament, diffuse idiopathic skeletal hyperostosis, American Spinal Injury Association Impairment Scale, concomitant injury, pre-existing comorbidities, steroid administration, and treatment plan. Overall, 1512 patients (mean age, 75.8 ± 6.9 years) were included in the study. The early mortality rate was 4.0%. Multivariate analysis identified older age (OR = 1.1, p < 0.001), male sex (OR = 3.7, p = 0.009), cervical spine fracture (OR = 4.2, p < 0.001), complete motor paralysis (OR = 8.4, p < 0.001), and chronic kidney disease (OR = 5.3, p < 0.001) as risk factors for early mortality. Older age, male sex, cervical spine fracture, complete motor paralysis, and chronic kidney disease are prognostic factors for early mortality in older patients with traumatic cervical spine injuries.

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Complications and mortality after acute traumatic spinal cord injury in Saint Petersburg, Russia

Cited by 8 publications

References 31 publications

Community dwelling life- and health issues among persons living with chronic spinal cord injury in North Macedonia

Community dwelling life- and health issues among persons living with chronic spinal cord injury in North Macedonia

Effectiveness of robotic-assisted gait training on cardiopulmonary fitness and exercise capacity for incomplete spinal cord injury: A systematic review and meta-analysis of randomized controlled trials

Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases

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