Risk factors for early death in patients with cervical spinal cord injury
10.3760/cma.j.issn.1001-8050.2011.05.012
- VernacularTitle:颈脊髓损伤患者早期死亡的危险因素
- Author:
Xinxu JIAO
;
Shiqing FENG
;
Tieqiang DING
;
Jingwei LI
;
Xueli ZHANG
;
Shucai DENG
;
Wenxue JIANG
;
Jinggui WANG
- Publication Type:Journal Article
- Keywords:
Spinal cord injuries,cervical;
Risk factors;
Early death
- From:
Chinese Journal of Trauma
2011;27(5):423-427
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the causes and risk factors affecting early death in patients with traumatic cervical spinal cord injury (SCI). Methods Clinical data of 553 patients with traumatic cervical SCI were analyzed retrospectively to discuss the related factors affecting early death of patients with traumatic cervical SCI by using univariate analysis and multivariate logistic regression analysis. Results The early mortality of the patients with traumatic cervical SCI was 4.0% ( 22/553 ). The main causes of the early death were respiratory failure in nine patients (40.9%) and electrolyte disorders in five (22.7%). Univariate analysis showed that age, cervical spinal cord injury severity, complications in respiratory, cardiovascular, digestive systems and electrolyte disturbance as well as tracheotomy were considered statistically significant for early death in patients with traumatic cervical SCI ( P < 0, 05 ). Multivariate logistic regression analysis showed that age, cervical SCI severity, complications in respiratory,cardiovascular system and electrolyte disturbance as well as tracheotomy. Conclusion Severe cervical SCI, combined respiratory, cardiovascular system and electrolyte disorder complications as well as tracheotomy are high risk factors for the early death in patients with traumatic cervical SCI.
