Analysis of risk factors of respiratory failure after cervical spinal cord injury

VernacularTitle:颈脊髓损伤合并呼吸衰竭的危险因素分析
Author: Zhiping MU ; Zhengfeng ZHANG ; Chao LIU ; Jie LI
Publication Type:Journal Article
Keywords: cervical spinal cord injury; respiratory failure; risk factors
From:Journal of Regional Anatomy and Operative Surgery 2015;(3):303-306
CountryChina
Language:Chinese
Abstract: Objective To analyze the risk factors of respiratory failure after cervical spinal cord injury ( SCI) . Methods A total of 294 patients with cervical spinal cord injury from January 2009 and December 2013 were analyzed. 52 cases were rolled into the respiratory failure group, 242 cases were rolled into group without respiratory failure. The epidemiological factors in two groups were analyzed to find the the factors of respiratory failure. Results The differences in indexes of smoking, injury reason, injury level, grade of ASIA, fracture dislo-cation were significant (P<0. 05), which suggested the above factors were associated with the occurrence of respiratory failure. The multi-factor regression analysis in respiratory group found that factors such as aged over 60 years, smoking, multiple trauma, fracture dislocation, spinal cord injury above C4 level and pamplegia were of statistically significance (P<0. 10). Conclusion Advanced age, smoking, pample-gia, spinal cord injury above C4 leve, multiple trauma and fracture dislocation are the high risk factors of the respiratory failure after cervical spinal cord injury.