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Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury
The objective of this study was to analyze the factors affecting the instant recovery of neurological function in patients with motor complete traumatic spinal cord injury (TSCI) treated in hospital. Methods: A retrospective analysis of 1053 patients with TSCI classified according to the American Sp...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319428/ https://www.ncbi.nlm.nih.gov/pubmed/35887845 http://dx.doi.org/10.3390/jcm11144086 |
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author | Gao, Xiangcheng Gong, Yining Zhang, Bo Hao, Dingjun He, Baorong Yan, Liang |
author_facet | Gao, Xiangcheng Gong, Yining Zhang, Bo Hao, Dingjun He, Baorong Yan, Liang |
author_sort | Gao, Xiangcheng |
collection | PubMed |
description | The objective of this study was to analyze the factors affecting the instant recovery of neurological function in patients with motor complete traumatic spinal cord injury (TSCI) treated in hospital. Methods: A retrospective analysis of 1053 patients with TSCI classified according to the American Spinal Cord Injury Association (ASIA) as grades A and B at 59 tertiary hospitals from 1 January 2018 to 31 December 2018 was performed. All patients were classified into motor complete injury (ASIA A or B) and motor incomplete injury (ASIA C or D) groups, according to the ASIA upon discharge. The injury level, fracture segment, fracture type, ASIA score at admission and discharge, treatment protocol, and complications were recorded. Univariate and multivariate analyses were performed to evaluate the relationship between various factors and the recovery of neurological function. Results: The results of multiple logistic regression analysis revealed that the ASIA score on admission (p < 0.001, odds ratio (OR) = 5.722, 95% confidence interval (CI): 4.147–7.895), fracture or dislocation (p = 0.001, OR = 0.523, 95% CI: 0.357–0.767), treatment protocol (p < 0.001; OR = 2.664, 95% CI: 1.689–4.203), and inpatient rehabilitation (p < 0.001, OR = 2.089, 95% CI: 1.501–2.909) were independently associated with the recovery of neurological function. Conclusion: The recovery of neurological function is dependent on the ASIA score on admission, fracture or dislocation, treatment protocol, and inpatient rehabilitation. |
format | Online Article Text |
id | pubmed-9319428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93194282022-07-27 Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury Gao, Xiangcheng Gong, Yining Zhang, Bo Hao, Dingjun He, Baorong Yan, Liang J Clin Med Article The objective of this study was to analyze the factors affecting the instant recovery of neurological function in patients with motor complete traumatic spinal cord injury (TSCI) treated in hospital. Methods: A retrospective analysis of 1053 patients with TSCI classified according to the American Spinal Cord Injury Association (ASIA) as grades A and B at 59 tertiary hospitals from 1 January 2018 to 31 December 2018 was performed. All patients were classified into motor complete injury (ASIA A or B) and motor incomplete injury (ASIA C or D) groups, according to the ASIA upon discharge. The injury level, fracture segment, fracture type, ASIA score at admission and discharge, treatment protocol, and complications were recorded. Univariate and multivariate analyses were performed to evaluate the relationship between various factors and the recovery of neurological function. Results: The results of multiple logistic regression analysis revealed that the ASIA score on admission (p < 0.001, odds ratio (OR) = 5.722, 95% confidence interval (CI): 4.147–7.895), fracture or dislocation (p = 0.001, OR = 0.523, 95% CI: 0.357–0.767), treatment protocol (p < 0.001; OR = 2.664, 95% CI: 1.689–4.203), and inpatient rehabilitation (p < 0.001, OR = 2.089, 95% CI: 1.501–2.909) were independently associated with the recovery of neurological function. Conclusion: The recovery of neurological function is dependent on the ASIA score on admission, fracture or dislocation, treatment protocol, and inpatient rehabilitation. MDPI 2022-07-14 /pmc/articles/PMC9319428/ /pubmed/35887845 http://dx.doi.org/10.3390/jcm11144086 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gao, Xiangcheng Gong, Yining Zhang, Bo Hao, Dingjun He, Baorong Yan, Liang Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury |
title | Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury |
title_full | Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury |
title_fullStr | Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury |
title_full_unstemmed | Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury |
title_short | Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury |
title_sort | factors for predicting instant neurological recovery of patients with motor complete traumatic spinal cord injury |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319428/ https://www.ncbi.nlm.nih.gov/pubmed/35887845 http://dx.doi.org/10.3390/jcm11144086 |
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