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

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 injurie...

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Autores principales: Kobayashi, Motoya, Yokogawa, Noriaki, Kato, Satoshi, Sasagawa, Takeshi, Tsuchiya, Hiroyuki, Nakashima, Hiroaki, Segi, Naoki, Ito, Sadayuki, Funayama, Toru, Eto, Fumihiko, Yamaji, Akihiro, Yamane, Junichi, Nori, Satoshi, Furuya, Takeo, Yunde, Atsushi, Nakajima, Hideaki, Yamada, Tomohiro, Hasegawa, Tomohiko, Terashima, Yoshinori, Hirota, Ryosuke, Suzuki, Hidenori, Imajo, Yasuaki, Ikegami, Shota, Uehara, Masashi, Tonomura, Hitoshi, Sakata, Munehiro, Hashimoto, Ko, Onoda, Yoshito, Kawaguchi, Kenichi, Haruta, Yohei, Suzuki, Nobuyuki, Kato, Kenji, Uei, Hiroshi, Sawada, Hirokatsu, Nakanishi, Kazuo, Misaki, Kosuke, Terai, Hidetomi, Tamai, Koji, Kuroda, Akiyoshi, Inoue, Gen, Kakutani, Kenichiro, Kakiuchi, Yuji, Kiyasu, Katsuhito, Tominaga, Hiroyuki, Tokumoto, Hiroto, Iizuka, Yoichi, Takasawa, Eiji, Akeda, Koji, Takegami, Norihiko, Funao, Haruki, Oshima, Yasushi, Kaito, Takashi, Sakai, Daisuke, Yoshii, Toshitaka, Ohba, Tetsuro, Otsuki, Bungo, Seki, Shoji, Miyazaki, Masashi, Ishihara, Masayuki, Okada, Seiji, Imagama, Shiro, Watanabe, Kota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865717/
https://www.ncbi.nlm.nih.gov/pubmed/36675636
http://dx.doi.org/10.3390/jcm12020708
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author Kobayashi, Motoya
Yokogawa, Noriaki
Kato, Satoshi
Sasagawa, Takeshi
Tsuchiya, Hiroyuki
Nakashima, Hiroaki
Segi, Naoki
Ito, Sadayuki
Funayama, Toru
Eto, Fumihiko
Yamaji, Akihiro
Yamane, Junichi
Nori, Satoshi
Furuya, Takeo
Yunde, Atsushi
Nakajima, Hideaki
Yamada, Tomohiro
Hasegawa, Tomohiko
Terashima, Yoshinori
Hirota, Ryosuke
Suzuki, Hidenori
Imajo, Yasuaki
Ikegami, Shota
Uehara, Masashi
Tonomura, Hitoshi
Sakata, Munehiro
Hashimoto, Ko
Onoda, Yoshito
Kawaguchi, Kenichi
Haruta, Yohei
Suzuki, Nobuyuki
Kato, Kenji
Uei, Hiroshi
Sawada, Hirokatsu
Nakanishi, Kazuo
Misaki, Kosuke
Terai, Hidetomi
Tamai, Koji
Kuroda, Akiyoshi
Inoue, Gen
Kakutani, Kenichiro
Kakiuchi, Yuji
Kiyasu, Katsuhito
Tominaga, Hiroyuki
Tokumoto, Hiroto
Iizuka, Yoichi
Takasawa, Eiji
Akeda, Koji
Takegami, Norihiko
Funao, Haruki
Oshima, Yasushi
Kaito, Takashi
Sakai, Daisuke
Yoshii, Toshitaka
Ohba, Tetsuro
Otsuki, Bungo
Seki, Shoji
Miyazaki, Masashi
Ishihara, Masayuki
Okada, Seiji
Imagama, Shiro
Watanabe, Kota
author_facet Kobayashi, Motoya
Yokogawa, Noriaki
Kato, Satoshi
Sasagawa, Takeshi
Tsuchiya, Hiroyuki
Nakashima, Hiroaki
Segi, Naoki
Ito, Sadayuki
Funayama, Toru
Eto, Fumihiko
Yamaji, Akihiro
Yamane, Junichi
Nori, Satoshi
Furuya, Takeo
Yunde, Atsushi
Nakajima, Hideaki
Yamada, Tomohiro
Hasegawa, Tomohiko
Terashima, Yoshinori
Hirota, Ryosuke
Suzuki, Hidenori
Imajo, Yasuaki
Ikegami, Shota
Uehara, Masashi
Tonomura, Hitoshi
Sakata, Munehiro
Hashimoto, Ko
Onoda, Yoshito
Kawaguchi, Kenichi
Haruta, Yohei
Suzuki, Nobuyuki
Kato, Kenji
Uei, Hiroshi
Sawada, Hirokatsu
Nakanishi, Kazuo
Misaki, Kosuke
Terai, Hidetomi
Tamai, Koji
Kuroda, Akiyoshi
Inoue, Gen
Kakutani, Kenichiro
Kakiuchi, Yuji
Kiyasu, Katsuhito
Tominaga, Hiroyuki
Tokumoto, Hiroto
Iizuka, Yoichi
Takasawa, Eiji
Akeda, Koji
Takegami, Norihiko
Funao, Haruki
Oshima, Yasushi
Kaito, Takashi
Sakai, Daisuke
Yoshii, Toshitaka
Ohba, Tetsuro
Otsuki, Bungo
Seki, Shoji
Miyazaki, Masashi
Ishihara, Masayuki
Okada, Seiji
Imagama, Shiro
Watanabe, Kota
author_sort Kobayashi, Motoya
collection PubMed
description 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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spelling pubmed-98657172023-01-22 Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases Kobayashi, Motoya Yokogawa, Noriaki Kato, Satoshi Sasagawa, Takeshi Tsuchiya, Hiroyuki Nakashima, Hiroaki Segi, Naoki Ito, Sadayuki Funayama, Toru Eto, Fumihiko Yamaji, Akihiro Yamane, Junichi Nori, Satoshi Furuya, Takeo Yunde, Atsushi Nakajima, Hideaki Yamada, Tomohiro Hasegawa, Tomohiko Terashima, Yoshinori Hirota, Ryosuke Suzuki, Hidenori Imajo, Yasuaki Ikegami, Shota Uehara, Masashi Tonomura, Hitoshi Sakata, Munehiro Hashimoto, Ko Onoda, Yoshito Kawaguchi, Kenichi Haruta, Yohei Suzuki, Nobuyuki Kato, Kenji Uei, Hiroshi Sawada, Hirokatsu Nakanishi, Kazuo Misaki, Kosuke Terai, Hidetomi Tamai, Koji Kuroda, Akiyoshi Inoue, Gen Kakutani, Kenichiro Kakiuchi, Yuji Kiyasu, Katsuhito Tominaga, Hiroyuki Tokumoto, Hiroto Iizuka, Yoichi Takasawa, Eiji Akeda, Koji Takegami, Norihiko Funao, Haruki Oshima, Yasushi Kaito, Takashi Sakai, Daisuke Yoshii, Toshitaka Ohba, Tetsuro Otsuki, Bungo Seki, Shoji Miyazaki, Masashi Ishihara, Masayuki Okada, Seiji Imagama, Shiro Watanabe, Kota J Clin Med Article 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. MDPI 2023-01-16 /pmc/articles/PMC9865717/ /pubmed/36675636 http://dx.doi.org/10.3390/jcm12020708 Text en © 2023 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
Kobayashi, Motoya
Yokogawa, Noriaki
Kato, Satoshi
Sasagawa, Takeshi
Tsuchiya, Hiroyuki
Nakashima, Hiroaki
Segi, Naoki
Ito, Sadayuki
Funayama, Toru
Eto, Fumihiko
Yamaji, Akihiro
Yamane, Junichi
Nori, Satoshi
Furuya, Takeo
Yunde, Atsushi
Nakajima, Hideaki
Yamada, Tomohiro
Hasegawa, Tomohiko
Terashima, Yoshinori
Hirota, Ryosuke
Suzuki, Hidenori
Imajo, Yasuaki
Ikegami, Shota
Uehara, Masashi
Tonomura, Hitoshi
Sakata, Munehiro
Hashimoto, Ko
Onoda, Yoshito
Kawaguchi, Kenichi
Haruta, Yohei
Suzuki, Nobuyuki
Kato, Kenji
Uei, Hiroshi
Sawada, Hirokatsu
Nakanishi, Kazuo
Misaki, Kosuke
Terai, Hidetomi
Tamai, Koji
Kuroda, Akiyoshi
Inoue, Gen
Kakutani, Kenichiro
Kakiuchi, Yuji
Kiyasu, Katsuhito
Tominaga, Hiroyuki
Tokumoto, Hiroto
Iizuka, Yoichi
Takasawa, Eiji
Akeda, Koji
Takegami, Norihiko
Funao, Haruki
Oshima, Yasushi
Kaito, Takashi
Sakai, Daisuke
Yoshii, Toshitaka
Ohba, Tetsuro
Otsuki, Bungo
Seki, Shoji
Miyazaki, Masashi
Ishihara, Masayuki
Okada, Seiji
Imagama, Shiro
Watanabe, Kota
Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases
title Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases
title_full Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases
title_fullStr Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases
title_full_unstemmed Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases
title_short Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries—A Multicenter Retrospective Study of 1512 Cases
title_sort risk factors for early mortality in older patients with traumatic cervical spine injuries—a multicenter retrospective study of 1512 cases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865717/
https://www.ncbi.nlm.nih.gov/pubmed/36675636
http://dx.doi.org/10.3390/jcm12020708
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