Predictors of clinical complications in patients with spinomedullary injury
| Autor: | Dionei Freitas De Morais, João Simão De Melo Neto, Antonio Ronaldo Spotti, Waldir Antonio Tognola |
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| Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Coluna/Columna, Vol 13, Iss 2, Pp 139-142 (2014) |
| Druh dokumentu: | article |
| ISSN: | 2177-014X 1808-1851 |
| DOI: | 10.1590/S1808-18512014130200404 |
| Popis: | Objective: To analyze individuals with spinal cord injury who developed secondary clinical complications, and the variables that can influence the prognosis. Methods: A prospective study of 321 patients with spinal cord injury. The variables were collected: age, sex, cause of the accident, anatomical distribution, neurological status, associated injuries, in-hospital complications, and mortality only in patients who developed complications. Results: A total of 72 patients were analyzed (85% male) with a mean age of 44.72±19.19 years. The individuals with spinal cord injury who developed clinical complications were mostly male, over 50 years of age, and the main cause was accidental falls. These patients had longer hospitalization times and a higher risk of progressing to death. Pneumonia was the main clinical complication. With regard to the variables that can influence the prognosis of these patients, it was observed that spinal cord injury to the cervical segment with syndromic quadriplegia, and neurological status ASIA-A, have a higher risk of developing pneumonia, the most common complication, as well as increased mortality. Conclusion: Clinical complications secondary to spinal cord injury are influenced by demographic factors, as well as characteristics of the injury contributing to an increase in mortality. |
| Databáze: | Directory of Open Access Journals |
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