Age and Other Risk Factors Influencing Long-Term Mortality in Patients With Traumatic Cervical Spine Fracture

Geriatric Orthopaedic Surgery & Rehabilitation
Matthew BankOna Bloom

Abstract

To identify clinical or demographic variables that influence long-term mortality, as well as in-hospital mortality, with a particular focus on the effects of age. Cervical spine fractures with or without spinal cord injury (SCI) disproportionately impact the elderly who constitute an increasing percentage of the US population. We analyzed data collected for 10 years at a state-designated level I trauma center to identify variables that influenced in-hospital and long-term mortality among elderly patients with traumatic cervical spine fracture with or without SCI. Acute in-hospital mortality was determined from hospital records and long-term mortality within the study period (2003-2013) was determined from the National Death Index. Univariate and multivariate regression analyses were used to identify factors influencing survival. Data from patients (N = 632) with cervical spine fractures were analyzed, the majority (66%) of whom were geriatric (older than age 64). Most patients (62%) had a mild/moderate injury severity score (ISS; median, interquartile range: 6, 5). Patients with SCI had significantly longer lengths of stay (14.1 days), days on a ventilator (3.5 days), and higher ISS (14.9) than patients without SCI (P < .0001 f...Continue Reading

References

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Citations

Jan 11, 2020·Journal of Orthopaedic Surgery and Research·Katharina E Wenning, Martin F Hoffmann
May 15, 2021·Spinal Cord Series and Cases·Deep SenguptaAshwani Kumar Mishra
Aug 23, 2021·The Spine Journal : Official Journal of the North American Spine Society·Nader FallahMarcel F Dvorak

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Methods Mentioned

BETA
ISS

Software Mentioned

TraumaOne
SAS

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