Risks factors of mechanical ventilation in acute traumatic cervical spinal cord injured patients
Ver/ abrir
Use este enlace para citar
http://hdl.handle.net/2183/29784Coleccións
- INIBIC-TCMR - Artigos [102]
Metadatos
Mostrar o rexistro completo do ítemTítulo
Risks factors of mechanical ventilation in acute traumatic cervical spinal cord injured patientsAutor(es)
Data
2017-10-23Cita bibliográfica
Montoto-Marqués A, Trillo-Dono N, Ferreiro-Velasco ME, Salvador de la Barrera S, Rodríguez-Sotillo A, Mourelo-Fariña M. Risks factors of mechanical ventilation in acute traumatic cervical spinal cord injured patients. Spinal Cord. 2018;56(3):206-211
Resumo
[Abstract] Study design: Descriptive retrospective study.
Objectives: To analyze risk factors associated with mechanical ventilation (MV) in cases of acute traumatic Cervical Spinal Cord Injury (tCSCI).
Setting: Unidad de Lesionados Medulares, Complejo Hospitalario Universitario A Coruña, in Galicia (Spain).
Methods: The study included patients with tCSCI who were hospitalized between January 2010 and December 2014. The following variables were analyzed: age, gender, etiology, neurological level, ASIA (American Spinal Injury Association) grade, associated injuries, injury severity score (ISS), ASIA motor score (AMS) at admission and mortality.
Results: A total of 146 patients met the study's inclusion criteria. The majority were men (74.7%) with mean age of 62.6 (s.d. ± 18.8) years. Sixty patients (41.1%) required MV. Mean age of ventilated vs. non-ventilated patients was 57.3 vs. 65.7. Men were more likely to require MV than women, ASIA grades A and B were also more likely to need MV than grades C and D, as well as patients with associated injuries. The AMS of patients receiving MV was lower than that of those who did not require MV (20.1 vs. 54.3). Moreover, the ISS was higher in patients receiving MV (31.2 vs. 13.4). An AMS ≤ 37 and an ISS ≥ 13 increased the risk of requiring MV by a factor of 11.98 and 7.28, respectively.
Conclusions: Isolated factors associated with a greater risk of MV in tCSCI were: age, gender, ASIA grade, ISS and AMS. However, the only factor with a significant discriminatory ability to determine the need for MV was the AMS at admission.
Palabras chave
Cervical cord
Injury severity score
Respiration, Artificial
Risk factors
Sex factors
Spinal cord injuries
Injury severity score
Respiration, Artificial
Risk factors
Sex factors
Spinal cord injuries
Versión do editor
Dereitos
This version of the article has been accepted for publication, after peer review and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at Springer Link.
ISSN
1362-4393