Prognosis Factors in Patients with Spinal Cord Trauma

Abstract Objective  Analyze the predictors of prognosis in patients with spinal cord trauma (SCT) in a tertiary hospital. Method  Study prospective with 321 patients. The analysis focused on patient-related data, cause of accident, anatomical distribution, neurologic status, associated injuries, len...

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Veröffentlicht in:Arquivos brasileiros de neurocirurgia 2015-06, Vol.34 (2), p.097-102
Hauptverfasser: Morais, Dionei Freitas de, Melo Neto, João Simão de, Meguins, Lucas Crociati, Spotti, Antonio Ronaldo, Tognola, Waldir Antonio
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container_end_page 102
container_issue 2
container_start_page 097
container_title Arquivos brasileiros de neurocirurgia
container_volume 34
creator Morais, Dionei Freitas de
Melo Neto, João Simão de
Meguins, Lucas Crociati
Spotti, Antonio Ronaldo
Tognola, Waldir Antonio
description Abstract Objective  Analyze the predictors of prognosis in patients with spinal cord trauma (SCT) in a tertiary hospital. Method  Study prospective with 321 patients. The analysis focused on patient-related data, cause of accident, anatomical distribution, neurologic status, associated injuries, length of hospital stay, and in-hospital complications/mortality. Results  The SCT was more common in men, but women older than 50 years presented a higher risk than men of the same age. Automobile accidents, motorcycle accidents, and gunshots resulted in more injuries associated. The cervical spine involvement was directly related to an increase in the number of associated injuries, complications, and mortality. Already, the neurologic status ASIA-A was associated with an increase in the number of complications, length of stay, and mortality. Conclusion  The predictive factors of prognosis in these patients included age, sex, cause of injury, anatomic distribution, and neurologic status.
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Method  Study prospective with 321 patients. The analysis focused on patient-related data, cause of accident, anatomical distribution, neurologic status, associated injuries, length of hospital stay, and in-hospital complications/mortality. Results  The SCT was more common in men, but women older than 50 years presented a higher risk than men of the same age. Automobile accidents, motorcycle accidents, and gunshots resulted in more injuries associated. The cervical spine involvement was directly related to an increase in the number of associated injuries, complications, and mortality. Already, the neurologic status ASIA-A was associated with an increase in the number of complications, length of stay, and mortality. 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title Prognosis Factors in Patients with Spinal Cord Trauma
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