Impact of age on the injury pattern and survival of people with cervical cord injuries

H. W. Liang, Y. H. Wang, Y. N. Lin, J. D. Wang, Y. Jang

研究成果: Article同行評審

36 引文 斯高帕斯(Scopus)

摘要

Study design: A retrospective, follow-up study. Objectives: To differentiate the injury pattern and survival of people with cervical cord injuries with onset at different ages. Setting: Rehabilitation wards of a university hospital that is a tertiary referral center in Taipei, Taiwan. Methods: The records of acute and traumatic cervical cord injury patients hospitalized from 1989 to 1997 were reviewed. All subjects received comprehensive rehabilitation programs during hospitalization. Their survival status at the end of follow-up was studied. Results: Forty-seven of 109 (43.1%) people with cervical cord injuries were 50 years or older at onset. Older patients were more frequently injured by minor falls, resulting in more incomplete quadriplegia. They also showed fewer spinal fractures, and more demonstrated associated spondylosis and ossification of the posterior longitudinal ligament. Eleven (10.2%) subjects were deceased, found by a linkage to a death registration database at the end of follow-up. The significant predictor of survival status at follow-up was older age at injury using Cox proportional hazards model. Conclusion: Spinal cord injured patients had different injury patterns, demanding different preventative strategies. Those injured at older ages were at higher risk of mortality according to our study. Sponsorship: This study was supported in part by grants from the National Taiwan University Hospital (89S2005), Taipei, Taiwan.

原文English
頁(從 - 到)375-380
頁數6
期刊Spinal Cord
39
發行號7
DOIs
出版狀態Published - 2001

All Science Journal Classification (ASJC) codes

  • 復健
  • 神經內科
  • 神經病學(臨床)

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