Risk factors for tracheostomy after traumatic cervical spinal cord injury

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Orthopaedic Surgery Pub Date : 2019-07-18 DOI:10.1177/2309499019861809
Zhiping Mu, Zhengfeng Zhang
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引用次数: 8

Abstract

Objective: To determine the risk factors for the need of tracheostomy after cervical spinal cord injury (CSCI) at the acute stage. Methods: The authors retrospectively reviewed 294 patients with acute traumatic CSCI in Xinqiao Hospital between 2012 and 2016 and analyzed the factors postulated to increase the risk for tracheostomy, including patient’s age, neurological impairment scale grade and level, smoking history, combined injury, and surgical intervention. Logistic regression analysis was used to identify independent risk factor for the need of tracheostomy. Results: Of 294 patients, 52 patients received tracheostomy (17.7%). The factor identified by demographics and outcomes were smoking history, cause of injury, neurological impairment scale grade and level, and combined dislocation. A multiple logistic regression model demonstrated that age of 60 years older, combined facet dislocation, C4 level high, and the American Spinal Injury Association (ASIA) A and B scale were predictive of need for tracheostomy on 95% occasions. Conclusion: The high age of 60 years, combined facet dislocation, C4 level high, and ASIA A and B scale are indispensable to predict the need for tracheostomy in patients with CSCI at the acute stage.
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颈脊髓损伤后气管切开的危险因素
目的:确定颈脊髓损伤(CSCI)急性期需要气管造口的危险因素。方法:作者回顾性分析了新桥医院2012年至2016年间294例急性创伤性CSCI患者,并分析了增加气管造口风险的因素,包括患者年龄、神经损伤程度和程度、吸烟史、合并损伤和手术干预。采用Logistic回归分析确定气管造口术需要的独立危险因素。结果:294名患者中,52名患者接受了气管造口术(17.7%)。人口统计学和结果确定的因素是吸烟史、损伤原因、神经损伤量表等级和水平以及合并脱位。多元逻辑回归模型表明,年龄大于60岁、合并小关节脱位、C4水平高以及美国脊髓损伤协会(ASIA)A和B量表在95%的情况下可预测是否需要气管造口术。结论:60岁的高龄、合并小关节脱位、C4水平高、ASIA和B量表是预测CSCI患者急性期气管造口需求的必要条件。
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来源期刊
Journal of Orthopaedic Surgery
Journal of Orthopaedic Surgery ORTHOPEDICS-SURGERY
CiteScore
3.10
自引率
0.00%
发文量
91
审稿时长
13 weeks
期刊介绍: Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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