海报(临床/最佳实践实施) ID 1969155

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1969155s
Julio C Furlan
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引用次数: 0

摘要

本研究探讨了种族/族裔对创伤后脊髓损伤患者第一年内的存活率和神经功能恢复的影响。 这项回顾性队列研究纳入了 NASCIS-1 登记的所有 306 个病例,这些病例被分为 (a) 非洲裔美国人(n=84)、(b) 非西班牙裔白人(n=159)和 (c) 其他种族/族裔,包括西班牙裔(n=60)和亚洲裔(n=3)。结果测量包括tSCI后第一年内的存活率和神经功能恢复情况(使用NASCIS运动、针刺和轻触感觉评分进行评估)。神经功能恢复的数据分析已对主要的潜在混杂因素进行了调整。 其中有 39 名女性和 267 名男性,平均年龄为 31 岁,他们大多是在车祸或跌倒后患有颈椎重度创伤性脊髓损伤。三组患者在性别分布、颈椎重度损伤的程度和严重性、入院时的意识水平以及接受甲基强的松龙的总剂量方面具有可比性。不过,非裔美国人的年龄明显高于非西班牙裔白人(P=0.0238)。与非西班牙裔白人相比,非裔美国人和其他种族/族裔的人因导弹和与水有关的事故造成的开放性伤口而发生 tSCI 的频率更高(P0.0500)。 本研究结果表明,tSCI 的流行病学可能因个人的种族/族裔而异。尽管如此,种族/族裔并不影响创伤后脊髓损伤后第一年内的存活率或神经功能恢复情况。
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Poster (Clinical/Best Practice Implementation) ID 1969155
This study examined the influence of race/ethnicity on the individuals’ survival and neurological recovery within the first year after tSCI. This retrospective cohort study included all 306 cases enrolled in the NASCIS-1, who were grouped into (a) African Americans (n=84), (b) non-Hispanic whites (n=159), and (c) other races/ethnicities that included Hispanics (n=60) and Asians (n=3). Outcome measures included survival and neurological recovery (as assessed using the NASCIS motor, and pinprick and light-touch sensory scores) within the first year post-tSCI. Data analyses of neurological recovery were adjusted for major potential confounders. There were 39 females and 267 males with a mean age of 31 years who mostly sustained cervical severe tSCI after vehicular accidents or falls. The three groups were comparable regarding sex distribution, level and severity of tSCI, level of consciousness at admission, and total received dose of methylprednisolone. However, African Americans were significantly older than non-Hispanic white individuals (P=0.0238). African Americans and individuals of other races/ethnicities had tSCI with open wounds caused by missile and water-related accidents more often than non-Hispanic white individuals (P<0.0001). However, survival rates within the first year post-tSCI were statistically comparable among the three groups (P=0.3191). Among the survivors, there was no statistically significant difference among the three groups regarding motor, and pinprick and light-touch sensory recovery (P>0.0500). The results of this study suggest that the epidemiology of tSCI might vary depending upon the individual’s race/ethnicity. Nevertheless, race/ethnicity did not influence survival rate or neurological recovery within first year post-tSCI.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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