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, 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.

Resumo

Objetivo Analisar os preditores de prognóstico em pacientes vítimas de trauma raquimedular (TRM) em um hospital terciário.

Método Estudo prospectivo com 321 pacientes. A análise foi direcionada aos dados relacionados aos pacientes, causa do acidente, distribuição anatômica, status neurológico, lesões associadas, tempo de permanência hospitalar e complicações e mortalidade no hospital.

Resultados O TRM foi mais comum em homens, mas mulheres com idade superior a 50 anos apresentaram mais risco que homens da mesma faixa etária. Ferimento por arma de fogo, acidentes automobilísticos e de motocicleta resultaram em maior número de lesões associadas. O trauma na coluna cervical foi diretamente relacionado a um aumento no número de lesões associadas, complicações e mortalidade. Além disso, o status neurológico ASIA-A foi associado com um aumento no número de complicações, tempo de permanência e mortalidade.

Conclusão Os fatores preditivos de prognóstico nesses pacientes foram: idade, sexo, causa da lesão, distribuição anatômica e status neurológico.

Keywords

traumatology - complications - mortality

Palavras-chave

traumatologia - complicações - mortalidade

Note

This study is part of the dissertation Morais DF carried out at FAMERP, São José do Rio Preto, São Paulo, Brazil.

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