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Risk factors for tracheostomy after traumatic cervical spinal cord injury
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Zeitschriftentitel: | Journal of Orthopaedic Surgery |
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Personen und Körperschaften: | , |
In: | Journal of Orthopaedic Surgery, 27, 2019, 3, S. 230949901986180 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
SAGE Publications
|
Schlagwörter: |
author_facet |
Mu, Zhiping Zhang, Zhengfeng Mu, Zhiping Zhang, Zhengfeng |
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author |
Mu, Zhiping Zhang, Zhengfeng |
spellingShingle |
Mu, Zhiping Zhang, Zhengfeng Journal of Orthopaedic Surgery Risk factors for tracheostomy after traumatic cervical spinal cord injury Surgery |
author_sort |
mu, zhiping |
spelling |
Mu, Zhiping Zhang, Zhengfeng 2309-4990 2309-4990 SAGE Publications Surgery http://dx.doi.org/10.1177/2309499019861809 <jats:sec><jats:title>Objective:</jats:title><jats:p>To determine the risk factors for the need of tracheostomy after cervical spinal cord injury (CSCI) at the acute stage.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p>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.</jats:p></jats:sec> Risk factors for tracheostomy after traumatic cervical spinal cord injury Journal of Orthopaedic Surgery |
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Risk factors for tracheostomy after traumatic cervical spinal cord injury |
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Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_full |
Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_fullStr |
Risk factors for tracheostomy after traumatic cervical spinal cord injury |
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Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_short |
Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_sort |
risk factors for tracheostomy after traumatic cervical spinal cord injury |
topic |
Surgery |
url |
http://dx.doi.org/10.1177/2309499019861809 |
publishDate |
2019 |
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230949901986180 |
description |
<jats:sec><jats:title>Objective:</jats:title><jats:p>To determine the risk factors for the need of tracheostomy after cervical spinal cord injury (CSCI) at the acute stage.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p>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.</jats:p></jats:sec> |
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author | Mu, Zhiping, Zhang, Zhengfeng |
author_facet | Mu, Zhiping, Zhang, Zhengfeng, Mu, Zhiping, Zhang, Zhengfeng |
author_sort | mu, zhiping |
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container_title | Journal of Orthopaedic Surgery |
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description | <jats:sec><jats:title>Objective:</jats:title><jats:p>To determine the risk factors for the need of tracheostomy after cervical spinal cord injury (CSCI) at the acute stage.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p>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.</jats:p></jats:sec> |
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spelling | Mu, Zhiping Zhang, Zhengfeng 2309-4990 2309-4990 SAGE Publications Surgery http://dx.doi.org/10.1177/2309499019861809 <jats:sec><jats:title>Objective:</jats:title><jats:p>To determine the risk factors for the need of tracheostomy after cervical spinal cord injury (CSCI) at the acute stage.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p>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.</jats:p></jats:sec> Risk factors for tracheostomy after traumatic cervical spinal cord injury Journal of Orthopaedic Surgery |
spellingShingle | Mu, Zhiping, Zhang, Zhengfeng, Journal of Orthopaedic Surgery, Risk factors for tracheostomy after traumatic cervical spinal cord injury, Surgery |
title | Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_full | Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_fullStr | Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_full_unstemmed | Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_short | Risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_sort | risk factors for tracheostomy after traumatic cervical spinal cord injury |
title_unstemmed | Risk factors for tracheostomy after traumatic cervical spinal cord injury |
topic | Surgery |
url | http://dx.doi.org/10.1177/2309499019861809 |