Volume 10, Issue 2 (5-2023)
JROS 2023, 10(2): 101-108 |
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Momen O, Gorgani Firouzjah H, Sahebjamei A, Paryab M, Arab M, Ghandhari H. Predictors of Neurological Recovery in Traumatic Spinal Cord Injury Patients: A Multicenter Cohort Study. JROS 2023; 10 (2) :101-108
URL: http://jros.iums.ac.ir/article-1-2258-en.html
URL: http://jros.iums.ac.ir/article-1-2258-en.html
Omid Momen1 
, Habib Gorgani Firouzjah 2, Afshin Sahebjamei1 , Mansoor Paryab3 , Mahsa Arab3 , Hasan Ghandhari4
, Habib Gorgani Firouzjah 2, Afshin Sahebjamei1 , Mansoor Paryab3 , Mahsa Arab3 , Hasan Ghandhari4
1- Department of Orthopedic Surgery, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
2-
3- 5th Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
4- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2-
3- 5th Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
4- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (218 Views)
Background: Traumatic spinal cord injury (TSCI) is a recognized health challenge worldwide that may lead to physical and neurological disorders. Neurological recovery following TSCI depends on several factors.
Objectives: This study aims to investigate predictors of neurological recovery in patients with TSCI.
Methods: In this multicenter cohort study, the medical profile of 120 TSCI patients referred to the emergency room of two educational centers affiliated with Golestan University of Medical Sciences between 2014 and 2018 were examined. A definitive diagnosis of TSCI was made based on neurological examination and radiographic results. Patient information was collected using a two-part checklist that included demographic characteristics and clinical results. TSCI severity was assessed using the American spinal cord injury scale (ASIA) 12 months after surgery. Multivariate logistic regression analysis was used to investigate predictors of improvement in neurological recovery.
Results: The average age was 35.16±13.61 years. A total of 96 people (80%) were men. The average duration of surgical injury in TSCI patients was 5.3±2.3 days. The results of multivariate analysis showed that age >30 years (odds ratio (OR) adj=1.44; 95% confidence interval (CI), 1.03−1.85; P=0.04), female gender (OR adj=1.54; 95% CI, 1.09%, 2.08%; P=0.032), body mass index (BMI) >26 kg/m2 (OR adj=1.41; 95% CI, 1.02%, 1.88%; P=0.006), duration of injury to surgery >4 days (OR adj=1.62; 95% CI, 1.11%, 2.12%; P=0.04) and the severity of the initial injury (A and B vs C and D) (OR adj=1.81; 95% CI, 1.12%, 254%; P=0.001), were significantly related to neurological recovery.
Conclusion: Our study showed that neurological recovery was higher in men younger than 30 years with a standard BMI. Delayed treatment and the severity of the initial injury were significantly associated with decreased neurological recovery.
Objectives: This study aims to investigate predictors of neurological recovery in patients with TSCI.
Methods: In this multicenter cohort study, the medical profile of 120 TSCI patients referred to the emergency room of two educational centers affiliated with Golestan University of Medical Sciences between 2014 and 2018 were examined. A definitive diagnosis of TSCI was made based on neurological examination and radiographic results. Patient information was collected using a two-part checklist that included demographic characteristics and clinical results. TSCI severity was assessed using the American spinal cord injury scale (ASIA) 12 months after surgery. Multivariate logistic regression analysis was used to investigate predictors of improvement in neurological recovery.
Results: The average age was 35.16±13.61 years. A total of 96 people (80%) were men. The average duration of surgical injury in TSCI patients was 5.3±2.3 days. The results of multivariate analysis showed that age >30 years (odds ratio (OR) adj=1.44; 95% confidence interval (CI), 1.03−1.85; P=0.04), female gender (OR adj=1.54; 95% CI, 1.09%, 2.08%; P=0.032), body mass index (BMI) >26 kg/m2 (OR adj=1.41; 95% CI, 1.02%, 1.88%; P=0.006), duration of injury to surgery >4 days (OR adj=1.62; 95% CI, 1.11%, 2.12%; P=0.04) and the severity of the initial injury (A and B vs C and D) (OR adj=1.81; 95% CI, 1.12%, 254%; P=0.001), were significantly related to neurological recovery.
Conclusion: Our study showed that neurological recovery was higher in men younger than 30 years with a standard BMI. Delayed treatment and the severity of the initial injury were significantly associated with decreased neurological recovery.
Type of Study: Research Article |
Subject:
Spine surgery
Received: 2022/11/4 | Accepted: 2022/12/9 | Published: 2023/05/1
Received: 2022/11/4 | Accepted: 2022/12/9 | Published: 2023/05/1
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