Volume 10, Issue 2 (In-Press 2023)
JROS 2023, 10(2): 0-0 |
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Momen O, Gorgani Firouzjah H, Sahebjamei A, Paryab M, Ghandhari H. Predictors of Neurological Recovery in Traumatic Spinal Cord Injury Patients: A Multicenter Cohort Study. JROS 2023; 10 (2)
URL: http://jros.iums.ac.ir/article-1-2258-en.html
URL: http://jros.iums.ac.ir/article-1-2258-en.html
1- Department of Orthopedic Surgery, School of Medicine, Golestan University of Medical Science, Gorgan, Iran.
2- Orthopedic Surgeon
3- Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Science, Tehran, Iran
2- Orthopedic Surgeon
3- Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Science, Tehran, Iran
Abstract: (105 Views)
Background: Traumatic spinal cord injury (TSCI) is a recognized health challenge worldwide that may lead to physical and neurological disorders. Neurological recovery after TSCI depends on several factors. This study aimed to investigate the predictors of neurological recovery in TSCI patients.
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 findings. Patients' information was collected using a two-part checklist, which included demographic characteristics and clinical findings. SCI severity was assessed using the American Spinal Cord Injury Scale (ASIA) twelve months after surgery. Multivariate logistic regression analysis was used to investigate the predictors of neurological recovery improvement.
Results: The average age was 35.16 ± 13.61 years. 96 (80%) were men. The average duration of surgical injury in STCI patients was 5.3 ± 2.3 days. The results of multivariate analysis showed that age > 30 years (OR adj:1.44; 95% CI:1.03,1.85;p:0.04), female gender(OR adj:1.54; 95% CI:1.09,2.08;p:0.032), 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 &B Vs C&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 with an age of less than 30 years and a normal body mass index. Delayed treatment and the severity of the initial injury were significantly associated with a decrease in neurological recovery.
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 findings. Patients' information was collected using a two-part checklist, which included demographic characteristics and clinical findings. SCI severity was assessed using the American Spinal Cord Injury Scale (ASIA) twelve months after surgery. Multivariate logistic regression analysis was used to investigate the predictors of neurological recovery improvement.
Results: The average age was 35.16 ± 13.61 years. 96 (80%) were men. The average duration of surgical injury in STCI patients was 5.3 ± 2.3 days. The results of multivariate analysis showed that age > 30 years (OR adj:1.44; 95% CI:1.03,1.85;p:0.04), female gender(OR adj:1.54; 95% CI:1.09,2.08;p:0.032), 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 &B Vs C&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 with an age of less than 30 years and a normal body mass index. Delayed treatment and the severity of the initial injury were significantly associated with a decrease in neurological recovery.
Type of Study: Research Article |
Subject:
Spine surgery
Received: 2024/11/4 | Accepted: 2024/11/9 | Published: 2023/05/8
Received: 2024/11/4 | Accepted: 2024/11/9 | Published: 2023/05/8
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