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  4. Mortality in patients with traumatic spinal cord injury: Descriptive analysis of 62 deceased subjects

Mortality in patients with traumatic spinal cord injury: Descriptive analysis of 62 deceased subjects

The Journal of Spinal Cord Medicine, 2011 · DOI: 10.1179/2045772311Y.0000000022 · Published: January 1, 2011

Spinal Cord InjuryRehabilitationPublic Health

Simple Explanation

This study looks at the causes of death in people who had a spinal cord injury (SCI) before age 50 and lived at least 10 years after the injury. It also compares these causes of death with those who died within 10 years of their injury. The study found that septicemia, cardiovascular diseases, neoplasms, and cerebrovascular diseases were the main causes of death in those who survived longer. There wasn't a big difference in the causes of death between the two groups (those who lived more or less than 10 years after injury). The findings suggest that while urinary complications used to be a major concern, heart disease and infections are now more prevalent causes of death in people with long-term SCI. The study highlights the importance of addressing these issues through medical management and preventative strategies.

Study Duration
Not specified
Participants
100 patients with traumatic SCI
Evidence Level
Retrospective study

Key Findings

  • 1
    The leading causes of death in patients surviving ≥10 years post-injury were septicemia, ischemic heart diseases, neoplasms, and cerebrovascular diseases.
  • 2
    Septicemia, influenza/pneumonia, and suicide were the leading causes of death in tetraplegia, whereas ischemic heart disease, neoplasms, and septicemia were the leading causes of death in paraplegia.
  • 3
    No significant differences in causes of death were identified between patients surviving <10 and ≥10 years post-injury.

Research Summary

This study investigated the causes of death in patients ≤50 years at the time of traumatic spinal cord injury (tSCI) who survived a minimum of 10 years post-injury, comparing them with those who survived less than 10 years. The main causes of death in the group surviving ≥10 years were septicemia, cardiovascular diseases, neoplasms, and cerebrovascular diseases, with no significant difference in causes of death between the two survival groups. The study suggests a shift in mortality patterns, with cardiovascular diseases and infections becoming more prominent than urinary complications in long-term SCI patients, highlighting the need for targeted medical management and preventative strategies.

Practical Implications

Targeted Medical Management

Focus on preventing and managing septicemia, cardiovascular diseases, neoplasms, and cerebrovascular diseases in patients with long-term SCI.

Preventative Strategies

Implement strategies to reduce the risk of infections (e.g., pressure ulcer prevention, respiratory management) and cardiovascular complications (e.g., promoting physical activity, managing metabolic risk factors).

Patient Education

Enhance patient and family education on SCI-related complications, including early detection and management of potential health issues.

Study Limitations

  • 1
    Lack of comparison with mortality causes in the general German population.
  • 2
    Results from this monocentric study prevent generalizations about the total German SCI population.
  • 3
    Small sample size resulted in limited statistical power of the analyses.

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