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  1. Incidence of acute care complications in vertebral column fracture patients with and without spinal cord injury.

    Article - En anglais

    Study Design

    This study retrospectively analyzed vertebral column fractures in trauma patients during a 2-year period.

    Data from a multicenter trauma registry were used.

    Objectives

    The purpose of this study was to ascertain and describe the initial in-hospital morbidity and mortality rates for patients with vertebral column fractures with and without spinal cord injury.

    Summary of Background Data

    Patients with vertebral fractures and associated spinal cord injuries experience more medical complications than those without spinal cord injuries.

    However, the precise incidence and relative risk of complications during acute care hospitalization for these two groups are not well documented.

    Methods

    Vertebral column fractures in 419 adolescent and adult trauma patients hospitalized during a 2-year period were retrospectively analyzed using data from a multicenter trauma registry.

    Results

    Of the 419 patients, 104 had an associated spinal cord injury.

    More than half of the spinal cord injury patients (52.9%) and 20.6% of those without spinal cord injury had one or more complications during their hospitalization.

    Conclusions

    The incidence of the 25 types of medical complications reported here provides specific and relevant information to assist health professionals in treating patients during their acute care.

    We estimate that complications during initial hospitalization add $1-5 billion annually to the cost of caring for patients with vertebral fractures in the United States.

    Mots-clés Pascal : Fracture, Os, Rachis, Complication, Mortalité, Morbidité, Lésion, Moelle épinière, Association, Aspect économique, Etude multicentrique, Homme, Système ostéoarticulaire pathologie, Traumatisme, Système nerveux pathologie, Moelle épinière pathologie

    Mots-clés Pascal anglais : Fracture, Bone, Spine, Complication, Mortality, Morbidity, Lesion, Spinal cord, Association, Economic aspect, Multicenter study, Human, Diseases of the osteoarticular system, Trauma, Nervous system diseases, Spinal cord disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0358900

    Code Inist : 002B16H. Création : 01/03/1996.