Incidence and risk factors of pneumonia following acute traumatic cervical spinal cord Injury.
J Spinal Cord Med
; 46(5): 725-731, 2023 09.
Article
em En
| MEDLINE
| ID: mdl-35108170
ABSTRACT
OBJECTIVES:
To elucidate the incidence and risk factors for pneumonia after acute traumatic cervical spinal cord injury (CSCI).DESIGN:
Retrospective cohort study.Setting:
Spinal injuries center in Japan.Participants:
Of 184 individuals who were admitted within 2 weeks after acute traumatic cervical spinal injuries, 167 individuals who met the criteria were included in this study.Interventions:
The occurrence of pneumonia, degree of dysphagia using the Dysphagia Severity Scale, patient age, history of smoking, presence of tracheostomy, vital capacity, level of injury, and the American Spinal Injury Association Impairment Scale (AIS) 2 weeks after injury were assessed.Outcomes:
Incidence of pneumonia were analyzed. Moreover, the risk factors of pneumonia were evaluated using logistic regression analysis.RESULTS:
From the 167 individuals who met the criteria, 30 individuals (18%) had pneumonia; in 26 (87%) of these individuals, pneumonia was aspiration related, defined as Dysphagia Severity Scale ≤ 4. The median occurrence of aspiration pneumonia was 11.5 days after injury. A logistic regression analysis revealed that severe AIS and severe Dysphagia Severity Scale scores were significant risk factors of pneumonia after CSCI.CONCLUSIONS:
It was highly likely that the pneumonias following CSCI were related to aspiration based on the Dysphagia Severity Scale. In addition, most of the patients developed aspiration pneumonia within 1 month after injury. Aspiration and severe paralysis were significant risk factors for pneumonia. The treatment of dysphagia in the acute phase should be considered an important indicator to prevent pneumonia.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonia
/
Pneumonia Aspirativa
/
Traumatismos da Medula Espinal
/
Traumatismos da Coluna Vertebral
/
Transtornos de Deglutição
/
Lesões do Pescoço
/
Medula Cervical
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
/
Newborn
Idioma:
En
Revista:
J Spinal Cord Med
Assunto da revista:
NEUROLOGIA
/
REABILITACAO
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Japão