Observational studyThe journal of spinal cord medicine2015
Airway complications in traumatic lower cervical spinal cord injury: A retrospective study.
Observational study in The journal of spinal cord medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02891096 (Inspiratory Muscle Strength and Respiratory Complications After Spinal Cord Injury), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Inspiratory Muscle Strength and Respiratory Complications After Spinal Cord Injury: a Multicenter, Prospective Cohort Study
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Thirty-day unplanned readmission rates and risk factors in spine surgery: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Respiratory consequences of cervical spinal cord injury: insights from preclinical models.Breathe (Sheffield, England) · 2026Review
- Risks for prolonged mechanical ventilation and reintubation after cervical malignant tumor surgery: a nested case-control study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Respiratory Complications and Weaning Considerations for Patients with Spinal Cord Injuries: A Narrative Review.Journal of personalized medicine · 2022Review
- One-stage tracheostomy during surgery reduced early pulmonary infection and mechanical ventilation length in complete CSCI patients.Frontiers in surgery · 2022Article
- Separation from mechanical ventilation and survival after spinal cord injury: a systematic review and meta-analysis.Annals of intensive care · 2021Review
- High tidal volume ventilation is associated with ventilator-associated pneumonia in acute cervical spinal cord injury.The journal of spinal cord medicine · 2021Article
- Epidemiological characteristics of traumatic cervical spinal cord injury in Chongqing, China, from 2009 to 2018.Spinal cord series and cases · 2021Article
- Respiratory morbidity and mortality of traumatic cervical spinal cord injury at a level I trauma center in India.Spinal cord series and cases · 2021Article
- Prognostic value of early leukocyte fluctuations for recovery from traumatic spinal cord injury.Clinical and translational medicine · 2021Article
- A Review of Different Stimulation Methods for Functional Reconstruction and Comparison of Respiratory Function after Cervical Spinal Cord Injury.Applied bionics and biomechanics · 2020Review
- Risk factors and the surgery affection of respiratory complication and its mortality after acute traumatic cervical spinal cord injury.Medicine · 2017Article
- Breathing-synchronised electrical stimulation of the abdominal muscles in patients with acute tetraplegia: A prospective proof-of-concept study.The journal of spinal cord medicine · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate risk factors for pneumonia in patients with traumatic lower cervical spinal cord injury.
designObservational study, retrospective study.
settingSpinal cord unit in a maximum care hospital.
methodsThirty-seven patients with acute isolated traumatic spinal cord injury at levels C4-C8 and complete motor function injury (AIS A, B) treated from 2004 to 2010 met the criteria for inclusion in our retrospective analysis. The following parameters were considered: ventilation-specific parameters, re-intubation, creation of a tracheostomy, pneumonia, antibiotic treatment, and length of intensive care unit (ICU) stay and total hospitalization.
resultsAmong the patients, 81% had primary invasive ventilation. In 78% of cases a tracheostomy was created; 3% of these cases were discharged with invasive ventilation and 28% with a tracheostomy without ventilation. Pneumonia according to Centers for Disease Control criteria occurred in 51% of cases within 21±32 days of injury, and in 3% at a later date. The number of pre-existing conditions was significantly associated with pneumonia. Length of ICU stay was 25±34 days, and average total hospital duration was 230±144 days. Significant factors affecting the duration of ventilation were the number of pre-existing conditions and tetraplegia-specific complications.
conclusionsOur results confirm that patients with traumatic lower cervical spinal cord injuries defined by lesion level and AIS constitute a homogeneous group. This group is characterized by a high rate of pneumonia during the first 4 weeks after injury. The number of pre-existing general conditions and spinal injury-specific comorbidities are the only risk factors identified for the development of pneumonia and/or duration of ventilation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.