ArticleGeriatric orthopaedic surgery & rehabilitation2018
Age and Other Risk Factors Influencing Long-Term Mortality in Patients With Traumatic Cervical Spine Fracture.
Article in Geriatric orthopaedic surgery & rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Age-based exclusion is common and multifactorial in spinal RCTs: a systematic review and quantitative analysis.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 · 2023Pooled it
- Risk factors affecting the outcome of upper cervical spine injuries in the elderly - role of operative vs. conservative treatment.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Diagnostic yield and number needed to screen for cervical and concomitant spinal injuries in geriatric head trauma.Brain & spine · 2026Article
- Differences in Cervical Spine Fractures in Patients Younger or Older Than 65 Years of Age: Implications for the Canadian C-Spine Rule.AJNR. American journal of neuroradiology · 2024Article
- Assessing the Performance of Models from the 2022 RSNA Cervical Spine Fracture Detection Competition at a Level I Trauma Center.Radiology. Artificial intelligence · 2024Article
- Article
- The Impact of Machine Learning and Robot-Assisted Gait Training on Spinal Cord Injury: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2023Review
- Geriatric spine fractures - Demography, changing trends, challenges and special considerations: A narrative review.Journal of clinical orthopaedics and trauma · 2023Article
- Effects of Dementia on Outcomes after Cervical Spine Injuries in Elderly Patients: Evaluation of 1512 Cases in a Nationwide Multicenter Study in Japan.Journal of clinical medicine · 2023Article
- Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases.Scientific reports · 2022Article
- Influence of age on acute traumatic spinal cord injury in Saint Petersburg, Russia.Spinal cord series and cases · 2022Article
- Respiratory morbidity and mortality of traumatic cervical spinal cord injury at a level I trauma center in India.Spinal cord series and cases · 2021Article
- Predictors of 30-Day Unplanned Readmissions, Complications, and Mortality Following Operative Management of C2 Fractures.Global spine journal · 2020Article
- Does isolated atlantoaxial fusion result in better clinical outcome compared to occipitocervical fusion?Journal of orthopaedic surgery and research · 2020Article
- Clinical outcomes of elderly patients treated with halo vest immobilization.Journal of craniovertebral junction & spineArticle
- Trends and epidemiology of spine fractures in the super-elderly population in the United States.Journal of craniovertebral junction & spineArticle
- Concomitant cervical spine fractures are the primary driver of disability after traumatic vertebral artery dissection: A Case series of 123 patients.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify clinical or demographic variables that influence long-term mortality, as well as in-hospital mortality, with a particular focus on the effects of age. SUMMARY AND BACKGROUND DATA: Cervical spine fractures with or without spinal cord injury (SCI) disproportionately impact the elderly who constitute an increasing percentage of the US population.
methodsWe analyzed data collected for 10 years at a state-designated level I trauma center to identify variables that influenced in-hospital and long-term mortality among elderly patients with traumatic cervical spine fracture with or without SCI. Acute in-hospital mortality was determined from hospital records and long-term mortality within the study period (2003-2013) was determined from the National Death Index. Univariate and multivariate regression analyses were used to identify factors influencing survival.
resultsData from patients (N = 632) with cervical spine fractures were analyzed, the majority (66%) of whom were geriatric (older than age 64). Most patients (62%) had a mild/moderate injury severity score (ISS; median, interquartile range: 6, 5). Patients with SCI had significantly longer lengths of stay (14.1 days), days on a ventilator (3.5 days), and higher ISS (14.9) than patients without SCI (
conclusionThis study identified age, gender, and SCI status as significant variables for this study population influencing long-term survival among patients with cervical spine fractures. Our results support the growing notion that cervical spine injuries in geriatric patients with trauma may warrant additional research.
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