ArticleJournal of neurotrauma2020
In-Hospital Mortality for the Elderly with Acute Traumatic Spinal Cord Injury.
Article in Journal of neurotrauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- In-hospital mortality rate in subaxial cervical spinal cord injury patients: a systematic review and meta-analysis.Acta neurochirurgica · 2023Pooled it
- Ultrasound monitoring respiratory muscle rehabilitation training can promote the recovery of diaphragmatic function in traumatic spinal cord injury (TSCI) patients.European journal of medical research · 2025Trial
- Predictors of In-Hospital Mortality After Operative Cervical Spinal Cord Injury: A National Trauma Data Bank Analysis From 2021 to 2023.Global spine journal · 2026Article
- Inpatient Outcomes in Geriatric Complete Cervical Spinal Cord Injury: Associations Between Surgical Management and Reduced Mortality Despite Increased Morbidity.Global spine journal · 2026Article
- Traumatic spinal cord injury in the elderly: predictors for mortality and functional outcomes.Journal of spine surgery (Hong Kong) · 2025Article
- Prognosis of Cervical Diffuse Idiopathic Skeletal Hyperostosis-Related Spine Injuries in Elderly Patients: Analyses of Both Fracture and Spinal Cord Injury Without Fracture.Global spine journal · 2025Article
- An integrative nomogram based on MRI radiomics and clinical characteristics for prognosis prediction in cervical spinal cord Injury.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 · 2025Article
- Long-Term Survival for Traumatic Spinal Cord Injury in British Columbia, Canada: A Retrospective Evaluation of 20 Years of Linked Health Care Data.Neurotrauma reports · 2025Article
- Epidemiology of Traumatic Cervical Spinal Cord Injury in Southeast Norway.Neurotrauma reports · 2025Article
- Article
- Epidemiology of traumatic spinal cord injury in Ireland, 2017-2022.Spinal cord series and cases · 2024Article
- Epidemiology of Cervical Fracture/Cervical Spinal Cord Injury and Changes in Surgical Treatment Modalities in Elderly Individuals During a 10-year Period: A Nationwide Multicenter Study in Japan.Global spine journal · 2024Article
- Quality of in-hospital care in traumatic spinal column and cord injuries (TSC/SCI) in I.R Iran.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 · 2024Review
- Cardiac risk stratification and adverse outcomes in surgically managed patients with isolated traumatic spine injuries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Secondary Sarcopenia and Spinal Cord Injury: Clinical Associations and Health Outcomes.Journal of clinical medicine · 2024Article
- Traumatic cervical spinal cord injury in southeastern Norway: acute treatment, specialized rehabilitation referral and mortality.Frontiers in neurology · 2024Article
- Impact of Specialized Versus Non-Specialized Acute Hospital Care on Survival Among Patients With Acute Incomplete Traumatic Spinal Cord Injuries: A Population-Based Observational Study from British Columbia, Canada.Journal of neurotrauma · 2023Observational
- [Risk factors associated with lethality on patients with central cord syndrome].Revista medica del Instituto Mexicano del Seguro Social · 2023Observational
- Porous microneedle patch with sustained delivery of extracellular vesicles mitigates severe spinal cord injury.Nature communications · 2023Article
- Blunt Cerebrovascular Injury in the Elderly With Traumatic Cervical Spine Injuries: Results of a Retrospective Multi-Center Study of 1512 Cases in Japan.Journal of neurotrauma · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
25 authors at 14 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As the incidence of traumatic spinal cord injury (tSCI) in the elderly rises, clinicians are increasingly faced with difficult discussions regarding aggressiveness of management, likelihood of recovery, and survival. Our objective was to outline risk factors associated with in-hospital mortality in elderly surgical and non-surgical patients following tSCI and to determine those unlikely to have a favorable outcome. Data from elderly patients (≥ 65 years of age) in the Canadian Rick Hansen SCI Registry from 2004 to 2017 were analyzed using descriptive analysis. Survival and mortality groups in each of the surgical and non-surgical group were compared to explore factors associated with in-hospital mortality and their impact, using logistical regression. Of 1340 elderly patients, 1018 had surgical data with 826 having had surgery. In the surgical group, the median time to death post-injury was 30 days with 75% dying within 50 days compared with 7 days and 20 days, respectively, in the non-surgical group. Significant predictors for in-hospital mortality following surgery are age, comorbidities, neurological injury severity (American Spinal Injury Association [ASIA] Impairment Scale [AIS]), and ventilation status. The odds of dying 50 days post-surgery are six times higher for patients ≥77 years of age versus those 65-76 years of age, five times higher for those with AIS A versus those with AIS B/C/D, and seven times higher for those who are ventilator dependent. An expected probability of dying within 50 days post-surgery was determined using these results. In-hospital mortality in the elderly after tSCI is high. The trend with age and time to death and the significant predictors of mortality identified in this study can be used to inform clinical decision making and discussions with patients and their families.
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Registered trials
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