ArticleJournal of spine surgery (Hong Kong)2025
Traumatic spinal cord injury in the elderly: predictors for mortality and functional outcomes.
Article in Journal of spine surgery (Hong Kong), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The incidence of traumatic spinal cord injury (tSCI) in the elderly is increasing in the setting of an ageing population. We aim to present and define the clinical course of tSCI in the elderly Australian cohort with this cohort study to identify pertinent predictors for mortality thereby improving risk stratification in this potentially devastating disease. Methods: A review of the prospectively maintained Victorian State Trauma Registry (VSTR) database was performed to identify patients who sustained a tSCI between 2007 and 2021. Patients aged 65 years and older were included. Demographic, treatment, disposition and outcome data were all obtained from the database and supplemented from the patient's medical record as required. A primary outcome of death at 6 months was defined. Secondary outcomes were collated for Extended Glasgow Outcome Score (GOS-E) at 6 months, length of stay in hospital, and discharge disposition. Results: A total of 169 elderly patients with tSCI were identified, with 168 followed up to completion (mean age 73.5 years, 73.4% male). The majority (52.7%) were secondary to low-impact falls, and 67.5% underwent surgery for their injury. 19.6% (n=33) of the cohort were dead at 6 months. The likelihood of death at 6 months was significantly associated with increasing age [odds ratio (OR) 1.22 per year increase in age; 95% confidence interval (CI): 1.09-1.36; P=0.001], Injury Severity Score (ISS) (OR 1.11 per unit ISS; 95% CI: 1.05-1.18; P=0.001), and complete injuries. The level of injury, surgical management and Charlson Comorbidity Index (CCI) of 1 or greater did not reach significance. Age was also associated with worsening GOS-E at 6 months and prospects of being discharged home, but not with length of stay. Conclusions: tSCI in the elderly is a challenging condition. Increasing age is significantly associated with increased risk of mortality and poorer GOS-E scores at 6 months.
Indexed as
Identifiers
What OpenQuestion holds
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.