@article{ref1,
title="Characteristics and survival of patients with acute traumatic spinal cord injury above T6 with prolonged intensive care unit stays",
journal="World neurosurgery",
year="2021",
author="Esmorís-Arijón, I. and Galeiras, R. and Salvador de la Barrera, S. and Mourelo Fariña, M. and Pértega Díaz, S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: To characterize patients with an acute traumatic spinal cord injury (ATSCI) above T6 who were admitted to the Intensive Care Unit (ICU) for ≥30 days, as well as their one-year mortality, in comparison with patients admitted for <30 days. <br><br>METHODS: A retrospective, observational study was performed on 211 patients with an ATSCI above T6 who were admitted to an ICU of a Spanish hospital between 1998-2017. A multivariate logistic regression analysis was performed to determine the relationship between an ICU stay ≥30 days and post-ICU discharge mortality. <br><br>RESULTS: A total of 29.4% of the patients were admitted to the ICU for ≥ 30 days, accounting for 53.4% of the total days of ICU stays generated by all patients. An ICU stay ≥30 days was not identified as an independent risk factor for mortality (one-year survival: 88.5% vs. 88.1%) (adjusted hazard ratio [HR]=0.80; p=0.699). Variables identified as predictors of one-year post-ICU discharge mortality were severity at admission according to the Acute Physiology and Chronic Health Evaluation (APACHE) II scale (HR=1.18) and the ASIA motor score (HR=0.97). Among those patients who required invasive mechanical ventilation (IMV), a longer duration of the respiratory support was associated with increased mortality (HR=1.01). <br><br>CONCLUSIONS: Three out of ten patients with an ATSCI above T6 require prolonged stays in the ICU. The variables found to be associated with one-year post-ICU discharge mortality in these patients were the ASIA motor score, severity, and greater duration of the IMV, but not an ICU stay ≥30 days.<p /> <p>Language: en</p>",
language="en",
issn="1878-8750",
doi="10.1016/j.wneu.2021.06.055",
url="http://dx.doi.org/10.1016/j.wneu.2021.06.055"
}