@article{ref1,
title="Influence of age on acute traumatic spinal cord injury in Saint Petersburg, Russia",
journal="Spinal cord series and cases",
year="2022",
author="Mirzaeva, Liudmila and Lobzin, Sergey and Gilhus, Nils Erik and Rekand, Tiina",
volume="8",
number="1",
pages="e16-e16",
abstract="STUDY DESIGN: Retrospective cohort study. <br><br>OBJECTIVES: To evaluate influence of age after traumatic spinal cord injury (TSCI). SETTING: 13 specialized hospitals with neurosurgical departments of Saint Petersburg, Russia. <br><br>METHODS: Charts of all patients admitted with TSCI to the city hospitals 2012-2016. Demographic and clinical characteristics, surgical interventions, complications, mortality rate, and hospital stays were recorded. <br><br>RESULTS: 311 patients with TSCI were included. TSCI was more common in younger age. Mean age (SD) was 42.4 (16.8) years. Patients were divided into four age groups: 18-29, 30-44, 45-59 and ≥60 years. The group ≥60 years had the lowest percentage of concomitant traumatic brain injury (TBI), 25%, versus 43% in TSCI < 60 years, p < 0.05. Low falls were the most frequent cause in patients aged 60 years and older, and led to less severe neurological deficits (p < 0.05). Complications were most frequent in motor complete TSCI (AIS A and AIS B) and in persons with combined TSCI and TBI at older age. Total complication rate was 67% at the age of ≥60 years versus 38% <60 years in TSCI with TBI (p < 0.05). Respiratory complications occurred in 67% ≥45 years versus 45% <45 years, p < 0.05. In-hospital mortality rate after TSCI was higher in the oldest age group. <br><br>CONCLUSIONS: Respiratory complications are common and the in-hospital mortality is higher among elderly people. Older patients with TSCI and TBI are at high risk for complications.<p /> <p>Language: en</p>",
language="en",
issn="2058-6124",
doi="10.1038/s41394-022-00484-z",
url="http://dx.doi.org/10.1038/s41394-022-00484-z"
}