CAUSE OF DEATH FOR PATIENTS WITH SPINAL-CORD INJURIES
CAUSE OF DEATH FOR PATIENTS WITH SPINAL-CORD INJURIES
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DOI：
10.1001/archinte.149.8.1761
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发表时间：
1989-08-01
影响因子：
--
通讯作者：
FINE, PR
中科院分区：
文献类型：
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作者：
DEVIVO, MJ;KARTUS, PL;FINE, PR
对1973年至1980年间5131例脊髓损伤患者进行了流行病学研究，以确定和描述这一人群的主要死亡原因。参与研究的患者被联邦指定的七个区域脊髓损伤护理系统之一收治，他们在受伤后至少存活了24小时。随访结束时，459例（9%）患者死亡。总体而言，死亡的主要原因是肺炎，其次是终止治疗，459例患者（9%）已经死亡。总的来说，死亡的主要原因是肺炎，其次是其他意外伤害和自杀。实际死亡与预期死亡的比率最高的是败血症、肺栓塞和肺炎。肺炎是四肢瘫痪者和55岁以上者的主要死因，而截瘫者和55岁以下者的主要死因是随后的意外伤害和自杀。 虽然有确凿的证据表明脊髓损伤者的死亡率自第二次世界大战结束以来已大幅下降，但许多特定原因的死亡率仍大大高于正常水平。
An epidemiologic study of 5131 patients sustaining spinal cord injuries between 1973 and 1980 was conducted to determine and characterize the leading causes of death in this population. Patients who were studied had been admitted to one of seven federally designated regional spinal cord injury care systems and they survived for at least 24 hours after injury. When follow-up was terminated, 459 patietns (9%) had died. Overall, the leading cause of death and pneumonia, followed was terminated, 459 patients (9%) had died. Overall, the leading cause of death was pneumonia, followed by other subsequent unintentional injuries and suicides. The highest ratios of actual to expected deaths were for septicemia, pulmonary emboli, and pneumonia. Pneumonia was the leading cause of death among quadriplegics and persons at least 55 years of age, while among paraplegics and persons who were less than 55 years of age, subsequent unintentional injuries and suicides were the leading causes of death. While there is conclusive evidence that mortality rates for spinal-cord injured persons have declined dramatically since the end of World War II, many cause-specific mortality rates remain substantially above normal.