Evaluating associations between trauma-related characteristics and functional recovery in individuals with spinal cord injury.
Evaluating associations between trauma-related characteristics and functional recovery in individuals with spinal cord injury.
复制标题
评估脊髓损伤个体的创伤相关特征与功能恢复之间的关联。
DOI：
10.1080/10790268.2022.2112849
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Tucker,CaroleA
中科院分区：
文献类型：
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作者：
Hiremath,ShivayogiV;Marino,RalphJ;Coffman,DonnaL;Karmarkar,AmolM;Tucker,CaroleA
目的探讨脊髓损伤(SCI)患者住院康复过程中创伤变量、急性期相关变量和患者水平特征与功能恢复的关系。通过宾夕法尼亚州创伤系统结果研究和国家SCI模型系统数据库之间的个人记录链接来评估这些关联。设计回顾队列分析。背景美国宾夕法尼亚州的两个SCI模型中心。方法我们使用Python语言中的记录链接工具包在数据库之间链接735名创伤性SCI患者。真匹配率为92.0%，错误匹配率为0.1%。结果普通最小二乘回归和梯度增强回归分析显示，年龄较大、损伤程度较大(结合美国脊髓损伤协会伤残评定量表)、有糖尿病、在急诊期间有肺部并发症、在康复机构住院时间较长与功能恢复较差有关( 2= 0.5 6和GBRR2=0.5 8)。需要进一步的研究来了解糖尿病和肺部并发症的作用，这些以前并不与脊髓损伤患者的功能恢复相关。
ObjectiveTo determine the associations between trauma variables, acute phase-related variables, and patient-level characteristics with functional recovery during inpatient rehabilitation for individuals with spinal cord injury (SCI). The associations were evaluated by linking individuals’ records between the Pennsylvania Trauma Systems Outcomes Study and the National SCI Model Systems databases.DesignRetrospective cohort analysis.SettingTwo SCI Model Centers in Pennsylvania, United States.MethodsWe used a record linkage toolkit in Python to link 735 individuals with traumatic SCI between the databases. The percentage for true-match and error were 92.0% and 0.1%, respectively. The functional recovery during inpatient rehabilitation was determined in 604 individuals with SCI by ordinary least squares regression (OLS) and gradient boosting regression (GBR) analyses.ResultsThe OLS and GBR analyses indicated older age, greater impairment (SCI level combined with American Spinal Injury Association impairment scale), presence of diabetes mellitus, pulmonary complications during acute care, and longer length of stay at an inpatient rehabilitation facility were associated with lower functional recovery (OLSR2= 0.56 and GBRR2= 0.58).ConclusionsTrauma and acute care variables in addition to patient characteristics were associated with functional recovery during inpatient rehabilitation in individuals with SCI. Further investigation is needed to understand the role of diabetes mellitus and pulmonary complications, which have not been previously associated with functional recovery in individuals with SCI.