1-Year Mortality and Surgery Incidence in Older US Adults with Cervical Spine Fracture.
1-Year Mortality and Surgery Incidence in Older US Adults with Cervical Spine Fracture.
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DOI：
10.1016/j.wneu.2020.06.070
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发表时间：
2020-09
影响因子：
2
通讯作者：
Bhowmick DA
中科院分区：
文献类型：
--
作者：
Zeitouni D;Catalino M;Kessler B;Pate V;Stürmer T;Quinsey C;Bhowmick DA
Traumatic cervical spinal cord injuries (SCIs) can be lethal and are especially dangerous for older adults. Falls from standing and risk factors for a cervical fracture and spinal cord injury increase with age. This study estimates the 1-year mortality for patients with a cervical fracture and resultant SCI and compares the mortality rate with that from an isolated cervical fracture. We performed a retrospective cohort study of U.S. Medicare patients older than 65 years of age. International Classification of Diseases (ICD)-9 codes were used to identify patients with a cervical fracture without SCI and patients with a cervical fracture with SCI between 2007 and 2014. Our primary outcome was 1-year mortality cumulative incidence rate; our secondary outcome was the cumulative incidence rate of surgical intervention. Propensity weighted analysis was performed to balance covariates between the groups. The SCI cohort had a 1-year mortality of 36.5%, compared with 31.1% in patients with an isolated cervical fracture (risk difference 5.4% (2.9%–7.9%)). Patients with an SCI were also more likely to undergo surgical intervention compared with those without a SCI (23.1% and 10.3%, respectively; risk difference 12.8% (10.8%−14.9%)). Using well-adjusted population-level data in older adults, this study estimates the 1-year mortality after SCI in older adults to be 36.5%. The mortality after a cervical fracture with SCI was 5 percentage points higher than in patients without SCI, and this difference is smaller than one might expect, likely representing the frailty of this population and unmeasured covariates.
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影响因子：
1
作者：
Torretti JA;Sengupta DK
通讯作者：
Sengupta DK
影响因子：
19.7
作者：
Bub, LD;Blackmore, CC;Lomoschitz, FM
通讯作者：
Lomoschitz, FM
影响因子：
3
作者：
Myers, ER;Wilson, SE
通讯作者：
Wilson, SE
DOI：
10.1093/gerona/glx229
发表时间：
2018-07-01
影响因子：
5.1
作者：
Kim, Dae Hyun;Schneeweiss, Sebastian;Avorn, Jerry
通讯作者：
Avorn, Jerry
影响因子：
2.9
作者：
Chen, Yuying;Tang, Ying;DeVivo, Michael J
通讯作者：
DeVivo, Michael J