• Inés Esmorís-Arijón, Rita Galeiras, Salvador de la BarreraSebastiánSSpinal Cord Injury Unit, Complexo Hospitalario Universitario A Coruña, Sergas, Universidade de A Coruña, A Coruña, Spain., Mónica Mourelo Fariña, and DíazSonia PértegaSPResearch Support Unit, Nursing and Healthcare Research Group, Rheumatology and Health Research Group, Instituto de Investigación Biomédica de A Coruña, Complexo Hospitalario Universitario de A Coruña, Sergas, Universidade da Coruña, A C.
• Critical Care Unit, Hospital Universitario Lucus Augusti, Lugo, Spain. Electronic address: ines.esmoris@gmail.com.
• World Neurosurg. 2021 Aug 1; 152: e721-e728.

ObjectiveTo characterize patients with acute traumatic spinal cord injury (ATSCI) above T6 who were admitted to the intensive care unit (ICU) for ≥30 days and their 1-year mortality compared with patients admitted for <30 days.MethodsA retrospective observational study was performed on 211 patients with an acute traumatic spinal cord injury above T6 who were admitted to an ICU between 1998 and 2017. Multivariate logistic regression analysis was performed to determine the relationship between an ICU stay ≥30 days and mortality after ICU discharge.ResultsOf patients, 29.4% were admitted to the ICU for ≥30 days, accounting for 53.4% of total days of ICU stays generated by all patients. An ICU stay ≥30 days was not identified as an independent risk factor for mortality (1-year survival: 88.5% vs. 88.1%; adjusted hazard ratio [HR] 0.80, P = 0.699). Variables identified as predictors of 1-year post-ICU discharge mortality were severity at admission according to the Acute Physiology and Chronic Health Evaluation II score (HR 1.18) and the American Spinal Injury Association Impairment Scale motor score (HR 0.97). Among patients who required invasive mechanical ventilation, a longer duration of the respiratory support was associated with increased mortality (HR 1.01).ConclusionsThree out of 10 patients with acute traumatic spinal cord injury above T6 require prolonged stays in the ICU. Variables found to be associated with 1-year post-ICU discharge mortality in these patients were American Spinal Injury Association Impairment Scale motor score, severity, and greater duration of invasive mechanical ventilation, but not an ICU stay ≥30 days.Copyright © 2021 Elsevier Inc. All rights reserved.

31 keywords...

hide…