Predictors ID'd for mortality in elderly with cervical spine injury

Predictors ID'd for mortality in elderly with cervical spine injury
Preexisting comorbidities, spinal cord injury, and age are all strong predictors of mortality in elderly patients with trauma-related cervical spine injury, although the evidence is not conclusive, according to research published online Nov. 2 in Spine.

(HealthDay)—Preexisting comorbidities (PECs), spinal cord injury (SCI), and age are all strong predictors of mortality in elderly patients with trauma-related cervical spine injury (CSI), although the evidence is not conclusive, according to research published online Nov. 2 in Spine.

In an effort to identify predictors of mortality in elderly patients with CSI, Dan Xing, M.D., of the Tianjin Medical University General Hospital in China, and colleagues conducted a systematic methodological review that identified 23 studies published between 1993 and 2011 involving 2,325 patients.

In these studies, the researchers identified three strong evidence predictors for CSI mortality in elderly patients, including PECs, SCI, and age. Also identified were three moderate evidence predictors (closed head injury, injury severity score, and cardiopulmonary diseases) and seven limited evidence predictors (level of CSI, Glasgow coma scale, sex, ankylosing spondylitis, American Society of Anesthesiologists score, polytrauma, and ).

"We believe that the dissemination of these data will establish a foundation for deeper understanding of the factors that influence the risk of death following CSI in the . may increase with SCI, age, and PEC," the authors write. "These evidence-based predictors may be useful in counseling patients and their families."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Elderly spinal cord injuries increase five-fold in 30 years

Mar 19, 2007

The number of spinal cord injuries among senior citizens (age 70 and above) has increased five times in the past 30 years, as compared with younger spinal cord injury patients, researchers at Thomas Jefferson University Hospital ...

Recommended for you

Depression tied to worse lumbar spine surgery outcomes

2 hours ago

(HealthDay)—Depressive symptoms are associated with poorer long-term outcome in patients undergoing surgery for lumbar spinal stenosis (LSS), according to research published in the Oct. 1 issue of The Sp ...

Ebola death toll edging to 4,900 mark: WHO

2 hours ago

The death toll in the world's worst-ever Ebola outbreak has edged closer to 4,900, while almost 10,000 people have now been infected, new figures from the World Health Organization showed Wednesday.

US to track everyone coming from Ebola nations

3 hours ago

U.S. authorities said Wednesday that everyone traveling into the U.S. from Ebola-stricken nations will be monitored for symptoms for 21 days. That includes returning American aid workers, federal health employees ...

US: Monitoring for all coming from Ebola nations

5 hours ago

U.S. health officials said Wednesday that they would begin monitoring all travelers—even Americans—who come to the U.S. from Ebola-stricken West African nations for 21 days, significantly expanding their vigilance.

User comments