Clinical complications in patients with severe cervical spinal trauma: a ten-year prospective study

Santos, Eugene; Filho, Wenner Jorzino Santos; Possatti, Lucas Loss; Bittencourt, Lia; Fontoura, Emilio Afonso França; Botelho, Ricardo Vieira

doi:10.1590/s0004-282x2012000700010

Cited by 18 publications

(13 citation statements)

References 21 publications

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“…According to Santos et al 6 the main complication is respiratory tract infections, such as pneumonia. Respiratory complications are associated with the increase in hospitalization time, in financial cost to the hospital, 7 and in mortality.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Therefore, a greater knowledge is needed of the secondary clinical complications, to enable effective intervention in these patients and obtain a better prognosis. The high incidence of complications in these patients has been the subject of studies, 5,6 mainly owing to the high economic cost of treatment and to the mortality rate. 7,8 However, these studies are primarily focused on specific, [9][10][11] or long-term complications.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of clinical complications in patients with spinomedullary injury

et al. 2014

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Objective: To analyze individuals with spinal cord injury who developed secondary clinical complications, and the variables that can influence the prognosis. Methods: A prospective study of 321 patients with spinal cord injury. The variables were collected: age, sex, cause of the accident, anatomical distribution, neurological status, associated injuries, in-hospital complications, and mortality only in patients who developed complications. Results: A total of 72 patients were analyzed (85% male) with a mean age of 44.72±19.19 years. The individuals with spinal cord injury who developed clinical complications were mostly male, over 50 years of age, and the main cause was accidental falls. These patients had longer hospitalization times and a higher risk of progressing to death. Pneumonia was the main clinical complication. With regard to the variables that can influence the prognosis of these patients, it was observed that spinal cord injury to the cervical segment with syndromic quadriplegia, and neurological status ASIA-A, have a higher risk of developing pneumonia, the most common complication, as well as increased mortality. Conclusion: Clinical complications secondary to spinal cord injury are influenced by demographic factors, as well as characteristics of the injury contributing to an increase in mortality.Keywords: Spinal cord injuries/complications; Spinal injuries; Mortality.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of clinical complications in patients with spinomedullary injury

et al. 2014

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“…Patients with cervical SCI are a high-risk group, with the highest mortality rate reported in spinal trauma, by suffer significant damage in the cardiac autonomic system, when compared to thoracic or lumbar spine injuries (Yang et al, 2013). Cervical SCI promote a loss, either temporary or permanent, in the sensory-motor response, autonomic and bladder/bowel function (Grossman et al, 2012;Santos, Santos Filho, Possatti, Bittencourt, Fontoura, & Botelho, 2012).These complications are related to forces that are required to fracture the spine, consequently, suffer significant peripheral and neurological damages that can be or not fatal. Two types of SCI could be described: complete, which contributes to loss of function below the level of the injury, and incomplete, that result in some feeling below the point of injury (Harkey, White, Tibbs, & Haines, 2003).…”

Section: Introductionmentioning

confidence: 99%

<b>Profile of the cardiac repolarization in cervical spinal cord injury subjects performing physical exercise

Magalhães

Martins

Maior

et al. 2017

Acta Sci. Health Sci.

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ABSTRACT. The aim of the study was to compare rest QT interval and QTcorrected intervals of electrocardiogram in trained men with and without cervical spinal cord injury (CSCI) and investigate cardiac electrocardiogram parameters in trained men with CSCI submitted to maximal effort test. Thirty men were separated into three groups: Control without CSCI (CON, 25.3 ± 4.1 yrs, strength training: 3 days week Perfil da repolarização cardíaca de sujeitos com lesão medular cervical submetidos a exercícios físicos RESUMO. O objetivo do presente estudo foi comparar o perfil dos intervalos QT e QT corrigido (QTc) em homens treinados com e sem lesão medular cervical (LMC) e investigar o perfil eletrocardiográfico de homens treinados com LMC submetidos ao teste de esforço máximo. Trinta homens foram separados em três grupos: controle sem LMC (CON, indivíduos fisicamente ativos; n = 10), LMC praticantes de alto volume de exercícios (praticantes de rugby em cadeira de rodas 180 min. Semana -1 ; n = 12) e LMC praticantes de moderado volume de exercícios (praticantes de rugby em cadeira de rodas 120 min. Semana -1 ; n = 8). Todos os participantes do grupo LMC apresentavam lesões incompletas (C5-C7) mais do que 12 meses. Eletrocardiograma foi registrado em repouso, durante e após o teste de esforço. O intervalo QT apresentou redução significativa (p = 0,001) no grupo de alto volume de exercícios quando comparado ao controle. O QTc não mostrou diferença entre os distintos volumes de exercícios (p > 0,05). Ambos os grupos LMC não apresentaram mudanças significativas no intervalo QT, QTc, intervalos PR e QRS entre o repouso e pós-esforço (p > 0,05). Concluimos que o alto volume de exercícios semanais parece promover anormalidades na repolarização cardíaca.Palavras-chave: lesão medular cervical, treinamento físico, eletrocardiograma, repolarização ventricular.

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“…Neck injuries are an important cause of trauma-related hospital admission and death 1 , and these injuries include several mechanisms that account for death, such as respiratory failure, bleeding, and spinal cord injury 1,2 .…”

Section: Introductionmentioning

confidence: 99%

Neck Trauma Deaths In Brazil: Review Of 541 Cases.

Bordoni¹,

Assis²,

Silva³

et al. 2016

BJFS

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Abstract. Neck trauma is associated with high morbidity and mortality. To establish the profile of death by neck trauma in the metropolitan area of Belo Horizonte (BH), Brazil, fatal cases subjected to necropsy at the Forensic Medicine Institute of BH 2006 to 2012 were evaluated. A total of 541 necropsy reports were analyzed; most victims were male (82%), single (70%) and non-white (72%). Almost half of the victims were under 30 years old (47%).Penetrating neck trauma was the most prevalent injury (74%), mainly caused by firearm projectiles (54%), and most cases were of homicide victims (67%). Alcohol consumption before death and positive drug tests were found in almost half of the cases (42% and 45%, respectively). Establishing the sociodemographic and behavioral profile of victims as well the intrinsic characteristics of this type of trauma are potentially relevant for identifying the highrisk population and for elaborating intervention strategies.

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Clinical complications in patients with severe cervical spinal trauma: a ten-year prospective study

Cited by 18 publications

References 21 publications

Predictors of clinical complications in patients with spinomedullary injury

Predictors of clinical complications in patients with spinomedullary injury

<b>Profile of the cardiac repolarization in cervical spinal cord injury subjects performing physical exercise

Neck Trauma Deaths In Brazil: Review Of 541 Cases.

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