Incidence and risk factors of pneumonia following acute traumatic cervical spinal cord Injury

Hayashi, Tetsuo; Fujiwara, Yuichi; Kawano, Osamu; Yamamoto, Yūzō; Kubota, Kensuke; Sakai, Hiroaki; Masuda, Muneaki; Morishita, Yuichiro; Kobayakawa, Kazu; Yokota, Kazuya; Kaneyama, Hironari; Maeda, Takeshi

doi:10.1080/10790268.2022.2027323

Cited by 6 publications

(15 citation statements)

References 17 publications

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“…dysphagia. Swallowing dysfunction due to CSCI decreases the amount of nutritional intake and can cause aspiration pneumonia 4 , which exhausts physical energy. In these ways, dysphagia can cause malnutrition.…”

Section: Discussionmentioning

confidence: 99%

“…In clinical practice, medical care providers should pay attention to undernutrition due to dysphagia to prevent pneumonia 4 or other infections following CSCI. This is because individuals with CSCI are vulnerable to malnutrition and immunological risks.…”

Section: Discussionmentioning

confidence: 99%

“…We previously reported that pneumonia in persons with CSCI frequently occurs within 1 month after injury 4 . The immunonutritional condition worsens and leads to vulnerability during this period.…”

Section: Introductionmentioning

confidence: 98%

“…Traumatic spinal cord injury (SCI) is a global health problem associated with high disability and mortality rates and carries a heavy social and economic burden 1 . Cervical spinal cord injury (CSCI), particularly, not only is related to tetraplegia but also leads to many secondary adverse events such as malnutrition 2 , dysphagia 3 , pneumonia 4 , and urinary tract infections.…”

Section: Introductionmentioning

confidence: 99%

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Time Course and Characteristics of the Nutritional Conditions in Acute Traumatic Cervical Spinal Cord Injury

Hayashi

Fujiwara

Masuda

et al. 2023

Spine Surg Relat Res

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TH was responsible for designing the study, writing the protocol and reporting, extracting and analyzing data, screening potentially eligible studies, interrupting results, updating reference lists, and creating "Summary of Findings" tables. YF was responsible for designing the study, conducting the literature search, extracting and analyzing data, and screening potential eligible studies. MM contributed to designing the study and interpreting results. KK contributed to designing the study and interpreting the results. HS contributed to designing the study and extracting data. OK contributed to interpreting the results. YM contributed to interpreting the results. KY contributed to interpreting the results and extracting data. TM contributed to interpreting the results as well as providing feedback on the final version of the manuscript.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Time Course and Characteristics of the Nutritional Conditions in Acute Traumatic Cervical Spinal Cord Injury

Hayashi

Fujiwara

Masuda

et al. 2023

Spine Surg Relat Res

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“…These complications have been reported to occur more than half of the time in these patients [ 6 ]. The prevalence of respiratory failure ranges from 7.8% [ 7 ] to 15.4% [ 8 ], while the rate of pneumonia has been reported as occurring about one-fifth of the time and is very frequently associated with aspiration [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Respiratory Complications and Weaning Considerations for Patients with Spinal Cord Injuries: A Narrative Review

Hendershot

O’Phelan

2022

JPM

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Respiratory complications following traumatic spinal cord injury are common and are associated with high morbidity and mortality. The inability to cough and clear secretions coupled with weakened respiratory and abdominal muscles commonly leads to respiratory failure, pulmonary edema, and pneumonia. Higher level and severity of the spinal cord injury, history of underlying lung pathology, history of smoking, and poor baseline health status are potential predictors for patients that will experience respiratory complications. For patients who may require prolonged intubation, early tracheostomy has been shown to lead to improved outcomes. Prediction models to aid clinicians with the decision and timing of tracheostomy have been shown to be successful but require larger validation studies in the future. Mechanical ventilation weaning strategies also require further investigation but should focus on a combination of optimizing ventilator setting, pulmonary toilet techniques, psychosocial well-being, and an aggressive bowel regimen.

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Effect of nutritional status on occurrence of pneumonia after traumatic cervical spinal cord injury

Hayashi,

Fujiwara,

Irie

et al. 2024

Sci Rep

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Pneumonia after cervical spinal cord injury (CSCI) is a common and serious complication; however, its nutrition-related etiology has not yet been elucidated. This study aimed to elucidate the effects of nutritional factors on pneumonia after CSCI. Patients with acute traumatic CSCI who were admitted within 3 days after injury and followed up for at least 3 months were retrospectively examined. Occurrence of pneumonia, nutritional status, severity of dysphagia, vital capacity, use of respirators, and motor scores for paralysis were evaluated. Of 182 patients included in this study, 33 (18%) developed pneumonia. Multiple logistic regression analysis revealed that low nutritional status, severe paralysis, and low vital capacity were significant risk factors for pneumonia. The severity of paralysis, respiratory dysfunction, and poor nutritional status can affect the occurrence of pneumonia after CSCI. In addition to respiratory management, nutritional assessment and intervention may play key roles in preventing pneumonia associated with spinal cord injury-induced immune depression. Nutritional care should be provided as soon as possible when the nutritional status of a patient worsens after an injury.

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Incidence and risk factors of pneumonia following acute traumatic cervical spinal cord Injury

Cited by 6 publications

References 17 publications

Time Course and Characteristics of the Nutritional Conditions in Acute Traumatic Cervical Spinal Cord Injury

Time Course and Characteristics of the Nutritional Conditions in Acute Traumatic Cervical Spinal Cord Injury

Respiratory Complications and Weaning Considerations for Patients with Spinal Cord Injuries: A Narrative Review

Effect of nutritional status on occurrence of pneumonia after traumatic cervical spinal cord injury

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