Predictors of clinical complications in patients with spinomedullary injury

Abstract

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.

Analysis of Risk Factors Sociodemographic for the Functional Dependence of Adults with Spinal Cord Injury

“…However, clinical practice shows that early inserts in rehabilitation programs has a great value in predicting functional independence [16] [26].…”

“…Their actions are directed to favoring the recovery and adaptation to the limitations imposed by the disability and to meet the functional needs, motor, psychosocial and spiritual [26] [29]- [32].…”

“…The nurse seeks to promote the independence of the person with SCI in relation to the physical limits imposed by cognitive and behavioral disabilities, with the aim of helping the person to become independent as much as possible within their conditions and limitations; also promote and encourage self-care through guidelines and training situations; and enable the person to a social life, family in the best possible way and quality [26] [29]- [32].…”

Physiotherapy in elderly with severe spinal cord injury non-operative due to osteoporosis: case report

“…Fall is one the main causes of spinal cord injury (SCI) in the elderly and is associated with an increased number of complications. (1)(2)(3) SCI are spinal injuries associated with motor, sensory and autonomic deficits, and these may be irreversible. (4,5) There are few studies that analyze the applicability of Physiotherapy in individuals who suffered SCI, thus, studies are of extreme importance and need for there to be progress and improvements in the rehabilitation process.…”

“…2 Instituto Municipal de Ensino Superior de Catanduva (IMES-Catanduva), Catanduva (SP), Brazil. 3 Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto (SP), Brazil.…”