Late mortality during the first year after acute traumatic spinal cord injury: a prospective, population-based study

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Divanoglou, AnestisKarolinska Inst, Div Neurorehabil, Stockholm,Division of Neurorehabilitation, Karolinska Institutet, Stockholm, Sweden (författare)

Late mortality during the first year after acute traumatic spinal cord injury : a prospective, population-based study

Artikel/kapitelEngelska2010

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Informa UK Limited,2010
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LIBRIS-ID:oai:DiVA.org:umu-84272
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-84272URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:120434323URI
https://doi.org/10.1080/10790268.2010.11689686DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-126375URI

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Språk:engelska
Sammanfattning på:engelska

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BACKGROUND: Little is known about the possible impact of the system of care on mortality during the first year after acute traumatic spinal cord injury (TSCI).OBJECTIVE: To evaluate late mortality (i.e., >7 days after trauma) during the first year after acute TSCI in 2 European Union (EU) regions, Thessaloniki in Greece and Stockholm in Sweden.METHODS: This paper is part of the Stockholm Thessaloniki Acute Traumatic Spinal Cord Injury Study (STATSCIS), which is a prospective, population-based study. Incidence cohorts of TSCI cases were identified and followed up in both study regions through STATSCIS. Data from Thessaloniki region were collected through physical examination, medical records review, and interviews with TSCI individuals and the medical teams. Data from Stockholm were retrieved mainly from the Nordic Spinal Cord Injury Registry, as well as from direct contact with all intensive care facilities of the region.RESULTS: The annual case mortality rate after acute TSCI was nearly 20% in Thessaloniki and 0% in Stockholm. The mean time of survival after trauma for the 12 mortality cases of Thessaloniki was 47 days (median = 24, SD +/- 67, range = 8-228). Factors associated with mortality were higher age and presence of comorbid spinal disorders but also the inefficient transfer logistics, initially missed spinal instability, and unsuccessfully treated complications.CONCLUSIONS: The annual case mortality rate in Thessaloniki was dramatically higher than in Stockholm. The different approaches to care, one systematic and the other not, is postulated to be an important factor leading to such major discrepancies between the outcomes of these 2 EU regions.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
Spinal cord injuries
traumatic
complications
mortality
Outcomes
Greece
Sweden
Stockholm Thessaloniki Acute Traumatic Spinal Cord Injury Study
Nordic Spinal Cord Injury Registry

Biuppslag (personer, institutioner, konferenser, titlar ...)

Westgren, NinniKarolinska Inst, Div Neurorehabil, Stockholm ; Karolinska Univ Hosp, Spinalis SCI Rehabil Unit, Stockholm,Division of Neurorehabilitation, Karolinska Institutet, Stockholm, Sweden (författare)
Seiger, ÅkeKarolinska Institutet,Division of Neurorehabilitation, Karolinska Institutet, Stockholm, Sweden (författare)
Hulting, ClaesKarolinska Inst, Div Neurorehabil, Stockholm ; Karolinska Univ Hosp, Spinalis SCI Rehabil Unit, Stockholm,Division of Neurorehabilitation, Karolinska Institutet, Stockholm, Sweden (författare)
Levi, RichardUmeå universitet,Rehabiliteringsmedicin,Karolinska Inst, Div Neurorehabil, Stockholm ; Rehab Stn Stockholm, Stockholm, Sweden,Division of Neurorehabilitation, Karolinska Institutet, Stockholm, Sweden(Swepub:liu)ricle82 (författare)
Karolinska Inst, Div Neurorehabil, StockholmDivision of Neurorehabilitation, Karolinska Institutet, Stockholm, Sweden (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Spinal Cord Medicine (JSCM): Informa UK Limited33:2, s. 117-1271079-02682045-7723

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Av författaren/redakt...: Divanoglou, Anes ...; Westgren, Ninni; Seiger, Åke; Hulting, Claes; Levi, Richard

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

Artiklar i publikationen: Journal of Spina ...

Av lärosätet: Umeå universitet; Karolinska Institutet; Linköpings universitet

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