Respiratory morbidity and mortality of traumatic cervical spinal cord injury at a level I trauma center in India

Spinal Cord Series and Cases, 2021 · DOI: https://doi.org/10.1038/s41394-020-00371-5 · Published: January 1, 2021

Simple Explanation

This study looks at the respiratory problems, length of hospital stay, and death rates of people with traumatic cervical spinal cord injuries (CSCI) in India. The study found that patients with CSCI in India have high rates of ventilator dependence, long hospital stays, and high mortality. The authors suggest the need for better rehabilitation programs to improve outcomes for these patients.

Study Duration

2 Years

Participants

106 patients with traumatic cervical spinal cord injury

Evidence Level

Level 3, Retrospective Study

Key Findings

1
Mortality was significantly associated with poorer AIS score, ventilator dependence, and duration of ICU and hospital stay.
2
The duration of ventilator dependence was highest in AIS-A patients [median 21 days (IQR 3127)].
3
Individuals in the category of AIS-A had 45 times more odds for mortality.

Research Summary

This retrospective study evaluated the burden of respiratory morbidity, length of stay, and mortality in patients with traumatic cervical spinal cord injury (CSCI) in a low middle-income country (LMIC). The study found that ventilator burden, hospital stay, and mortality are high in patients with CSCI in LMICs, and that poor AIS scores, prolonged VD, ICU and hospital stay are associated with mortality. The authors concluded that there is a need for comprehensive CSCI rehabilitation programs in LMICs to improve outcome.

Practical Implications

Resource Allocation

Highlights the need for increased resources for specialized spinal cord injury rehabilitation programs in LMICs.

Treatment Strategies

Emphasizes the importance of early and comprehensive respiratory management in patients with CSCI to reduce ventilator dependence and improve outcomes.

Prognosis and Counseling

Provides data to inform prognosis and counseling of patients with CSCI and their families, particularly those with severe injuries and prolonged ventilator dependence.

Study Limitations

1
Single-center retrospective analysis.
2
Mortality data are only relevant to trauma patients admitted to NICU, JPNATC, AIIMS.
3
Comorbid medical conditions were not studied.

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