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논문 기본 정보

자료유형
학술저널
저자정보
En Loong Soon (Orthopaedic Surgery Tan Tock Seng Hospital) Adriel Zhijie Leong (Orthopaedic Surgery Tan Tock Seng Hospital) Jean Chiew (Orthopaedic Surgery Tan Tock Seng Hospital) Arun-Kumar Kaliya-Perumal (Orthopaedic Surgery Tan Tock Seng Hospital) Chun Sing Yu (ee Kong Chian School of Medicine Singapore) Jacob Yoong-Leong Oh (Orthopaedic Surgery Tan Tock Seng Hospital)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.4
발행연도
2019.1
수록면
563 - 568 (6page)

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Study Design: Retrospective database analysis. Purpose: To identify risk factors that predict mortality following acute spine fractures in geriatric patients of Singapore. Overview of Literature: Acute geriatric spinal fractures contribute significantly to local healthcare costs and hospital admissions. However, geriatric mortality following acute spine fractures is scarcely assessed in the Asian population. Methods: Electronic records of 3,010 patients who presented to our hospital’s emergency department and who were subsequently admitted during 2004–2015 with alleged history of traumatic spine fractures were retrospectively reviewed, and 613 patients (mean age, 85.7±4.5 years; range, 80–101 years; men, 108; women, 505) were shortlisted. Mortality rates were reviewed up to 1 year after admission and multivariate analyses were performed to identify independent risk factors correlating with mortality. Results: Women were more susceptible to spine fractures (82.4%), with falls (77.8%) being the most common mechanism of injury. Mortality rates were 6.0%, 8.2%, and 10.4% at 3, 6, and 12 months, respectively. The most common causes of death at all 3 time points were pneumonia and ischemic heart disease. Based on the multivariate analysis at 1-year follow-up, elderly women had a lower mortality rate compared to men (p<0.001); mortality rates increased by 6.3% (p=0.024) for every 1-year increase in the patient’s age; and patients with an American Spinal Injury Association (ASIA) score of A–C had a much higher mortality rate compared to those with an ASIA score of D–E (p<0.001). Conclusions: An older age at presentation, male sex, and an ASIA score of A–C were identified as independent factors predicting increased mortality among geriatric patients who sustained acute spine fractures. The study findings highlight at-risk groups for acute spine fractures, thereby providing an opportunity to develop strategies to increase the life expectancy of these patients.
#Accidental falls #Mortality #Spinal cord injuries #Spinal fractures #Spinal injuries

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참고문헌 (30)

참고문헌 신청
Daneshvar P / 2013 / Spinal cord injuries related to cervical spine fractures in elderly patients : factors affecting mortality / Spine J 13:862~866 google schola Jabbour P / 2008 / Traumatic spine injuries in the geriatric population / Neurosurg Focus 25:E16 google schola Jawa RS / 2017 / Spinal fractures in older adult patients admitted after low-level falls : 10-year incidence and outcomes / J Am Geriatr Soc 65:909~915 google schola Tian Y / 2016 / Age-and gender-specific clinical characteristics of acute adult spine fractures in China / Int Orthop 40:347~353 google schola Wang H / 2013 / Geriatric trauma patients with cervical spine fractures due to ground level fall : five years experience in a level one trauma center / J Clin Med Res 5:75~83 google schola

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