Association of Pneumonia, Wound Infection, and Sepsis with Clinical Outcomes after Acute Traumatic Spinal Cord Injury Article Swipe
Blessing N. R. Jaja
,
Fan Jiang
,
Jetan H. Badhiwala
,
Ralph T. Schär
,
Shekar N. Kurpad
,
Robert G. Grossman
,
James S. Harrop
,
James D. Guest
,
Elizabeth G. Toups
,
Chris Shaffrey
,
Bizhan Aarabi
,
Max Boakye
,
Michael G. Fehlings
,
Jefferson R. Wilson
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1089/neu.2018.6245
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1089/neu.2018.6245
Pneumonia, wound infections, and sepsis (PWS) are the leading causes of acute mortality after traumatic spinal cord injury (SCI). However, the impact of PWS on neurological and functional outcomes is largely unknown. The present study analyzed participants from the prospective North American Clinical Trials Network (NACTN) registry and the Surgical Timing in Acute SCI Study (STASCIS) for the association between PWS and functional outcome (assessed as Spinal Cord Independence Measure subscores for respiration and indoor ambulation) at 6 months post-injury. Neurological outcome was analyzed as a secondary end-point. Among 1299 participants studied, 180 (14%) developed PWS during the acute admission. Compared with those without PWS, participants with PWS were mostly male (76% vs. 86%; p = 0.007), or presented with mostly American Spinal Injury Association Impairment Scale (AIS) grade A injury (36% vs. 61%; p < 0.001). There were no statistical differences between participants with or without PWS with respect to time from injury to surgery, and administration of steroids. Dominance analysis showed injury level, baseline AIS grade, and subject pre-morbid medical status collectively accounted for 77.7% of the predicted variance of PWS. Regression analysis indicated subjects with PWS demonstrated higher odds for respiratory (odds ratio [OR] 3.91, 95% confidence interval [CI]: 1.42-10.79) and ambulatory (OR 3.94, 95% CI: 1.50-10.38) support at 6 month follow-up in adjusted analysis. This study has shown an association between PWS occurring during acute admission and poorer functional outcomes following SCI.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1089/neu.2018.6245
- OA Status
- green
- Cited By
- 49
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2941847811
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2941847811Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1089/neu.2018.6245Digital Object Identifier
- Title
-
Association of Pneumonia, Wound Infection, and Sepsis with Clinical Outcomes after Acute Traumatic Spinal Cord InjuryWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-04-22Full publication date if available
- Authors
-
Blessing N. R. Jaja, Fan Jiang, Jetan H. Badhiwala, Ralph T. Schär, Shekar N. Kurpad, Robert G. Grossman, James S. Harrop, James D. Guest, Elizabeth G. Toups, Chris Shaffrey, Bizhan Aarabi, Max Boakye, Michael G. Fehlings, Jefferson R. WilsonList of authors in order
- Landing page
-
https://doi.org/10.1089/neu.2018.6245Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/6791472Direct OA link when available
- Concepts
-
Medicine, Spinal cord injury, Odds ratio, Functional Independence Measure, Sepsis, Pneumonia, Confidence interval, Internal medicine, Traumatic brain injury, Prospective cohort study, Anesthesia, Surgery, Physical therapy, Rehabilitation, Spinal cord, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
49Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4, 2024: 7, 2023: 7, 2022: 9, 2021: 8Per-year citation counts (last 5 years)
- References (count)
-
40Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2003687276, https://openalex.org/W2559955530, https://openalex.org/W1991955418, https://openalex.org/W1719675371, https://openalex.org/W2111905344, https://openalex.org/W2085966921, https://openalex.org/W1978535474, https://openalex.org/W2755372493, https://openalex.org/W2765375216, https://openalex.org/W2581730482, https://openalex.org/W2159179533, https://openalex.org/W178140081, https://openalex.org/W1751000351, https://openalex.org/W1534104824, https://openalex.org/W2074834108, https://openalex.org/W2150947082, https://openalex.org/W2599527603, https://openalex.org/W2051121534, https://openalex.org/W2089026391, https://openalex.org/W2432900404, https://openalex.org/W2582440138, https://openalex.org/W1542799538, https://openalex.org/W2346829590, https://openalex.org/W2059540966, https://openalex.org/W2588236857, https://openalex.org/W4301177039, https://openalex.org/W2133041895, https://openalex.org/W2484283047, https://openalex.org/W2116301028, https://openalex.org/W2416339173, https://openalex.org/W2753734936, https://openalex.org/W2752238375, https://openalex.org/W2043369030, https://openalex.org/W2788188417, https://openalex.org/W2002628746, https://openalex.org/W2753195337, https://openalex.org/W4230916704, https://openalex.org/W2226192423, https://openalex.org/W2797732082, https://openalex.org/W2768146862 |
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