Influence of Diabetes Mellitus on Neurological Recovery in Older Patients With Cervical Spinal Cord Injury Without Bone Injury: A Retrospective Multicenter Study Article Swipe
Kazuki Takeda
,
Kota Watanabe
,
Satoshi Nori
,
Junichi Yamane
,
Hitoshi Kono
,
Noriaki Yokogawa
,
Takeshi Sasagawa
,
Hiroaki Nakashima
,
Naoki Segi
,
Toru Funayama
,
Fumihiko Eto
,
Takeo Furuya
,
Atsushi Yunde
,
Hideaki Nakajima
,
Tomohiro Yamada
,
Tomohiko Hasegawa
,
Yoshinori Terashima
,
Ryosuke Hirota
,
Hidenori Suzuki
,
Yasuaki Imajo
,
Shota Ikegami
,
Hitoshi Tonomura
,
Munehiro Sakata
,
Ko Hashimoto
,
Kenichi Kawaguchi
,
Norihiro Suzuki
,
Hiroshi Uei
,
Kazuo Nakanishi
,
Hidetomi Terai
,
Gen Inoue
,
Katsuhito Kiyasu
,
Yoichi Iizuka
,
Koji Akeda
,
Haruki Funao
,
Yasushi Oshima
,
Takashi Kaito
,
Toshitaka Yoshii
,
Masayuki Ishihara
,
Seiji Okada
,
Shiro Imagama
,
Satoshi Kato
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1177/21925682241297587
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1177/21925682241297587
Study Design Retrospective study. Objectives To investigate the impact of diabetes mellitus on neurological recovery and determine the relationship between moderate-severe diabetes and neurological recovery in patients with cervical spinal cord injury (CSCI) without bone injury. Methods A retrospective study was conducted on 389 consecutive patients aged ≥65 years with CSCI without bone injury across 33 medical institutes. The patients were divided into a nondiabetic group (n = 270) and a diabetic group (n = 119). Neurological outcomes were compared between the two groups through propensity score matching. The impact of moderate-severe diabetes (defined as hemoglobin A1c ≥ 7.0% or requiring insulin treatment) on neurological recovery was evaluated through multiple linear regression analysis. Results Propensity score matching revealed no significant differences between the diabetic and nondiabetic groups in terms of American Spinal Injury Association (ASIA) impairment scale grade and mean total ASIA motor scores (AMS) at 6 months post-injury. Multiple linear regression analysis indicated that age on admission (B = −0.34; 95% confidence interval [CI], −0.59 to −0.08; P = 0.01), dementia (B = −16.50; 95% CI, −24.99 to −8.01; P < 0.01), and baseline total AMS (B = −0.62; 95% CI, −0.72 to −0.51; P < 0.01) were negative predictors of neurological recovery at 6 months post-injury. The presence of moderate-severe diabetes did not influence neurological recovery at 6 months post-injury. Conclusions Diabetic patients with CSCI without bone injury achieved improvements in neurological function comparable to those of nondiabetic patients. Moderate-severe diabetes did not affect neurological recovery in patients with CSCI without bone injury.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/21925682241297587
- https://journals.sagepub.com/doi/pdf/10.1177/21925682241297587
- OA Status
- gold
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4404020333
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4404020333Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1177/21925682241297587Digital Object Identifier
- Title
-
Influence of Diabetes Mellitus on Neurological Recovery in Older Patients With Cervical Spinal Cord Injury Without Bone Injury: A Retrospective Multicenter StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-11-04Full publication date if available
- Authors
-
Kazuki Takeda, Kota Watanabe, Satoshi Nori, Junichi Yamane, Hitoshi Kono, Noriaki Yokogawa, Takeshi Sasagawa, Hiroaki Nakashima, Naoki Segi, Toru Funayama, Fumihiko Eto, Takeo Furuya, Atsushi Yunde, Hideaki Nakajima, Tomohiro Yamada, Tomohiko Hasegawa, Yoshinori Terashima, Ryosuke Hirota, Hidenori Suzuki, Yasuaki Imajo, Shota Ikegami, Hitoshi Tonomura, Munehiro Sakata, Ko Hashimoto, Kenichi Kawaguchi, Norihiro Suzuki, Hiroshi Uei, Kazuo Nakanishi, Hidetomi Terai, Gen Inoue, Katsuhito Kiyasu, Yoichi Iizuka, Koji Akeda, Haruki Funao, Yasushi Oshima, Takashi Kaito, Toshitaka Yoshii, Masayuki Ishihara, Seiji Okada, Shiro Imagama, Satoshi KatoList of authors in order
- Landing page
-
https://doi.org/10.1177/21925682241297587Publisher landing page
- PDF URL
-
https://journals.sagepub.com/doi/pdf/10.1177/21925682241297587Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://journals.sagepub.com/doi/pdf/10.1177/21925682241297587Direct OA link when available
- Concepts
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Medicine, Diabetes mellitus, Retrospective cohort study, Propensity score matching, Spinal cord injury, Internal medicine, Surgery, Confidence interval, Spinal cord, Endocrinology, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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36Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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