| Risk factors predicting mortality after blunt traumatic cervical fracture. | |
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MedLine Citation:
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PMID: 18589421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Risk factors for mortality after blunt cervical trauma have received little attention within the literature. Therefore, we performed a study, to determine which factors are associated with mortality in patients with blunt cervical trauma. STUDY DESIGN: A retrospective study of 88 trauma patients, with cervical fractures, who were admitted to the emergency department of the St. Elisabeth hospital, Tilburg, The Netherlands. SUMMARY OF BACKGROUND DATA: A retrospective cohort study was performed within the trauma department of the St. Elisabeth Hospital, in Tilburg, The Netherlands. From January 2000 to December 2005, all patients with cervical fractures after blunt trauma were included (N=88). All patient records were reviewed. Patient and trauma characteristics were registered within a standardised electronic database. Our follow-up period was 1 year. RESULTS: In total, 12 (13.6%) patients died after a traumatic cervical fracture. Age (p=0.005), gender (p=0.005), involvement of the third cervical vertebrae (p=0.003), involvement of three cervical vertebrae (p=0.010) and involvement of the spinous process (p=0.032) were associated with mortality. The multivariate analysis showed that age and the involvement of the third cervical vertebrae (both p=0.016) are both independently associated with mortality. CONCLUSION: Age and involvement of the third cervical vertebrae were both independent predictors of mortality. Age has been previously described as a risk factor for adverse prognosis in different diseases and trauma's. However, involvement of the third cervical vertebrae has not yet been described as a significant risk factor. Before implementation within trauma support further research is needed to evaluate the role of the third cervical vertebra regarding adverse prognosis and mortality in trauma patients. |
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Authors:
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Albert F Pull ter Gunne; Annelies E Aquarius; Jan-Anne Roukema |
Publication Detail:
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Type: Journal Article Date: 2008-06-26 |
Journal Detail:
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Title: Injury Volume: 39 ISSN: 1879-0267 ISO Abbreviation: Injury Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-02 Completed Date: 2009-07-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0226040 Medline TA: Injury Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1437-41 Citation Subset: IM |
Affiliation:
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Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands. albert@pulltergunne.nl |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Cervical Vertebrae / injuries* Female Humans Male Middle Aged Netherlands Prognosis Retrospective Studies Risk Assessment Risk Factors Spinal Fractures / mortality*, therapy Survival Analysis Trauma Severity Indices Wounds, Nonpenetrating / mortality*, therapy Young Adult |
| Comments/Corrections | |
Comment In:
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Injury. 2009 Jun;40(6):675; author reply 675-6
[PMID:
19394930
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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