Vervoordeldonk Jolien J, Post Marcel W M, New Peter, Clin Epi M, Van Asbeck Floris W A
Rehabilitation Center De Hoogstraat , Utrecht, the Netherlands.
Top Spinal Cord Inj Rehabil. 2013 Summer;19(3):195-201. doi: 10.1310/sci1903-195.
Patients with nontraumatic spinal cord injury (NTSCI) are different from patients with traumatic spinal cord injury. A better understanding of the characteristics of NTSCI and their influence on length of stay (LOS) and functional outcome might help professionals in planning rehabilitation and predicting outcomes in NTSCI.
To describe personal and injury characteristics, etiology, LOS, and functional outcome after inpatient rehabilitation in patients with NTSCI.
Retrospective single-center study including 124 patients who were discharged between 2006 and 2010 from their initial inpatient rehabilitation after onset of NTSCI. Information about personal and injury characteristics, LOS, and functional outcome was collected from medical files. Descriptive statistics were performed, and associations between etiology, LOS, and functional outcome were investigated.
Fifty percent of participants were male, and mean age was 54.9 years (SD 13.7). Most lesions were classified as American Spinal Injury Association Impairment Scale (AIS) D (68.8%) and paraplegic (76.6%). The most frequent etiologies were degeneration (25.8%), vascular disease (21.8%), benign tumor (16.1%), and malignant tumor (15.3%). Discharge destination was usually a private residence (84.6%). Median LOS in inpatient rehabilitation was 61.0 days (interquartile range [IQR], 38.3-111.8). Median functional status score was 47.5 (IQR, 30-70) at admission and 90 (IQR, 75-100) at discharge. Etiology was a significant predictor of LOS and functional status at admission and discharge, but not of functional improvement during inpatient rehabilitation.
Spinal degeneration, tumor, and vascular disease were the most common causes of NTSCI. All etiology groups improved during inpatient rehabilitation.
非创伤性脊髓损伤（NTSCI）患者与创伤性脊髓损伤患者不同。更好地了解NTSCI的特征及其对住院时间（LOS）和功能结局的影响，可能有助于专业人员规划康复治疗并预测NTSCI的结局。
描述NTSCI患者住院康复后的个人及损伤特征、病因、住院时间和功能结局。
回顾性单中心研究，纳入124例在2006年至2010年期间因NTSCI发病后首次住院康复出院的患者。从病历中收集有关个人及损伤特征、住院时间和功能结局的信息。进行描述性统计，并调查病因、住院时间和功能结局之间的关联。
50%的参与者为男性，平均年龄为54.9岁（标准差13.7）。大多数损伤被归类为美国脊髓损伤协会损伤量表（AIS）D级（68.8%）且为截瘫（76.6%）。最常见的病因是退变（25.8%）、血管疾病（21.8%）、良性肿瘤（16.1%）和恶性肿瘤（15.3%）。出院目的地通常是私人住宅（84.6%）。住院康复的中位住院时间为61.0天（四分位间距[IQR]，38.3 - 111.8）。入院时功能状态评分中位数为47.5（IQR，30 - 70），出院时为90（IQR，75 - 100）。病因是入院和出院时住院时间及功能状态的显著预测因素，但不是住院康复期间功能改善的预测因素。
脊髓退变、肿瘤和血管疾病是NTSCI最常见的原因。所有病因组在住院康复期间均有改善。
