Gedde Marie Hidle, Lilleberg Hanne Sether, Aßmus Jörg, Gilhus Nils Erik, Rekand Tiina
Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway.
J Spinal Cord Med. 2019 Nov;42(6):695-701. doi: 10.1080/10790268.2019.1598698. Epub 2019 Apr 3.
To compare outcome for patients with traumatic (TSCI) and non-traumatic spinal cord injuries (NTSCI) after primary rehabilitation regarding neurological improvement measured by the American Spinal Injury Association Impairment Scale (AIS), length of stay and complications.: Retrospective comparative cohort study on patients with TSCI and NTSCI, hospitalized during a ten-year period at Haukeland University Hospital, Norway. Impairment, length of stay and complications during first in-patient rehabilitation period were analyzed. Uni- and multivariate analysis was performed. Spinal Cord Rehabilitation Unit, Haukeland University Hospital, Norway A total of 174 persons with a spinal cord injury (SCI) were included; 102 with TSCI and 72 with NTSCI. Neurological improvement measured by AIS from admission to discharge, number of weeks in the hospital, frequency and significance of complications were compared. Improvement in AIS after primary rehabilitation did not differ between TSCI and NTSCI. Length of stay was in average 3.4 weeks longer for TSCI. Urinary tract infections and pressure ulcers significantly influenced length of stay in both groups. Urinary tract infections were more frequent in TSCI (67%) vs NTSCI (42%). Pressure ulcers were more frequent among NTSCI (24%) vs TSCI (14%). Pneumonia and neuropathic pain did not depend on etiology and did not influence length of stay. Patients with SCI have a rehabilitation potential regardless of etiology. Complications are frequent in both groups and often prolong hospitalization. Complication patterns differ in the two groups, and specific prevention and optimal treatment will shorten and optimize the length of primary rehabilitation.
比较创伤性脊髓损伤（TSCI）和非创伤性脊髓损伤（NTSCI）患者在初次康复后，根据美国脊髓损伤协会损伤量表（AIS）测量的神经功能改善情况、住院时间和并发症。：对挪威豪克兰大学医院十年间收治的TSCI和NTSCI患者进行回顾性比较队列研究。分析首次住院康复期间的损伤情况、住院时间和并发症。进行单因素和多因素分析。挪威豪克兰大学医院脊髓康复科共纳入174例脊髓损伤（SCI）患者；102例为TSCI，72例为NTSCI。比较了入院至出院时AIS测量的神经功能改善情况、住院周数、并发症的发生率和严重程度。TSCI和NTSCI患者初次康复后AIS的改善情况无差异。TSCI患者的平均住院时间长3.4周。尿路感染和压疮对两组患者的住院时间均有显著影响。TSCI患者的尿路感染发生率（67%）高于NTSCI患者（42%）。NTSCI患者的压疮发生率（24%）高于TSCI患者（14%）。肺炎和神经性疼痛与病因无关，也不影响住院时间。无论病因如何，SCI患者都有康复潜力。两组并发症均很常见，且常延长住院时间。两组的并发症模式不同，针对性的预防和优化治疗将缩短并优化初次康复的时间。
