Spinal Cord Unit, University Hospital Motol, Prague, Czech Republic.
Department of Rehabilitation and Sports Medicine, University Hospital Motol, Prague, Czech Republic.
Spinal Cord. 2021 Jul;59(7):814-820. doi: 10.1038/s41393-020-00593-2. Epub 2021 Jan 14.
A retrospective cohort study OBJECTIVES: To determine the causes of death in people with spinal cord injury (SCI) admitted to the Spinal Cord Unit (SCU) of the University Hospital Motol from 2004 to 2018.
University Hospital Motol, Prague METHODS: From a cohort of people admitted to the SCU between 2004 and 2018, all deaths were identified based on the database of health insurance companies. The causes of death (ICD-10) were obtained from the Institute of Health Information and Statistics. The standardized mortality ratio (SMR) was calculated for most frequent causes of death.
During the study period, 990 patients with acute SCI were admitted to the SCU, out of which 183 (18.5%) died. Thirty-five people who had SCI due to cancer were excluded from the study. The leading cause of death in the remaining 148 people was pneumonia, followed by cardiac complications, pulmonary embolism, suicide, and urinary tract infection (UTI). In the group of the individuals who died within 1 year after SCI (N = 41), the main causes of death were pneumonia and pulmonary embolism (17.1% each). Among individuals who survived up to1 year after SCI (N = 107), the most common causes of death were pneumonia (14%) and pressure injuries (12.1%). The cause-specific SMRs were significantly increased for UTI, embolism, pneumonia, and suicide.
The frequent causes of death in our study group were pressure injuries and suicides. These findings are fundamental to the development and implementation of preventive programs to reduce mortality and increase life expectancy.
回顾性队列研究
确定 2004 年至 2018 年期间入住布拉格莫托勒大学医院脊髓损伤科（SCU）的脊髓损伤（SCI）患者的死亡原因。
布拉格莫托勒大学医院
从 2004 年至 2018 年期间入住 SCU 的队列中，根据健康保险公司的数据库确定所有死亡病例。从健康信息和统计研究所获得死亡原因（ICD-10）。计算最常见死亡原因的标准化死亡率（SMR）。
在研究期间，183 名（18.5%）急性 SCI 患者入住 SCU 后死亡。35 名因癌症导致 SCI 的患者被排除在研究之外。在其余 148 名患者中，导致死亡的主要原因是肺炎，其次是心脏并发症、肺栓塞、自杀和尿路感染（UTI）。在 SCI 后 1 年内死亡的 41 名患者中，主要死因是肺炎和肺栓塞（各占 17.1%）。在 SCI 后存活 1 年以上的 107 名患者中，最常见的死因是肺炎（14%）和压疮（12.1%）。特定病因的 SMR 明显升高的原因包括 UTI、栓塞、肺炎和自杀。
在我们的研究组中，常见的死亡原因是压疮和自杀。这些发现是制定和实施预防计划以降低死亡率和延长预期寿命的基础。
