DeVivo M J, Kartus P L, Stover S L, Rutt R D, Fine P R
Arch Neurol. 1987 Aug;44(8):872-5. doi: 10.1001/archneur.1987.00520200074023.
This retrospective study of 5131 persons who sustained a spinal cord injury between 1973 and 1980 sought to determine the overall seven-year survival rate and the effect of several prognostic factors on survival. All study subjects had been treated at one of seven federally designated Model Regional Spinal Cord Injury Care Systems and each had survived at least 24 hours after injury. The cumulative seven-year survival was 86.7%. Advancing age at time of injury and being rendered a neurologically complete quadriplegic were significant prognostic factors. The cumulative seven-year survival among neurologically complete quadriplegics who were at least 50 years of age when injured, was only 22.7%. Spinal cord injury mortality rates ranged from 3.26 to 20.78 times higher than corresponding rates for nonspinal injured persons. Although mortality rates for spinal cord injury patients have declined dramatically since World War II, life expectancies for these patients are still substantially below normal.
这项针对1973年至1980年间遭受脊髓损伤的5131人的回顾性研究，旨在确定总体七年生存率以及若干预后因素对生存的影响。所有研究对象均在七个联邦指定的脊髓损伤模范区域护理系统之一接受治疗，且每个人在受伤后至少存活了24小时。累积七年生存率为86.7%。受伤时年龄增长以及成为神经学上完全性四肢瘫痪患者是显著的预后因素。受伤时至少50岁的神经学上完全性四肢瘫痪患者的累积七年生存率仅为22.7%。脊髓损伤死亡率比非脊髓损伤者的相应死亡率高3.26至20.78倍。尽管自第二次世界大战以来脊髓损伤患者的死亡率已大幅下降，但这些患者的预期寿命仍远低于正常水平。
