Mesard L, Carmody A, Mannarino E, Ruge D
Arch Neurol. 1978 Feb;35(2):78-83. doi: 10.1001/archneur.1978.00500260016003.
The records accruing from the care of spinal cord injury patients in hospitals of Veterans Administration (VA) make available a unique opportunity to study survival rates of a large group. This study analyzes the survival experience of patients whose initial treatment in a VA hospital for trauma to the spinal cord occurred between Oct 1, 1955, and Sept 30, 1965. Life table methodology enabled survival rates to be calculated for various intervals after injury and allowed for maximum use of each patient's experience. Age at injury, level of lesion, and extent of paralysis were all found to be important factors in survival. High mortality occurs in the first three months regardless of age at injury or level of lesion. Of those paraplegic and quadriplegic patients who survived the first three months after injury, the ten-year survival rates are quite similar, 86% and 80%, respectively.
退伍军人管理局（VA）医院对脊髓损伤患者的护理记录为研究一大群人的生存率提供了独特的机会。本研究分析了1955年10月1日至1965年9月30日期间在VA医院首次接受脊髓创伤治疗的患者的生存经历。生命表方法能够计算受伤后不同时间段的生存率，并最大限度地利用每位患者的经历。研究发现，受伤时的年龄、损伤水平和瘫痪程度都是影响生存的重要因素。无论受伤时的年龄或损伤水平如何，前三个月的死亡率都很高。在受伤后存活前三个月的截瘫和四肢瘫痪患者中，十年生存率相当相似，分别为86%和80%。
