dc.contributor.author
Blex, Christian
dc.contributor.author
Kreutzträger, Martin
dc.contributor.author
Ludwig, Johanna
dc.contributor.author
Nowak, Claus Peter
dc.contributor.author
Schwab, Jan M.
dc.contributor.author
Lübstorf, Tom
dc.contributor.author
Ekkernkamp, Axel
dc.contributor.author
Kopp, Marcel A.
dc.contributor.author
Liebscher, Thomas
dc.date.accessioned
2024-07-29T12:19:34Z
dc.date.available
2024-07-29T12:19:34Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/44326
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-44038
dc.description.abstract
Comorbidity scores are important predictors of in-hospital mortality after traumatic spinal cord injury (tSCI), but the impact of specific pre-existing diseases is unknown. This retrospective cohort study aims at identifying relevant comorbidities and explores the influence of end-of-life decisions. In-hospital mortality of all patients admitted to the study center after acute tSCI from 2011 to 2017 was assessed. A conditional inference tree analysis including baseline data, injury characteristics, and Charlson Comorbidity Index items was used to identify crucial predictors. End-of-life decisions were recorded. Three-hundred-twenty-one patients were consecutively enrolled. The median length of stay was 95.7 days (IQR 56.8-156.0). During inpatient care, 20 patients (6.2%) died. These patients were older (median: 79.0 (IQR 74.7-83.2) vs. 55.5 (IQR 41.4-72.3) years) and had a higher Charlson Comorbidity Index score (median: 4.0 (IQR 1.75-5.50) vs. 0.0 (IQR 0.00-1.00)) compared to survivors. Pre-existing kidney or liver disease were identified as relevant predictors of in-hospital mortality. End-of-life decisions were observed in 14 (70.0%) cases. The identified impairment of kidney and liver, important for drug metabolism and elimination, points to the need of careful decisions on pharmaceutical treatment regimens after tSCI. Appropriate reporting of end-of-life decisions is required for upcoming studies.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
in-hospital Mortality
en
dc.subject
pre-existing Kidney or Liver Disease
en
dc.subject
Charlson Comorbidity Index
en
dc.subject
End-of-Life Decisions
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Baseline predictors of in-hospital mortality after acute traumatic spinal cord injury: data from a level I trauma center
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
11420
dcterms.bibliographicCitation.doi
10.1038/s41598-022-15469-z
dcterms.bibliographicCitation.journaltitle
Scientific Reports
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
12
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
35794189
dcterms.isPartOf.eissn
2045-2322