Initial Heart Rate Predicts Functional Independence in Patients With Spinal Cord Injury Requiring Surgery: A Registry-Based Study in a Mature Trauma System Over the Past 10 Years.
Publication/Presentation Date
7-1-2024
Abstract
STUDY DESIGN: Retrospective Cohort Study.
OBJECTIVES: To determine the ability of early vital sign abnormalities to predict functional independence in patients with SCI that required surgery.
METHODS: A retrospective analysis of data extracted from the Pennsylvania Trauma Outcome Study database. Inclusion criteria were patients >18 years with a diagnosis of SCI who required urgent spine surgery in Pennsylvania from 1/1/2010-12/31/2020 and had complete records available.
RESULTS: A total of 644 patients met the inclusion criteria. The mean age was 47.1 ± 14.9 years old and the mean injury severity score (ISS) was 22.3 ± 12.7 with the SCI occurring in the cervical, thoracic, and lumbar spine in 61.8%, 19.6% and 18.0%, respectively. Multivariable logistic regression analyses for predictors of functional independence at discharge showed that higher HR at the scene (OR 1.016, 95% CI 1.006-1.027,
CONCLUSIONS: Early heart rate is a strong predictor of functional independence in patients with SCI. HR at scene >70 and admission HR ≥83 is associated with improved outcomes, suggesting lack of neurogenic shock.
Volume
14
Issue
6
First Page
1745
Last Page
1752
ISSN
2192-5682
Published In/Presented At
Mouchtouris, N., Luck, T., Yudkoff, C., Hines, K., Franco, D., Al Saiegh, F., Thalheimer, S., Khanna, O., Prasad, S., Heller, J., Harrop, J., & Jallo, J. (2024). Initial Heart Rate Predicts Functional Independence in Patients With Spinal Cord Injury Requiring Surgery: A Registry-Based Study in a Mature Trauma System Over the Past 10 Years. Global spine journal, 14(6), 1745–1752. https://doi.org/10.1177/21925682231155127
Disciplines
Medicine and Health Sciences
PubMedID
36735682
Department(s)
Department of Surgery
Document Type
Article