Mortality Rate and Predicting Factors of Traumatic Thoracolumbar Spinal Cord Injury; A Systematic Review and Meta-Analysis

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AZARHOMAYOUN AMIR; AGHASI MARYAM; Moosavi Najmeh; SHOKRANEH FARHAD; VACCARO ALEXANDER R.; Haj Mirzaian Arvin; DERAKHSHAN PEGAH; RAHIMI MOVAGHAR VAFA

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Journal: Bulletin of Emergency And Trauma Year:2018 | Volume:6 | Issue:3 Page(s): 181-194

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Title

Mortality Rate and Predicting Factors of Traumatic Thoracolumbar Spinal Cord Injury; A Systematic Review and Meta-Analysis

Author(s)

Keywords

Thoracolumbar

Spinal cord injury

Mortality

Systematic review

Abstract

Objective: To estimate the summation of Mortality rate and the contributing factors in patients with traumatic Thoracolumbar spinal cord injuries (TLSCI). Methods: A systematic search of observational studies that evaluated the Mortality associated with TLSCI in MEDLINE and EMBASE was conducted. The study quality was evaluated using a modified quality assessment tool previously designed for observational studies. Results: Twenty-four observational studies involving 11, 205 patients were included, published between January 1, 1997, and February 6, 2016. Ten studies were of high quality, thirteen were of moderate quality, and one study was of low quality. Seventeen reports described risk factors for Mortality and eleven of these studies used a multiple regression models to adjust for confounders. The reported Mortality rate ranged from 0 to 37. 7% overall and between 0 and 10. 4% in-hospital. The sum of Mortality for in-hospital, 6-month, and 12-month were 5. 2%, 26. 12%, 4. 3%, respectively. The Mortality at 7. 7 years follow-up was 10. 07% and for 14 years follow-up reports ranged from 13. 47% to 21. 46%. Associated data such as age at injury, male to female ratio, pre-existing comorbidities, concomitant injuries, duration of follow-up, and cause of death have been underreported in studies investigating the Mortality rate after TLSCI. Conclusion: Currently no study has accurately assessed Mortality in the Thoracolumbar spine, while there is general agreement that traumatic Thoracolumbar spinal cord injuries are important.

Cites

Functional Outcome of Surgical versus Conservative Therapy in Patients with Traumatic Thoracolumbar Fractures and Thoracolumbar Injury Classification and Severity Score of 4; A Nonrandomized Clinical Trial

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APA: Copy

AZARHOMAYOUN, AMIR, AGHASI, MARYAM, Moosavi, Najmeh, SHOKRANEH, FARHAD, VACCARO, ALEXANDER R., Haj Mirzaian, Arvin, DERAKHSHAN, PEGAH, & RAHIMI MOVAGHAR, VAFA. (2018). Mortality Rate and Predicting Factors of Traumatic Thoracolumbar Spinal Cord Injury; A Systematic Review and Meta-Analysis. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 6(3), 181-194. SID. https://sid.ir/paper/335124/en

Vancouver: Copy

AZARHOMAYOUN AMIR, AGHASI MARYAM, Moosavi Najmeh, SHOKRANEH FARHAD, VACCARO ALEXANDER R., Haj Mirzaian Arvin, DERAKHSHAN PEGAH, RAHIMI MOVAGHAR VAFA. Mortality Rate and Predicting Factors of Traumatic Thoracolumbar Spinal Cord Injury; A Systematic Review and Meta-Analysis. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2018;6(3):181-194. Available from: https://sid.ir/paper/335124/en

IEEE: Copy

AMIR AZARHOMAYOUN, MARYAM AGHASI, Najmeh Moosavi, FARHAD SHOKRANEH, ALEXANDER R. VACCARO, Arvin Haj Mirzaian, PEGAH DERAKHSHAN, and VAFA RAHIMI MOVAGHAR, “Mortality Rate and Predicting Factors of Traumatic Thoracolumbar Spinal Cord Injury; A Systematic Review and Meta-Analysis,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 6, no. 3, pp. 181–194, 2018, [Online]. Available: https://sid.ir/paper/335124/en

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