AI Article Synopsis
- The study examines age-based differences in traumatic spinal cord injury (TSCI) inpatients in China, noting that older patients had longer delays for surgery, a higher likelihood of incomplete injuries, and longer hospital stays compared to younger patients.
- Researchers analyzed medical records from 13,334 TSCI patients across 30 hospitals from 2013 to 2018, finding a significant increase in the number and proportion of elderly patients (≥85 years) during this period.
- Key findings revealed that younger patients were more likely to undergo crucial decompression surgery, while elderly patients had lower hospitalization costs, highlighting important disparities in treatment and care between age groups.
Article Abstract
Context: Compared with younger traumatic spinal cord injury (TSCI) patients, the elderly had longer delays in admission to surgery, higher proportion of incomplete injury, and longer hospital stays. However, in China, the country with the largest number of TSCI patients, there have been no large-scale reports on their age differences.
Objectives: To explore the age-based differences among TSCI inpatients, focusing on the demographic and clinical characteristics, treatment status, and economic burden.
Methods: We collected the medical records of 13,334 inpatients with TSCI in the 30 hospitals of China, from January 1, 2013 to December 31, 2018. Trends are expressed as annual percentage changes (APCs) and 95% confidence intervals (CIs).
Results: A total of 13,334 inpatients were included. Both the number and proportion of the elderly showed an increasing trend. The APC of the number and proportion in patients ≥85 years were 39.5% (95% CI, 14.3 to 70.3; P< 0.01) and 30.5% (95% CI, 8.6 to 56.9; P< 0.01), respectively. Younger patients were more likely to undergo decompression surgery, and older patients were more likely to receive high-dose methylprednisolone sodium succinate/methylprednisolone (MPSS/MP). Of the patients ≥85 years, none underwent decompression surgery within 8 h, and only 1.4% received a high dose of MPSS/MP within 8 h after injury. Elderly patients had lower hospitalization costs than younger. The total and daily medical costs during hospitalization of patients ≥85 years were 8.06 ± 18.80 (IQR: 5.79) and 0.61 ± 0.73 (IQR: 0.55) thousands dollars, respectively.
Conclusions: As the first study to focus on age differences of TSCI patients in China, this study found many differences, in demographic and clinical characteristics, treatment status, and economic costs, between older and younger TSCI patients. The number and proportion of elderly patients increased, and the rate of early surgery for elderly patients is low.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/10790268.2024.2309716 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cortical gamma-aminobutyric acid type A-benzodiazepine receptors in recovery from alcohol dependence: relationship to features of alcohol dependence and cigarette smoking.
Arch Gen Psychiatry
August 2005
Yale University School of Medicine, 950 Campbell Avenue, New Haven, CT 06516, USA.
Context: Adaptations in gamma-aminobutyric acid type A (GABA(A))-benzodiazepine receptors contribute to the neurobiology of human alcohol dependence and withdrawal.
Objective: To study GABA(A)-benzodiazepine receptor adaptations in subjects with alcohol dependence over the first month of sobriety.
Design: Inpatients who were not receiving medication, were either smokers or nonsmokers, and had alcohol dependence completed 2 iodine I 123-labeled iomazenil single-photon emission computed tomographic scans: 1 scan at a mean +/- SD of 4.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!