Impact of Cardiac Pacemaker Implantation in Patients With Acute Traumatic Cervical Spinal Cord Injury

被引:0
|
作者
Kim, Maru [1 ,2 ]
Firek, Matthew [1 ]
Coimbra, Bruno Cammarota [1 ,3 ]
Allison-Aipa, Timothy [1 ]
Zakhary, Bishoy [1 ]
Coimbra, Raul [1 ]
机构
[1] Riverside Univ Hlth Syst, Comparat Effectiveness & Clin Outcomes Res Ctr, 26520 Cactus Ave,CPC Bldg,Suite 102-5, Moreno Valley, CA 92555 USA
[2] Catholic Univ Korea, Uijeongbu St Marys Hosp, Coll Med, Dept Trauma Surg, Seoul, South Korea
[3] George Washington Univ, Sch Med & Hlth Sci, Washington, DC USA
关键词
cervical vertebrae; mortality; pacemaker; spinal cord injuries; BRADYCARDIA;
D O I
10.1177/00031348241250041
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Cardiac pacemaker implantation may be indicated in patients with refractory bradycardia following a cervical spinal cord injury (CSCI). However, evidence about the impact of this procedure on outcomes is lacking. We planned a study to assess whether the implantation of a pacemaker would decrease mortality and hospital resource utilization in patients with CSCI. Methods: Adult patients with CSCI in the Trauma Quality Improvement Program (TQIP) database between 2016 and 2019 were retrospectively analyzed. Patients were divided into "pacemaker" and "non-pacemaker" groups, and their baseline characteristics and clinical outcomes were analyzed. Results: A total of 6774 cases were analyzed. The pacemaker group showed higher in-hospital rates of cardiac arrest, myocardial infarction, and longer duration of mechanical ventilation and ICU stay than the non-pacemaker group. Nevertheless, pacemaker placement was associated with a significant decrease in mortality (4.2% vs 26.0%, P < .01). Conclusions: Patients with CSCI requiring a pacemaker placement had better survival than those treated without a pacemaker. Pacemaker implantation should be highly considered in patients who develop refractory bradycardia after CSCI.
引用
收藏
页码:2577 / 2583
页数:7
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