Pneumonia history and long-term impact on people with traumatic spinal cord injury: A 5-year cohort study

IF 2.2 4区医学 Q3 CLINICAL NEUROLOGY

Spinal cord Pub Date : 2025-10-21 DOI:10.1038/s41393-025-01130-9

Yue Cao, Noelle Forcier, James S. Krause

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引用次数: 0

Abstract

Cohort study. To identify the self-reported pneumonia history since spinal cord injury (SCI) onset and the self-reported period prevalence of pneumonia in the past 12 months, and to investigate the relationship between a history of pneumonia (measured at time 1) and health conditions five years later (time 2). Medical University in the Southeastern United States. Participants (N = 768) met the following inclusion criteria: traumatic SCI of at least 1-year duration, minimum of 18 years of age, and residual impairment from SCI. Of these, 554 (72%) were successfully followed up, who comprised of our final sample. We used the Poisson regression model to examine the association between pneumonia history at time 1 with the self-reported health conditions at time 2. At time 1 measurement, 29% of participants reported pneumonia history since SCI onset. Among them, 14% had pneumonia once, and 15% experienced pneumonia more than once. After controlling for other independent variables, participants who reported multiple episodes of pneumonia at time 1 had a 22% higher likelihood of experiencing a health problem at time 2 than those without a pneumonia history. The repeated pneumonia history in the past is a significant predictor for future pneumonia episodes and other health conditions. It is important to prevent recurrent pneumonia to enhance both the longevity and quality of life for individuals with SCI.

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创伤性脊髓损伤患者的肺炎病史和长期影响：一项5年队列研究

研究设计：队列研究。目的：了解自脊髓损伤（SCI）发病以来的自我报告肺炎史和近12个月的自我报告肺炎流行情况，并探讨肺炎史（时间1）与5年后（时间2）健康状况的关系。地点：美国东南部医科大学。方法：参与者（N = 768）符合以下纳入标准：创伤性脊髓损伤持续时间至少1年，年龄至少18岁，脊髓损伤残留。其中，成功随访的554人（72%）构成了我们的最终样本。我们使用泊松回归模型来检验时间1的肺炎病史与时间2时自我报告的健康状况之间的关系。结果：在第一次测量时，29%的参与者报告了自脊髓损伤发病以来的肺炎史。其中，14%的人患过一次肺炎，15%的人不止一次患过肺炎。在控制了其他独立变量后，在第一次报告多次肺炎发作的参与者在第二次出现健康问题的可能性比没有肺炎病史的参与者高22%。结论：既往重复肺炎史是未来肺炎发作及其他健康状况的重要预测因子。预防复发性肺炎对于提高脊髓损伤患者的寿命和生活质量是非常重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spinal cord 医学-临床神经学

CiteScore

4.50

自引率

9.10%

发文量

142

审稿时长

2 months

期刊介绍： Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews. Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.