Morbidity following lower extremity fractures in men with spinal cord injury

Summary The Veterans Affairs Spinal Cord Dysfunction Registry from 2002 to 2007 was reviewed to determine whether men with spinal cord injury (SCI) and lower extremity fractures had an increased risk of complications compared to those without fractures. We determined that fractures are associated wi...

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Bibliographic Details
Published in:Osteoporosis international 2013-08, Vol.24 (8), p.2261-2267
Main Authors: Carbone, L. D., Chin, A. S., Burns, S. P., Svircev, J. N., Hoenig, H., Heggeness, M., Weaver, F.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arrhythmia
Delirium - epidemiology
Delirium - etiology
Depression - epidemiology
Depression - etiology
Endocrinology
Fractures
Fractures, Bone - complications
Fractures, Bone - epidemiology
Humans
Lower Extremity - injuries
Male
Medicine
Medicine & Public Health
Men
Middle Aged
Morbidity
Original Article
Orthopedics
Pressure Ulcer - epidemiology
Pressure Ulcer - etiology
Registries
Respiratory Tract Infections - epidemiology
Respiratory Tract Infections - etiology
Rheumatology
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - epidemiology
Thromboembolism - epidemiology
Thromboembolism - etiology
United States - epidemiology
Urinary Tract Infections - epidemiology
Urinary Tract Infections - etiology
Young Adult
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Summary:Summary The Veterans Affairs Spinal Cord Dysfunction Registry from 2002 to 2007 was reviewed to determine whether men with spinal cord injury (SCI) and lower extremity fractures had an increased risk of complications compared to those without fractures. We determined that fractures are associated with significant consequences, particularly during the first month postfracture. Introduction Despite increasing longevity, patients with SCI have a substantial number of illnesses and comorbid conditions. Lower extremity fractures are frequent events in these patients. However, whether these fractures are associated with any increased risk of complications in SCI is not certain. The purpose of this report was to determine the impact of lower extremity fractures on morbidities in men with SCI. Methods A population-based, nested, case–control (1,027 cases and 1,027 propensity-matched controls) of men enrolled in the Veterans Affairs Spinal Cord Dysfunction Registry from fiscal years 2002 to 2007 was reviewed to determine whether lower extremity fractures were associated with an increased risk for complications. Results In propensity score models matched for demographic (age, race) and SCI-related injury factors (level/completeness of SCI), Veterans Affairs-service connection status, and comorbidities, at 1 month following the fracture, there was an increased risk for respiratory infections, pressure ulcers, urinary tract infections, thromboembolic events, depression, and delirium ( p  ≤ 0.03 for all). Over 12 months, the only complication more common in fracture cases was pressure ulcers ( p  
ISSN:0937-941X
1433-2965
DOI:10.1007/s00198-013-2295-8