title: Risk of death after hospital discharge with traumatic spinal cord injury: a population-based analysis, 1998-2009.
abstract: OBJECTIVE
  To investigate risk factors associated with mortality among people with traumatic spinal cord injury (TSCI) after discharge from acute care hospitals in South Carolina and to compare their mortality experiences with the general population.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  Sixty-two acute care, nonfederal hospitals.
  
  
  METHODS
  Persons (N=2685) with TSCI.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Death after TSCI from all causes within 4288 days of observation after discharge from acute care facilities.
  
  
  RESULTS
  The crude annual mortality rate during the period was 33 per 1000 person-years. Number of comorbidities, admission into trauma centers, advancing age, type of insurance, injury level and completeness, and being a man were significantly associated (P<.05) with the risk of death after discharge from acute care facilities. The overall mortality rate of our cohort is 3.6 times (95% confidence interval, 3.3-3.9) higher than the general population.
  
  
  CONCLUSIONS
  The causes of postdischarge deaths are multifactorial, and more emphasis should be placed on managing and monitoring chronic diseases throughout the recovery process to improve the survivorship of people with TSCI.
authors: Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, USA. caoyu@musc.edu
authors: Yue
authors: Y
authors: Cao
authors: Anbesaw W
authors: AW
authors: Selassie
authors: James S
authors: JS
authors: Krause
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002423:Cause of Death; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D016016:Proportional Hazards Models; D012042:Registries; D012189:Retrospective Studies; D012307:Risk Factors; D013022:South Carolina / Q000453:epidemiology; D013119:Spinal Cord Injuries / Q000401:mortality*; D016019:Survival Analysis