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This study aimed to elucidate the effects of nutritional factors on pneumonia after CSCI. Patients with acute traumatic CSCI who were admitted within 3\u00a0days after injury and followed up for at least 3\u00a0months were retrospectively examined. Occurrence of pneumonia, nutritional status, severity of dysphagia, vital capacity, use of respirators, and motor scores for paralysis were evaluated. Of 182 patients included in this study, 33 (18%) developed pneumonia. Multiple logistic regression analysis revealed that low nutritional status, severe paralysis, and low vital capacity were significant risk factors for pneumonia. The severity of paralysis, respiratory dysfunction, and poor nutritional status can affect the occurrence of pneumonia after CSCI. In addition to respiratory management, nutritional assessment and intervention may play key roles in preventing pneumonia associated with spinal cord injury-induced immune depression. Nutritional care should be provided as soon as possible when the nutritional status of a patient worsens after an injury.<\/jats:p>","DOI":"10.1038\/s41598-024-64121-5","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T07:03:09Z","timestamp":1718002989000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of nutritional status on occurrence of pneumonia after traumatic cervical spinal cord injury"],"prefix":"10.1038","volume":"14","author":[{"given":"Tetsuo","family":"Hayashi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichi","family":"Fujiwara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Momo","family":"Irie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muneaki","family":"Masuda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Sakai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromitsu","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Kawano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"key":"64121_CR1","unstructured":"National Spinal Cord Injury Statistical Center. 2022 Annual Statistical Report for the Spinal Cord Injury Model Systems (University of Alabama at Birmingham, Birmingham, Alabama, 2022). https:\/\/www.nscisc.uab.edu."},{"key":"64121_CR2","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1038\/s41393-018-0196-6","volume":"57","author":"J Agostinello","year":"2019","unstructured":"Agostinello, J., Battistuzzo, C. 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