{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:44:52Z","timestamp":1777934692899,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In patients with cervical spine trauma (CST) or cervical spinal cord injury (C-SCI), literature reports the incidence of dysphagia at 17% and 30%, respectively. It remains unclear whether diagnosing dysphagia during an index admission (IA) would help prevent subsequent pneumonia or whether it would simply reflect a risk for future pneumonia. We hypothesized that IA dysphagia would be associated with greater future pneumonia-related readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We identified patients with CST or C-SCI from the Nationwide Readmissions Database. Readmissions within 90 days of discharge were identified, and logistic regression identified factors associated with 90-day readmission and pneumonia. Factors included age, C-SCI, pneumonia at IA, dysphagia at IA, comorbidity count, ISS, index discharge destination, and payer type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 27,752 patients with CST, 23.6% had C-SCI (median age 58; median ISS 16). A total of 9% of all patients with CST had dysphagia (13% for C-SCI). In total, 11.9% of IA survivors were readmitted within 90 days and 16.8% had a diagnosis of pneumonia. In adjusted logistic regression, dysphagia at IA was not associated with readmission or pneumonia. Pneumonia, C-SCI, and tracheostomy at IA were associated with pneumonia at readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The incidence of IA dysphagia for patients with CST in this study was low, suggesting under-diagnosis. Pneumonia was common at both IA and readmission for patients with CST and C-SCI. Pneumonia at IA, tracheostomy, and C-SCI were strong predictors of pneumonia at readmission. Due to the discordant dysphagia rates, protocolized screening for dysphagia during IA may be key to understanding pneumonia-related readmission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/sur.2024.150","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T05:02:57Z","timestamp":1741582977000},"page":"420-427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pneumonia and Dysphagia after Cervical Spine Trauma"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3419-1015","authenticated-orcid":false,"given":"Andrew H.","family":"Tran","sequence":"first","affiliation":[{"name":"Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlin A.","family":"Ritter","sequence":"additional","affiliation":[{"name":"Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA."},{"name":"Case Western Reserve University Medical School of Medicine, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6113-2555","authenticated-orcid":false,"given":"Vanessa P.","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA."},{"name":"Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, USA."},{"name":"Case Western Reserve University Medical School of Medicine, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3850-8040","authenticated-orcid":false,"given":"Christopher W.","family":"Towe","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3526-2241","authenticated-orcid":false,"given":"Jeffrey A.","family":"Claridge","sequence":"additional","affiliation":[{"name":"Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA."},{"name":"Case Western Reserve University Medical School of Medicine, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Kreiner","sequence":"additional","affiliation":[{"name":"Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA."},{"name":"Case Western Reserve University Medical School of Medicine, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181627625"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31823f5e8e"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002035"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2007.11753946"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.5.1548"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v6.i1.24"},{"issue":"4","key":"e_1_3_2_8_2","first-page":"e14418","article-title":"Management of cervical spine fractures: A literature review","volume":"13","author":"Beeharry MW","year":"2021","unstructured":"Beeharry MW, , Moqeem K, , Rohilla MU. Management of cervical spine fractures: A literature review. Cureus, 2021; 13(4):e14418; doi: 10.7759\/cureus.14418","journal-title":"Cureus"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1310\/sci1804-291"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90027-2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1179\/2045772314Y.0000000254"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.199518"},{"key":"e_1_3_2_13_2","first-page":"2016","volume-title":"Agency for Healthcare Research and Quality","author":"HCUP Nationwide Readmissions Database (NRD)","year":"2014","unstructured":"HCUP Nationwide Readmissions Database (NRD). Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project (HCUP): Rockville, MD; 2014, 2016, 2017."},{"key":"e_1_3_2_14_2","unstructured":"Yoon F M S Jiang HJ et al. Calculating Nationwide Readmissions Database (NRD) Variances. HCUP Methods Series Report # 2017-01 ONLINE. Available from: https:\/\/www.hcup-us.ahrq.gov\/reports\/methods\/methods.jsp; 2017 [Last accessed: December1 2022]."},{"key":"e_1_3_2_15_2","first-page":"542","article-title":"The evaluation of clinical classifications software using the national inpatient sample database","volume":"2020","author":"Salsabili M","year":"2020","unstructured":"Salsabili M, , Kiogou S, , Adam TJ. The evaluation of clinical classifications software using the national inpatient sample database. AMIA Jt Summits Transl Sci Proc, 2020; 2020:542\u2013551.","journal-title":"AMIA Jt Summits Transl Sci Proc"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2021.1883959"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.10.037"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1179\/107902610X12911165974981"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2017.63"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2022.2027323"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90068-0"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101440"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2011.34"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003394"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2020.01.054"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2022-001043"}],"container-title":["Surgical Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/sur.2024.150","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/sur.2024.150","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/sur.2024.150","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:31:44Z","timestamp":1777689104000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/sur.2024.150"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,30]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,8,1]]}},"alternative-id":["10.1089\/sur.2024.150"],"URL":"https:\/\/doi.org\/10.1089\/sur.2024.150","relation":{},"ISSN":["1096-2964","1557-8674"],"issn-type":[{"value":"1096-2964","type":"print"},{"value":"1557-8674","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,30]]}}}