{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T10:51:58Z","timestamp":1790679118062,"version":"4.1.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: Clinical features of respiratory complications in patients with upper cervical spine injuries (CSI) are unique due to the complex regional anatomy in the region. The objective of this study was to identify the risk factors for respiratory complications in the patients with upper CSI and cervical spinal cord injuries (C-SCI).\\r\\nMethods: Ninety-two patients (out of 1593 spine injured patients) who met the inclusion criteria of upper CSI were admitted to our hospital from 1992 to 2010. Their records were retrospectively reviewed. \\r\\nResults: Respiratory complications occurred in 16 patients (17.4%). In addition, ventilator-associated pneumonia played an important role in the respiratory complications, however, no pulmonary thromboembolism was found. Death rate in respiratory complication group (RCG, 31.3%) was significantly higher than that in non-respiratory complication group (NCG, 1.3%). In RCG, severe C-SCI (American Spinal Cord Injury Association Grades A and B, OR=34.401; 95% CI, 2.609-5.525) and hypoalbuminemia (OR=24.616; 95% CI, 1.492-6.182) were identified by logistic regression analysis as main risk factors for respiratory complications; whereas levels of neurological injury, quadriplegia, atlanto-axial fractures, smoking history, and electrolyte disturbances were not identified as risk factors (although statistically relevant to respiratory complications).\\r\\nConclusion: Severe C-SCI and hypoalbuminemia played important roles in predicting respiratory complications among the patients with upper CSI and neurological impairment. In addition, levels of neurological injury, quadriplegia, atlanto-axial fractures, smoking history, and electrolyte disturbances are also valuable indicators for these complications. Moreover, prevention of ventilator-associated pneumonia was crucial in the treatment of these patients. However, a screening for deep venous thrombosis was seemingly unnecessary in our patients.\n\n\u00d6zet\n\nAma\u00e7: \u00dcst servikal omurga yaralanmas\u0131 (SOY) bulunan hastalarda solunum yolu komplikasyonlar\u0131n\u0131n klinik \u00f6zellikleri, b\u00f6lgenin karma\u015f\u0131k anatomisi nedeniyle kendine \u00f6zg\u00fcd\u00fcr. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 \u00fcst SOY ve servikal spinal kord yaralanmas\u0131 (S-SKY) bulunan hastalarda solunum komplikasyonlar\u0131na y\u00f6nelik risk fakt\u00f6rlerini saptamakt\u0131.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya al\u0131nma kriteri olan \u00fcst servikal omurga yaralanmas\u0131 nedeniyle 1992 ile 2010 y\u0131llar\u0131 aras\u0131nda hospitalize edilmi\u015f (omurga yaralanmas\u0131 bulunan 1593 hasta aras\u0131ndan) 92 hastan\u0131n kay\u0131tlar\u0131 geriye d\u00f6n\u00fck olarak incelendi. \\r\\nBulgular: Toplam 16 hastada (%17.4) solunum komplikasyonuna rastland\u0131. Buna ek olarak, ventilat\u00f6rle ili\u015fkili pn\u00f6moni solunum komplikasyonlar\u0131nda \u00f6nemli rol oynam\u0131\u015ft\u0131, ancak, pulmoner tromboembolizm saptanmad\u0131. Solunum komplikasyonu bulunana gruptaki \u00f6l\u00fcm oran\u0131 (SKG, %31.3), solunum yolu komplikasyonu bulunmayan gruptakinden daha y\u00fcksekti (SKBG, %1.3). SKG\u2019de lojistik regresyon analiziyle \u015fiddetli S-SKY (Amerikan Spinal Kord Yaralanmalar\u0131 Derne\u011fi Derece A ve B, OR=34.401; %95 GA, 2.609-5.525) ve hipoalb\u00fcmineminin (OR=24.616; %95 GA, 1.492-6.182) solunum komplikasyonlar\u0131na y\u00f6nelik ana risk fakt\u00f6rleri oldu\u011fu; \u00f6te yandan n\u00f6rolojik yaralanma, kuadripleji, atlanto-aksiyel k\u0131r\u0131klar, sigara i\u00e7me \u00f6yk\u00fcs\u00fc ve elektrolit bozukluklar\u0131n\u0131n seviyelerinin (solunum komplikasyonlar\u0131yla istatistiksel a\u00e7\u0131dan ili\u015fkili olsa da) risk fakt\u00f6r\u00fc olu\u015fturmad\u0131\u011f\u0131 saptand\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: \u015eiddetli S-SKY ve hipoalbuminemi, \u00fcst seviye SKY ve n\u00f6rolojik bozukluk bulunan hastalarda solunum komplikasyonlar\u0131n\u0131n \u00f6ng\u00f6r\u00fclmesinde \u00f6nemli rol oynam\u0131\u015ft\u0131r. Bunun yan\u0131 s\u0131ra, n\u00f6rolojik yaralanma, kuadripleji, atlanto-aksiyel k\u0131r\u0131klar, sigara i\u00e7me \u00f6yk\u00fcs\u00fc ve elektrolit bozukluklar\u0131n\u0131n seviyeleri de bu komplikasyonlar a\u00e7\u0131s\u0131ndan de\u011ferli g\u00f6stergelerdir. Buna ek olarak, ventilat\u00f6r ili\u015fkili pn\u00f6moninin \u00f6nlenmesi de bu hastalar\u0131n tedavisi a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemlidir. Ancak hastalarda derin ven trombozu taramas\u0131 yap\u0131lmas\u0131n\u0131n gereksiz oldu\u011fu anla\u015f\u0131lm\u0131\u015ft\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2013.2945","type":"journal-article","created":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T04:05:01Z","timestamp":1367208301000},"page":"111-117","source":"Crossref","is-referenced-by-count":15,"title":["Identification of risk factors for respiratory complications in upper cervical spinal injured patients with neurological impairment"],"prefix":"10.5152","volume":"47","author":[{"given":"Yu","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiang","family":"Shao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lian","family":"Shun Jia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiong","family":"Sheng Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2700\/2655","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:25:33Z","timestamp":1763465133000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2013,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2013.2945","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}