{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:48:17Z","timestamp":1776826097196,"version":"3.51.2"},"reference-count":54,"publisher":"American Spinal Injury Association","issue":"Supplement1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To quantify excess mortality due to COVID-19 among persons with traumatic spinal cord injury (TSCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This cohort study was conducted at 31 SCI Model Systems and 3 Shriners Hospitals SCI units. Participants were persons with TSCI (\n                      <jats:italic>n<\/jats:italic>\n                      = 22,800) enrolled in the SCI Collaborative Survival Study Database with follow-up between January 1, 2020, and December 31, 2022. Main outcome measures were age- and sex-specific standardized mortality ratios (SMR), and 95% confidence intervals (CI) were calculated by age group, sex, injury severity, and years since injury.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 102 deaths in the TSCI study population due to COVID-19 among 1138 total deaths of known cause (9.0%) that occurred in 57,109 person-years of follow-up. COVID-19 deaths ranked fourth behind heart disease (17.4%), respiratory disease (16.0%), and cancer (12.2%). The overall COVID-19 SMR for TSCI was estimated to be 1.42 (95% CI 1.15-1.70). The SMR increased with increasing injury severity and was higher among persons who were younger than 60 years of age and who were at least 20 years post injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Persons with TSCI had 42% greater risk of dying from COVID-19 than the general population of comparable age and sex. These findings emphasize the need for up-to-date COVID-19 vaccinations and prompt treatment with Paxlovid and\/or other antiviral medications. Now that the latest COVID-19 variants are less lethal and effective vaccines and treatments are available, additional follow-up will be needed to determine whether COVID-19 and its long-term effects continue to have a significant negative impact on life expectancy among persons with TSCI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.46292\/sci25-00118","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:17:19Z","timestamp":1776824239000},"page":"200-207","source":"Crossref","is-referenced-by-count":0,"title":["Mortality Due to COVID-19 Among Persons With Traumatic Spinal Cord Injury in the United States: 2020-2022"],"prefix":"10.46292","volume":"32","author":[{"given":"Michael J.","family":"DeVivo","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuying","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radhika","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"25425","reference":[{"issue":"11","key":"b1","series-title":"Arch Phys Med Rehabil","first-page":"1411","article-title":"Recent trends in mortality and causes of death among persons with spinal cord injury","volume":"80","author":"DeVivo MJ","year":"1999","unstructured":"DeVivo MJ, Krause JS, Lammertse DP. 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