@article{ref1,
title="Incidence, characteristics, and outcome of spinal cord injury at trauma centers in North America",
journal="Archives of surgery (1960)",
year="1993",
author="Burney, R. E. and Maio, Ronald F. and Maynard, F. and Karunas, R.",
volume="128",
number="5",
pages="596-599",
abstract="Acute spinal cord injury occurred in 2.6% of the 114,510 patients entered into the Major Trauma Outcome Study from 1982 to 1989. The most common causes of spinal cord injury were motor vehicle accidents (40%), falls (20%), and gunshot wounds (13.6%). Almost 80% of patients with spinal cord injury had multiple injuries. Cervical cord injury was seen in 65% of patients with isolated spinal cord injury, but in only 52% of patients with multiple injuries. The hospital mortality rate was 17%, with patients with multiple injuries having a significantly higher mortality rate than patients with isolated spinal cord injury (19.8% vs 6.9%). The TRISS method overpredicted the mortality rate among patients with multiple injuries (450 vs 379), but not among those with isolated injury. A program for better national surveillance and prevention of spinal cord injury is warranted.<p /> <p>Language: en</p>",
language="en",
issn="0004-0010",
doi="",
url="http://dx.doi.org/"
}