Abstract：
Traumatic spinal cord injury (tSCI) resulting in quadriplegia is a life-altering injury for patients and caregivers. We conducted a retrospective review of patients treated for tSCI and quadriplegia at a level 1 trauma center to assess quality of life (QOL), socioeconomic factors, and mortality. Patients and caregivers were surveyed. Of the 65 patients included, 33 contacts were made. Seventeen surveys were completed (12 caregivers and 5 patients). Six unreachable patients were confirmed alive via medical record. Mortality rate among these 39 accessible patients was 23% (n = 9). Medicaid and uninsured patients experienced longer hospital length of stay (P < .0001) and discharged to home or nursing facilities (P < .0001) more often than those with private insurance or Medicare. Patients reported overall \"good\" QOL (80%) while caregivers reported overall decreased QOL markers. Our results reflect the resilience among this patient population, but also highlight the impact of this life-altering injury on the caregiver.
摘要：
导致四肢瘫痪的创伤性脊髓损伤（tSCI）是患者和护理人员的改变生命的损伤。我们对1级创伤中心接受tSCI和四肢瘫痪治疗的患者进行了回顾性回顾，以评估生活质量（QOL）。社会经济因素,和死亡率。对患者和护理人员进行了调查。在包括的65名患者中，进行了33次接触。完成了17项调查（12名护理人员和5名患者）。通过病历确认了六名无法到达的患者还活着。这39例患者的死亡率为23%(n=9)。与拥有私人保险或Medicare的患者相比，医疗补助和未投保的患者住院时间更长（P<.0001），出院或护理机构（P<.0001）的频率更高。患者报告总体“良好”生活质量（80％），而护理人员报告总体生活质量指标下降。我们的结果反映了该患者人群的弹性，但也强调了这种改变生命的伤害对护理人员的影响。
