Neuroanesthesia & neurocritical care
Factors influencing withdrawal of life-supporting treatment in cervical spinal cord injury: a large multicenter observational cohort study
Authors' conclusion
A notable proportion of patients with complete cervical SCI undergo WLST during their in-hospital admission. We have highlighted several factors associated with this decision and identified considerable variability between hospitals.
Study context
- Population
- Adults (> 16 years) with complete cervical spinal cord injury (SCI), American College of Surgeons Trauma Quality Improvement Program database, 2017–2020
- Participants
- 5,070 adults · 477 hospitals
- Outcome
- Factors associated with WLST and between-hospital variability in WLST
Methodological detailsmulticentre, multilevel mixed effect logistic regression
- Multicentre
- Multilevel mixed effect logistic regression
Main finding
As reported in the abstract
WLST
Withdrawal of life-supporting treatment (WLST)
960
18.9%
Between-hospital variability in WLST, adjusted for case-mix, hospital size and teaching status
MOR 1.51
95% CI 1.22–1.75
Observational data: associations, not effects.
Original publication
Factors influencing withdrawal of life-supporting treatment in cervical spinal cord injury: a large multicenter observational cohort study. Crit Care. Published 18 November 2023. doi:10.
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