Table 6

Predictors of neurologic improvement among all patients and operative patients. Multivariable logistic regression controlling for age, sex, admission neurologic exam, and level of injury.

VariableUnivariable Logistic RegressionMultivariable Logistic Regression
OR (95% CI) P OR (95% CI) P
All patients, N = 193a
 Age0.432-
  Young, <30 y (n = 75)Reference---
  Old, ≥30 y (n = 118)0.71 (0.29, 163)---
 Sex0.820-
  Female (n = 25)Reference---
  Male (n = 168)0.88 (0.30, 3.19)---
 Injury level
  Upper thoracic (ref) vs lower thoracic/lumbar (n = 29)b 5.52 (1.10, 100)0.100--
  Lower thoracic (ref) vs upper thoracic/lumbar (n = 101)3.97 (1.67, 10.56)0.0020.61 (0.03, 3.96)0.656
  Lumbar (ref) vs thoracic (n = 63)0.14 (0.05, 0.33)<0.0010.14 (0.01, 0.83)0.071
 Insurance0.947-
  Private (n = 20)Reference---
  Public (n = 173)1.04 (0.23, 3.40)---
 Time from injury to admission
  Continuous, d0.93 (0.85, 0.99)0.0930.93 (0.84, 1.00)0.113
 Operative0.0340.067
  Nonoperative (n = 55)Reference-Reference-
  Operative (n = 138)3.83 (1.27, 16.61)-3.58 (1.02, 17.07)-
 Admission neurologic examination<0.0010.002
  Complete: ASIA A (n = 113)Reference-Reference-
  Incomplete: ASIA B–D (n = 80)8.71 (3.38, 27.05)-5.74 (1.94, 18.00)-
Operative patients, N = 138
 Age0.299-
  Young, <30 y (n = 57)Reference---
  Old, ≥30 y (n = 81)1.63 (0.66, 4.27)---
 Sex0.921
  Female (n = 23)Reference---
  Male (n = 115)1.06 (0.35, 3.94)---
 Injury level
  Upper thoracic (ref) vs lower thoracic/lumbar (n = 20)4.85 (0.93, 89.30)0.133--
  Lower thoracic (ref) vs upper thoracic/lumbar (n = 71)3.36 (1.34, 9.22)0.0120.47 (0.02, 2.89)0.495
  Lumbar (ref) vs thoracic (n = 47)0.17 (0.06, 0.42)< 0.0010.09 (0.00, 0.51)0.027
 Time from admission to operating room
  Continuous, d1.01 (0.99, 1.03)0.237--
  • Abbreviation: ASIA, American Spinal Injury Association.

  • a ASIA E patients were excluded, and none got worse in this cohort; only patients with a discharge ASIA score were included.

  • b Excluded from the logistic regression model due to collinearity.