scholarly journals P.076 Epidemiology of traumatic spinal cord injury patients in New Brunswick

2016 ◽  
Vol 43 (S2) ◽  
pp. S38-S39
Author(s):  
YZ Chishti ◽  
D Gaudet ◽  
C O’Connell ◽  
N Attabib
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
New Brunswick ◽  
Motor Vehicle ◽  
Functional Independence ◽  
Outcome Data ◽  
Traumatic Spinal Cord Injury ◽  
Surgical Interventions ◽  
Cervical Spine Injuries ◽  
Cord Injury

Background: Characteristics of traumatic spinal cord injury (tSCI) patients admitted to the Saint John Regional Hospital and the Stan Cassidy Center for Rehabilitation from 2011 to 2014 were examined. Methods: Demographic, neurological and functional outcome data for 18 patients, who had consented to participate in a database for tSCI in Canada, was obtained. Results: The majority of patients were male (88.9%), with a mean age of 41. 33 (SD=17.17). The most common causes of tSCI were motor vehicle accidents (41.2%) and falls (29.4%). Cervical spine injuries (70.6%) and an ASIA impairment scale classification of D (38.9%) predominated. The median latency from injury to surgery was 22.67 hours. Functional independence Measure scores (M=64.17, SD=25.84) indicated that motor/functional independence was impaired (M=32.44, SD=19.15) relative to cognitive independence (M=31.83, SD=4.07). Conclusions: The results suggest that characteristics of tSCI patients in New Brunswick are similar to the Canadian tSCI patient population. Emergency care appears to be delivered in a timely fashion. Both centers participate in research registries focused on collecting data related to tSCI, surgical interventions, and patient outcomes. Registries are valuable research tools that allow for an alternative way to examine the quality of care their patients receive.

scholarly journals Trajectory and Determinant of Functional Independence among Patient with Traumatic and Non-Traumatic Spinal Cord Injury

2018 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Yudha Mathan Sakti ◽  
Astri Ferdiana ◽  
Dananjaya Putramega ◽  
Zikrina A. Lanodiyu ◽  
Galih Prasetya Sakadewa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Life Satisfaction ◽  
Cohort Study ◽  
Lumbar Vertebra ◽  
Functional Independence ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

<p>The level of functional independence was directly proportional to life satisfaction and quality of life in patients with spinal cord injury. By knowing the determinants that predict changes in functional independence, medical treatment and rehabilitation can be better planned to improve the patient’s quality of life. We conducted a prospective cohort study on 49 patients with spinal cord injury at Dr. Sardjito general hospital Yogyakarta from April to June 2016. The data were taken before patient underwent surgery, before discharged from the hospital, and 3 months after underwent surgery. We found that most common spinal cord injury was at the level of lumbar vertebra with 28 patients (58%). There was a positive trajectory of the patients with spinal cord injury with ASIA grade B-E classification. However, patients with spinal cord injury with ASIA classification grade A have a neutral trajectory.We conclude there was a positive trajectory between functional independence and traumatic or non-traumatic spinal cord injury except in patients with ASIA grade A classification spinal cord injury. The determinants that affected the trajectory of patients with spinal cord injury were the level of the injured vertebra and severity of the neurological deficit. </p>

scholarly journals The Epidemiology of Traumatic Spinal Cord Injury in Alberta, Canada

2003 ◽  
Vol 30 (2) ◽  
pp. 113-121 ◽  
Author(s):  
Donna M. Dryden ◽  
L. Duncan Saunders ◽  
Brian H. Rowe ◽  
Laura A. May ◽  
Niko Yiannakoulias ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Incidence Rate ◽  
Motor Vehicle ◽  
Medical Examiner ◽  
Traumatic Spinal Cord Injury ◽  
Motor Vehicle Collisions ◽  
Rural Residents ◽  
Vehicle Collisions ◽  
Cord Injury

ABSTRACT:Objectives:To describe the incidence and pattern of traumatic spinal cord injury and cauda equina injury (SCI) in a geographically defined region of Canada.Methods:The study period was April 1, 1997 to March 31, 2000. Data were gathered from three provincial sources: administrative data from the Alberta Ministry of Health and Wellness, records from the Alberta Trauma Registry, and death certificates from the Office of the Medical Examiner.Results:From all three data sources, 450 cases of SCI were identified. Of these, 71 (15.8%) died prior to hospitalization. The annual incidence rate was 52.5/million population (95% CI: 47.7, 57.4). For those who survived to hospital admission, the incidence rate was 44.3/million/year (95% CI: 39.8, 48.7). The incidence rates for males were consistently higher than for females for all age groups. Motor vehicle collisions accounted for 56.4% of injuries, followed by falls (19.1%). The highest incidence of motor vehicle-related SCI occurred to those between 15 and 29 years (60/million/year). Fall-related injuries primarily occurred to those older than 60 years (45/million/year). Rural residents were 2.5 times as likely to be injured as urban residents.Conclusion:Prevention strategies for SCI should target males of all ages, adolescents and young adults of both sexes, rural residents, motor vehicle collisions, and fall prevention for those older than 60 years.

Assessment and immediate management of spinal cord injury

2016 ◽  
Author(s):  
Simon Finfer ◽  
Oliver Flower
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Motor Vehicle ◽  
Spinal Injury ◽  
Thoracolumbar Spine ◽  
X Rays ◽  
Cervical Spine Injuries ◽  
Cord Injury ◽  
Thoracolumbar Spine Fractures ◽  
Cervical Injuries

Spinal cord injury is a potentially devastating injury, which may occur in isolation, but more commonly occurs in the setting of multiple injuries. Motor vehicle accidents and falls are the most common causes. Depending on the level of the injury and its completeness, patients may be left with paraplegia or tetraplegia. The injury may be immediately obvious based on history and clinical examination, but may have to be actively excluded in multiply-injured patients. Thoracolumbar spine fractures are almost always evident on plain X-rays, whereas computed tomography (CT) or magnetic resonance imaging (MRI) is frequently required to exclude cervical spine injuries. Immediate management should be directed at the detection and treatment of life-threatening injuries. Patients should be transferred to a facility specializing in the management of spinal cord injury as soon as feasible. Acute management of the spinal injury itself is largely supportive and aimed at avoiding preventable secondary injury. Respiratory complications are common, and high thoracic or cervical injuries may lead to neurogenic shock. Early identification of the injury and appropriate management results in improved outcome, reducing disability and costs of long-term management.

Consequences of Delayed Surgical Treatment of Traumatic Spinal Cord Injuries: Tertiary Centre Experience

2021 ◽  
pp. 5
Author(s):  
Abdulrahman Alhabeeb
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Cord Injuries ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Spinal Injury ◽  
Healthcare Providers ◽  
Tertiary Hospital ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

Introduction: Owing to its disabling consequences, spinal cord injury is devastating for both patients and their healthcare providers. There are many causes of spinal cord injury, the most common by far being motor vehicle accident (MVA). Unfortunately, in neglected injuries, many complications and poor outcomes could be encountered. This research aimed to assess the causes, consequences, and outcomes of neglected traumatic spinal cord injuries. Methodology: Out of the 750 cases reviewed between February 2016 and February 2021, 18 cases matched our inclusion criteria which was any Traumatic Spinal Cord Injury (TSCI) with neurological deficit requiring surgical intervention more than 14 days from the index trauma. The following variables were measured: patients’ demographics, injury, management, delay, complication, and hospital course characteristics. American Spinal Injury Association (ASIA) Impairment Scale scores were recorded at presentation and final follow-up. Result: Out of the 18 neglected TSCI patients, 72.2% were male. Patients’ mean age at the time of injury was 36.8 years, and 77.8% of them were from outside Riyadh. The mechanism of injury was MVA in all patients. Delay in referral to a tertiary hospital was the main cause accounting for 88.9%. The mean duration of neglect was 43 days. Improvement in ASIA score was found in two patients. Bedsores and DVT were found in 55.5% and 27.8%, respectively. Postoperatively, 77% of the patients were admitted to the ICU. Most patients (12) were unable to join a specialized spinal cord injury rehabilitation center postoperatively. Conclusion: Early referral of all traumatic spinal cord injury patients is highly encouraged to prevent short- and long-term complications.

Impairment Rating and Spinal Cord Injuries: Revisiting the Guides

2010 ◽  
Vol 15 (3) ◽  
pp. 1-7
Author(s):  
Richard T. Katz
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Functional Independence ◽  
Outcome Data ◽  
Multiple Organ ◽  
Loss Of Function ◽  
Sixth Edition ◽  
Organ Systems ◽  
Cord Injury ◽  
Impairment Ratings

Abstract This article addresses some criticisms of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) by comparing previously published outcome data from a group of complete spinal cord injury (SCI) persons with impairment ratings for a corresponding level of injury calculated using the AMA Guides, Sixth Edition. Results of the comparison show that impairment ratings using the sixth edition scale poorly with the level of impairments of activities of daily living (ADL) in SCI patients as assessed by the Functional Independence Measure (FIM) motor scale and the extended FIM motor scale. Because of the combinations of multiple impairments, the AMA Guides potentially overrates the impairment of paraplegics compared with that of quadriplegics. The use and applicability of the Combined Values formula should be further investigated, and complete loss of function of two upper extremities seems consistent with levels of quadriplegia using the SCI model. Some aspects of the AMA Guides contain inconsistencies. The concept of diminishing impairment values is not easily translated between specific losses of function per organ system and “overall” loss of ADLs involving multiple organ systems, and the notion of “catastrophic thresholds” involving multiple organ systems may support the understanding that variations in rating may exist in higher rating cases such as those that involve an SCI.

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