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.

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 Acute traumatic spinal cord injury in saint petersburg. Epidemiological data: incidence rate, gender and age characteristics

2019 ◽  
Vol 11 (2) ◽  
pp. 27-34 ◽  
Author(s):  
Sergey V. Lobzin ◽  
Lyudmila M. Mirzaeva ◽  
Natalya V. Tcinzerling ◽  
Alexander К. Dulaev ◽  
Tahir I. Tamaev ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Incidence Rate ◽  
Epidemiological Data ◽  
Traumatic Spinal Cord Injury ◽  
Saint Petersburg ◽  
Gender And Age ◽  
Cord Injury ◽  
Gender Characteristics ◽  
And Gender

This paper presents the results of retrospective analysis of 361 cases with acute traumatic spinal cord injury (TSCI) admitted to neurosurgical departments of specialized city hospitals and  Saint Petersburg Dzhanelidze Research Institute of Emergency Care from January 1, 2012, to December 31, 2016. Retrospective cohort epidemiological study allowed us to estimate the incidence rate of TSCI, age and gender characteristics and to compare data with some foreign and domestic publications. Comprehension of the incidence and structure of TSCI will improve the medical care of these patients.

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.

Neurological Recovery in Traumatic Spinal Cord Injury Patient with Delayed Surgical Intervention

2018 ◽  
Vol 1 (2) ◽  
pp. 34
Author(s):  
Mochamad Targib Alatas
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Intervention ◽  
Case Series ◽  
Spinal Cord Injury Patient ◽  
Traumatic Spinal Cord Injury ◽  
Best Interest ◽  
Score Improvement ◽  
Cord Injury ◽  
Injury Patient

Early surgical treatment for traumatic spinal cord injury (SCI) patients has been proven to yield better improvement on neurological state, and widely practiced among surgeons in this field. However, it is not always affordable in every clinical setting. It is undeniable that surgery for chronic SCI has more challenges as the malunion of vertebral bones might have initiated, thus requires more complex operating techniques. In this case series, we report 7 patients with traumatic SCI whose surgical intervention is delayed due to several reasons. Initial motoric scores vary from 0 to 3, all have their interval periods supervised between outpatient clinic visits. On follow up they demonstrate significant neurological development defined by at least 2 grades motoric score improvement. Physical rehabilitation also began before surgery was conducted. These results should encourage surgeons to keep striving for the patient’s best interest, even when the injury has taken place weeks or even months before surgery is feasible because clinical improvement for these patients is not impossible. 

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