scholarly journals Epidemiological and Clinical Features, Treatment Status, and Economic Burden of Traumatic Spinal Cord Injury in China

2021 ◽  
Author(s):  
Shiqing feng ◽  
Hengxing Zhou ◽  
Yongfu Lou ◽  
Lingxiao Chen ◽  
Yi Kang ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Features ◽  
Economic Burden ◽  
National Level ◽  
Hospitalized Patients ◽  
High Dose ◽  
Traumatic Spinal Cord Injury ◽  
Treatment Status ◽  
Cord Injury

Background <br />China has the largest population of traumatic spinal cord injury (TSCI), but has not yet performed a national-level study on its epidemiological and clinical features, treatment status, and economic burden. <br />Methods A total of 14 754 patients were recruited between January 2013 and December 2018 from 37 hospitals in 11 provinces and municipalities, which represented all geographical divisions of China. The percentage of TSCI in hospitalized patients and the percentage of TSCI in hospitalized patients through the orthopaedic departments were calculated. The treatment status, total and daily costs were collected. <br />Results The percentage of TSCI in hospitalized patients and the percentage of TSCI in hospitalized patients through the orthopaedic departments did not change significantly overall (APC= -0.5%, 95% CI: -3.0 to 2.1 and -1.6%, -4.9 to 1.8, respectively). A total of 10 918 (74.0%) patients received surgery after TSCI. However, only 3.0% of patients underwent surgery received surgery less than 24 hours after injury. A total of 2 084 (14.1%) patients were treated with methylprednisolone sodium succinate/methylprednisolone (MPSS/MP) at a high dose (?500 mg) and 641 (4.3%) patients receiving it within 8 hours. The total costs for acute TSCI decreased (-4.8%, -6.2 to -3.4), while the daily costs did not change significantly (0.5%, -1.2 to 2.2). <br />Conclusions This study revealed epidemiological and clinical features, treatment status, and economic burden of TSCI that occurred in China from 2013 to 2018.<br />Funding National Key Research and Development Project of Stem Cell and Transformation Research (2019YFA0112100).

scholarly journals Neuroprotective effects of high-dose human albumin against traumatic spinal cord injury in rats

2018 ◽  
Vol 119 (02) ◽  
pp. 86-91
Author(s):  
T. Yildirim ◽  
O. Okutan ◽  
E. Akpinar ◽  
A. Yilmaz ◽  
H. S. Isik
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Human Albumin ◽  
High Dose ◽  
Traumatic Spinal Cord Injury ◽  
Neuroprotective Effects ◽  
Cord Injury

scholarly journals The economic burden of traumatic spinal cord injury in Canada

2013 ◽  
Vol 33 (3) ◽  
pp. 113-122 ◽  
Author(s):  
H Krueger ◽  
VK Noonan ◽  
LM Trenaman ◽  
P Joshi ◽  
CS Rivers
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Resource Use ◽  
Economic Burden ◽  
Indirect Costs ◽  
Traumatic Spinal Cord Injury ◽  
Cost Information ◽  
Direct And Indirect Costs ◽  
Cord Injury ◽  
Initial Hospitalization

Introduction The purpose of this study is to estimate the current lifetime economic burden of traumatic spinal cord injury (tSCI) in Canada from a societal perspective, including both direct and indirect costs, using an incidence-based approach. Methods Available resource use and cost information for complete/incomplete tetraplegia and paraplegia was applied to the estimated annual incidence of tSCI, by severity, in Canada. Results The estimated lifetime economic burden per individual with tSCI ranges from $1.5 million for incomplete paraplegia to $3.0 million for complete tetraplegia. The annual economic burden associated with 1389 new persons with tSCI surviving their initial hospitalization is estimated at $2.67 billion. Conclusion While the number of injuries per year in Canada is relatively small, the annual economic burden is substantial.

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. 

Epidemiology of Traumatic Spinal Cord Injury in China

2019 ◽  
Author(s):  
Dingjun Hao ◽  
Liang Yan ◽  
Baorong He ◽  
Jinpeng Du ◽  
Shicheng Yu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury
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