Epidemiology of Spinal Cord Injuries and Their Outcomes: A Study at King Khalid Hospital (KKH), Najran, Saudi Arabia, June 2018–June 2019

2021 ◽  
pp. 30
Author(s):  
Ahood Mahjari
Keyword(s):  
Spinal Cord ◽  
Saudi Arabia ◽  
Traffic Accident ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Neurological Injury ◽  
National Data ◽  
Common Cause ◽  
Younger Age ◽  
Cord Injury

Introduction: Spinal cord injury (SCI) is a life-changing neurological injury that puts a significant load on the healthcare system. SCI can be caused by several reasons such as road traffic accident (RTA), motor traffic accident (MTA), fall, gunshots, or bomb blast. There is not much national data concerning the etiology of SCI in Saudi Arabia. Therefore, we conducted this study to quantify the number of SCI incidence at King Khalid Hospital (KKH), Najran between June 2018 and June 2019. The study aimed at reviewing the rate and epidemiology of SCI at KKH for all patients admitted to the hospital during the study period and examining the causes of SCI for suggesting prevention strategies. Methodology: This retrospective study included all patients with SCI admitted to KKH during the mentioned period. Several factors for each patient were recorded including their age, gender, nationality, cause of SCI, and the outcomes of neurological injury. Result: In total, 182 SCI patients were admitted during the study period: 53% of them were male, and those aged 16–30 years were most vulnerable to SCI. RTA was the most common cause of SCI for males (59%), followed by bomb blasts (15%). While fall was ranked as the second cause of SCI in males (15.4%), it was the main reason for SCI in females 13%, followed by RTA. The majority of admitted cases in younger age was stable and improved, however, after RTA four patients had quadriplegia and six cases had paraplegia. Conclusion: RTA is the most common cause of SCI followed by fall and bomb blast. Younger patients are more likely to improve after SCI compared to elderly patients.

scholarly journals Spinal cord injury, Clinical Profile and its Management at Tertiary Care Center in Nepal

2019 ◽  
Vol 8 (1) ◽  
pp. 16-21
Author(s):  
Prakash Kafle ◽  
Babita Khanal ◽  
Dipak Kumar Yadav ◽  
Deepak Poudel ◽  
Iype Cherian
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
College Teaching ◽  
Spine Injury ◽  
Eastern Region ◽  
Common Cause ◽  
Cord Injury

Background: Spinal cord injury causes serious disability among patients. More than 40 million people worldwide suffer from Spinal cord injury every year. Most of them are young men. More than10% of trauma victims sustain spine injury and have higher mortality than other injuries. Materials and Methods: This is a prospective observational hospital based study of traumatic spine injury cases admitted at Nobel Medical College Teaching Hospital, Biratanagr, Nepal from November 2017 to October2018. Results: Total of 352 cases were observed and 36 cases who meet the inclusion criteria for surgical intervention were analyzed. Most common affected age group was between 31-40 years with mean age of 40 years. Out of total cases, 81% were male. Most common cause for spine injury was road traffic accident. Cervical spine was the most common injury (66.7%) and C5- C6subluxation being common radiological diagnosis. ASIA-C neurology status (41.7%) on presentation being most common neurological status. Head injury was the most common associated injury. Anterior cervical discectomy and fusion was the most common surgical procedure performed. Superficial surgical site infections were observed in two cases and hardware failure was seen in one case. Conclusion: The epidemiology of traumatic spine injuries in eastern region of Nepal is similar with other developing countries. In present study, most common cause of spine injury was motor vehicle accidents followed by fall injuries and seen in male. Prevention of road traffic accident might decrease the incidence of spine injury there by reducing the national burden.

Pediatric spinal injury: the very young

1988 ◽  
Vol 68 (1) ◽  
pp. 25-30 ◽  
Author(s):  
John R. Ruge ◽  
Grant P. Sinson ◽  
David G. McLone ◽  
Leonard J. Cerullo
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Cord Injuries ◽  
Spinal Injury ◽  
Causative Factor ◽  
Important Variable ◽  
Neurological Injury ◽  
Content Type ◽  
Significant Difference ◽  
Cord Injury

✓ Maturity of the spine and spine-supporting structures is an important variable distinguishing spinal cord injuries in children from those in adults. Cinical data are presented from 71 children aged 12 years or younger who constituted 2.7% of 2598 spinal cord-injured patients admitted to the authors' institutions from June, 1972, to June, 1986. The 47 children with traumatic spinal cord injury averaged 6.9 years of age and included 20 girls (43%). The etiology of the pediatric injuries differed from that of adult injuries in that falls were the most common causative factor (38%) followed by automobile-related injuries (20%). Ten children (21.3%) had spinal cord injury without radiographic abnormality (SCIWORA), whereas 27 (57%) had evidence of neurological injury. Complete neurological injury was seen in 19% of all traumatic pediatric spinal cord injuries and in 40% of those with SCIWORA. The most frequent level of spinal injury was C-2 (27%, 15 cases) followed by T-10 (13%, seven cases). Upon statistical examination of the data, a subpopulation of children aged 3 years or younger emerged. These very young children had a significant difference in level of injury, requirement for surgical stability, and sex distribution compared to 4- to 12-year-old children.

scholarly journals Spinal Cord Injuries – When Is the Initial Tomography Insufficient?

2017 ◽  
Vol 39 (04) ◽  
pp. 294-299
Author(s):  
Pedro Augusto Sousa Rodrigues ◽  
Enrico Ghizoni ◽  
Helder Tedeschi ◽  
Andrei Fernandes Joaquim
Keyword(s):  
Computed Tomography ◽  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Comprehensive Evaluation ◽  
Neurological Injury ◽  
Mri Findings ◽  
Clinical Scenarios ◽  
Cord Injury ◽  
Polytrauma Patients ◽  
Magnetic Resonance Imaging Mri

Abstract Introduction Spinal cord injury (SCI) is common in polytrauma patients. The standard exam for the initial evaluation is computed tomography (CT), due to its higher sensitivity and specificity when compared with plain radiographs. However, CT is insufficient for the management of some cases, especially to evaluate ligamentous and spinal cord injuries. The objective of the present study is to describe clinical scenarios in which the CT scan was insufficient to guide the treatment of SCIs. Methods We present the cases of four polytrauma patients with normal CT scans at admission and with unstable or surgically-treated lesions. Discussion The cases reported evidence the need for ongoing neurological surveillance with serial physical examination and magnetic resonance imaging (MRI) in cases of neurological injury not explained by CT or occult instability. Conclusion Computed tomography is not always sufficient to determine the management of SCIs. A comprehensive evaluation of the clinical data, CT findings and, occasionally, MRI findings is crucial in order to choose the best conduct.

Liaison psychiatry in a spinal cord injury unit: characteristics of patients with acute traumatic spinal cord injury (ATSCI)

2011 ◽  
Vol 26 (S2) ◽  
pp. 386-386
Author(s):  
P. Lusilla Palacios ◽  
L. Torrent Bertrand ◽  
L. Montesinos Magraner ◽  
A. Rodríguez ◽  
M.A. González Viejo ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accident ◽  
Road Traffic ◽  
Psychiatric Morbidity ◽  
Risk Groups ◽  
University Hospital ◽  
Liaison Psychiatry ◽  
Cord Injury ◽  
Few Data

IntroductionDespite of the evidence of high psychopathological disorders in patients with ATSCI, few data are available on their psychiatric morbidity prior to the injury.ObjectivesIdentify psychiatric morbidity pre-post ATSCI in a sample of patients admitted in the Spinal Injuries Unit of the Vall d’ Hebron University Hospital in Barcelona (Spain).Material and methods54 patients with ATSCI patients were admitted between 1st. October 2009 and 1st. October 2010. SPSS (version 16.1) was used to analyze the data.ResultsSeventy-six percent of the inpatients with ATSCI (41 cases) were evaluated by the psychiatrist and constitute the study sample. Twenty-seven (66%) were male and 14 (33%) female. The average age of the sample was 41 years with younger males (p < 0.05).Reasons for ATSCI in males were traffic accident (26%), accidental falls and sports accidents (both 18.5%). In women were suicidal attempt by precipitation, fall accident (28.6% both) and traffic accident (21.4%).41% of men versus 14% of women had a history of substance misuse (p < 0.01) while 64% of women versus the 14.8% of males had a prior psychiatric disorder (p < 0.01). 72.5% of men with ATSCI caused by traffic accident had used substances prior to the accident, those association was not found for women.91% of patients underwent psychopharmacological intervention.ConclusionsATSCI patients exhibit high psychiatric morbidity and require specialized assessment. The high incidence of substance use associated with road traffic injuries suggests the need to identify risk groups in order to establish effective preventive measures.

scholarly journals THE RATE OF ACUTE SPINAL CORD INJURY IN TASHKENT CITY BETWEEN 2005-2012 YEARS

2014 ◽  
Vol 7 (2) ◽  
Author(s):  
Rukhulla Zabikhullaevich Khikmatullaev ◽  
Alisher Iskandarovich Iskandarov ◽  
Dildora Zabikhullaevna Khakimova
Keyword(s):  
Spinal Cord ◽  
Traffic Accidents ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Lumbar Level ◽  
Thoracic Level ◽  
Medical Institutions ◽  
Cord Injury ◽  
Working Age ◽  
First Time

Objective: to analyze main clinical-statistical indices of spine and spinal cord injuries (SCI) and system of organization of medical aid to the victims. We conducted a cohort retrospective study of materials of medical institutions of Tashkent city. Medical records of patients and records of forensic examinations were analyzed. 242 cases of spinal cord injuries were studied. Over the last 10 years in Tashkent the frequency of SCI have been tend to increase, males and working-age people are dominated. In 60.9% of cases the injury was associated, in 36.2% - isolated, and in 2.9% - combined. Fallings from height and road traffic accidents were the main reasons for getting SCI. Lesions at cervical level registered in 45% of cases, thoracic level - 27.3%, at lumbar level - 27.7%, respectively. According to ASIA/IMSOP, full injuries were noted in 40.1% of cases, incomplete injures were in 59.9%. Overall mortality from SCI was 68.6%. Thus, for the first time this study allowed to get in detail the clinical and statistical indicators of SCI in the region.

scholarly journals Access to primary care for persons with spinal cord injuries in the greater Gaborone area, Botswana

2019 ◽  
Vol 8 ◽  
Author(s):  
Thato M.M. Paulus-Mokgachane ◽  
Surona J. Visagie ◽  
Gubela Mji
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Female Ratio ◽  
Care Services ◽  
Primary Care Services ◽  
Cord Injury

Background: People with spinal cord injury (SCI) often have great need for healthcare services, but they report access challenges. Primary care access to people with SCI has not been explored in Botswana.Objective: This study aimed to identify barriers and facilitators that users with spinal cord injuries experience in accessing primary care services in the greater Gaborone area, Botswana.Methods: A quantitative, cross-sectional, observational study was conducted. Data were collected with a structured questionnaire from 57 participants with traumatic and non-traumatic SCI. Descriptive and inferential analysis was performed.Results: The male to female ratio was 2.8:1. The mean age of participants was 40 years (standard deviation 9.59). Road traffic crashes caused 85% of the injuries. Most participants visited primary care facilities between 2 and 10 times in the 6 months before the study. Participants were satisfied with the services (63%) and felt that facilities were clean (95%) and well maintained (73.5%). Preferential treatment, respect, short waiting times and convenient hours facilitated satisfaction with services. Availability was hampered by insufficient provider knowledge on SCI as indicated by 71.9% of participants, and shortage of consumables (80.7%). Structural challenges (42.1% could not enter the facility by themselves and 56.5% could not use the bathroom) and lack of height-adjustable examining couches (66.7%) impeded accessibility. Cost was incurred when participants (64.9%) utilised private health services where public services failed to address their needs.Conclusion: Primary care services were mostly affordable and adequate. Availability, acceptability and accessibility aspects created barriers.

scholarly journals A CLINICAL STUDY OF BLUNT CHEST TRAUMA

2020 ◽  
pp. 66-68
Author(s):  
Mohit B Chauhan ◽  
Hitesh Maheshwari ◽  
Dolli Aasani
Keyword(s):  
Road Traffic Accident ◽  
Blunt Chest Trauma ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Clinical History ◽  
Common Cause ◽  
Mortality And Morbidity ◽  
Physical Trauma ◽  
Cord Injury

Trauma to the chest is considered as one of the most serious injuries of the chest and it is also a common cause of mortality and morbidity. It is also the leading cause of death from physical trauma after head and spinal cord injury. Chest trauma is the primary or a contributing factor in approximately 1/4th of all trauma related deaths. Chest trauma accounts for 20-25% of deaths due to trauma. Approximately, 16,000 deaths per year in India alone are a result of chest trauma. The study was conducted on 25 patients of blunt chest trauma admitted in a G.G. Hospital affiliated to M.P. Shah Govt. Medical College during the years 2016- 2018. Detailed clinical history was recorded including age, sex, symptoms, mode of injury, associated injuries, external bleeding and mental status. Out of 25 patients having blunt chest trauma most common age group was 31-40 years, road traffic accident being the most common mode of injury in 60%, 64% having less than 4 ribs fractured, 60% having hemothorax and 54% having pneumothorax and 60% patients were treated with intercostal tube drainage. The study revealed that road traffic accident was the most common cause of blunt chest trauma. Majority of the patients with blunt chest trauma can be managed conservatively with pain management. Few required intercostal tube drain without the need of other invasive therapy.

scholarly journals P.107 Traumatic spinal cord injuries among aboriginal and non-aboriginal populations of Saskatchewan: a prospective outcomes study

2019 ◽  
Vol 46 (s1) ◽  
pp. S42
Author(s):  
S Ahmed ◽  
S Humphreys ◽  
L Liu ◽  
D Fourney
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
First Nations ◽  
Injury Severity ◽  
Spinal Cord Injuries ◽  
Neurological Injury ◽  
Full Dataset ◽  
Aboriginal Populations ◽  
Cord Injury ◽  
Outcomes Study

Background: People of aboriginal ancestry are more likely to suffer traumatic spinal cord injury (TSCI) compared to other Canadians; however, outcome studies are limited. This study aims to compare aboriginal and non-aboriginal populations with acute TSCI with respect to: pre-injury baseline, injury severity, treatment, outcomes, and length-of-stay characteristics. Methods: This was a retrospective analysis of 159 patients with TSCI prospectively enrolled in the prospective Rick Hansen Spinal Cord Injury Registry (RHSCIR), Saskatoon site between February 13, 2010 and December 17, 2016. Results: Sixty-two patients consented to the full dataset, which includes ethnic background: 21 ‘aboriginal’ (33.9%); 41 ‘non-aboriginal’ (66.1%). Aboriginal patients were younger, had fewer medical comorbidities and had similar severity of neurological injury and similar outcomes compared to non-aboriginal patients. However, the time to discharge to the community was significantly longer (median 104.0 days versus 38.5 days, p=0.021). While 35% of non-aboriginal patients were discharged home from the acute care site, no aboriginal patients were transferred home directly. Conclusions: This study suggests a need for better allocation of resources for transition to the community for First Nations patients with TSCI in Saskatchewan. We plan a further study to assess outcomes from TSCI for First Nations patients across Canada.

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