Traumatic Spinal Cord Injury Caused by Low Falls and High falls: A Comparative Study

2020 ◽  
Author(s):  
Zhen-Rong Zhang ◽  
Yao Wu ◽  
Fang-Yong Wang ◽  
Wen-Jing Wang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Length Of Stay ◽  
Statistical Significance ◽  
Working Environment ◽  
Considerable Proportion ◽  
Significance Level ◽  
Cord Injury ◽  
Epidemiological Characteristics ◽  
Combined Injuries

Abstract Background: Quite a few patients with spinal cord injury (SCI) are caused by falls. However, the comparison of different causes of SCI or the epidemiological characteristics of SCI caused by falls of different heights are rare. This study investigated the epidemiological characteristics of traumatic SCI caused by falls and conducted a comparison between low falls and high falls.Method: Data from traumatic SCI cases admitted to China Rehabilitation Research Center from 2010 to 2019 were collected, including age, gender, occupation, cause, level and severity of the injury, combined injuries, complications, and rehabilitation length of stay. Mann-Whitney U and Chi square (χ2) tests were used to assess the differences between two groups at a statistical significance level of 0.05.Result: Patients with fall-induced SCI were older and a longer rehabilitation length of stay than those with nonfall-induced SCI. Patients with high fall-induced SCI were younger and more likely to suffer from paraplegia, severer injuries, and combined injuries, and had longer time from injury to rehabilitation and rehabilitation length of stay, compared with patients with low fall-induced SCIs.Conclusion: Falls, especially high falls, are the primary causes of SCI. Special attention should be paid to the prevention of high falls in the working environment. Low falls are also worthy of attention due to their high incidence and constitute a considerable proportion of causes of SCI.

scholarly journals Traumatic spinal cord injury caused by low falls and high falls: a comparative study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zhen-Rong Zhang ◽  
Yao Wu ◽  
Fang-Yong Wang ◽  
Wen-Jing Wang
Keyword(s):  
Spinal Cord ◽  
Length Of Stay ◽  
Spinal Cord Injuries ◽  
Statistical Significance ◽  
Chi Square ◽  
Significance Level ◽  
Cord Injury ◽  
Epidemiological Characteristics ◽  
Time From Injury ◽  
Combined Injuries

Abstract Background Quite a few traumatic spinal cord injuries (TSCI) were caused by falls. However, the comparison of different causes of TSCI or the epidemiological characteristics of TSCI caused by falls of different heights are rare. This study investigated the epidemiological characteristics of TSCI caused by falls and conducted a comparison between low falls and high falls. Method Data from cases with TSCI admitted to China Rehabilitation Research Center from 2010 to 2019 were collected, including age, gender, occupation, cause, neurological level, and severity of the injury in admission, combined injuries, complications, and rehabilitation length of stay. Mann-Whitney U and chi-square (χ2) tests were used to assess the differences between two groups at a statistical significance level of 0.05. Result A total of 1858 TSCI cases were included and 41.7% were caused by falls, 11.4% by low falls and 30.3% by high falls, respectively. Patients with fall-induced TSCI were older and had a shorter rehabilitation length of stay than those with non-fall-induced TSCI. Patients with high fall-induced TSCI were younger and more likely to suffer from paraplegia, severer injuries, and combined injuries, and had longer time from injury to rehabilitation and rehabilitation length of stay, compared with patients with low fall-induced TSCI. Conclusion Falls is the leading causes of TSCI and high fall is becoming more common. Attention not only should be paid to high falls for the severe injury and longer hospitalization, but also low falls due to the higher neurological level of the injury and the aging of population in China.

Intraabdominal Injury is Common in Blunt Trauma Patients who Sustain Spinal Cord Injury

2007 ◽  
Vol 73 (10) ◽  
pp. 1035-1038
Author(s):  
Ali Salim ◽  
Marcus Ottochian ◽  
Ryan J. Gertz ◽  
Carlos Brown ◽  
Kenji Inaba ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Length Of Stay ◽  
Blunt Trauma ◽  
Injury Severity ◽  
Unit Length ◽  
Hospital Length Of Stay ◽  
Trauma Patients ◽  
Cord Injury ◽  
Intraabdominal Injury

The evaluation of the abdomen in patients with spinal cord injury (SCI) is challenging for obvious reasons. There are very little data on the incidence and complications of patients who sustain SCI with concomitant intraabdominal injury (IAI). To determine the incidence and outcomes of IAI in blunt trauma patients with SCI, a trauma registry and record review was performed between January 1998 and December 2005. Baseline demographic data, Injury Severity Score, and associated IAI were collected. Two groups were established and outcomes were analyzed based on the presence or absence of IAI. Intraabdominal and hollow viscus injures were found in 15 per cent and 6 per cent, respectively, of 292 patients with blunt SCI. The presence of intraabdominal injury varied according to the level of the SCI: 10 per cent of cervical, 23 per cent of thoracic, and 18 per cent of lumbar SCI. The overall mortality was 16 per cent. The presence of intraabdominal injury was associated with longer intensive care unit length of stay (13 versus 6 days, P < 0.01), hospital length of stay (23 versus 18 days, P < 0.05), higher complication rate (46% versus 33%, P = 0.09), and higher mortality (44% versus 11%, P < 0.01) when compared with patients with SCI without IAI. Intraabdominal injuries are common in blunt SCI. Liberal evaluation with computed tomography is necessary to identify injuries early.

Epidemiological Characteristics of Traumatic Spinal Cord Injury in Guangdong, China

Spine ◽  
2017 ◽  
Vol 42 (9) ◽  
pp. E555-E561 ◽  
Author(s):  
Rui Yang ◽  
Lan Guo ◽  
Lin Huang ◽  
Peng Wang ◽  
Yong Tang ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury ◽  
Epidemiological Characteristics

scholarly journals Demographic pattern, clinical profile and outcome of traumatic spinal cord injuries at a tertiary care hospital

2015 ◽  
Vol 29 (3) ◽  
pp. 317-322 ◽  
Author(s):  
K. Aswani Kumar ◽  
B.V. Subrahmanyam ◽  
S.V. Phanidra ◽  
S. Satish Kumar ◽  
P.N. Harish ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Hospital Stay ◽  
Spinal Cord Injuries ◽  
Traumatic Spinal Cord Injury ◽  
Lumbar Region ◽  
Care Hospital ◽  
Cord Injury ◽  
The Mean ◽  
Epidemiological Characteristics

Abstract Background: Traumatic spinal cord injury (SCI) is recognized as a serious public health problem resulting in significant morbidity, mortality and permanent disability. The present study is aimed to describe the epidemiological characteristics and outcome of patients with traumatic spinal cord injury in rural tertiary referral care center form South India. Material and methods: The present study was conducted at Narayana Medical College and Hospital, Nellore. All patients admitted and managed for traumatic spinal cord injury were retrieved and data collected in a pre-designed proforma. Patient characteristics, details of etiology, mechanism of injury, level of injury, extent of neurological deficits, details of investigations, details of management and immediate outcome were recorded. Results: A total 152 patients were included in the present study. The mean age was 38.45 years and majority the patients were young adult males. The mean hospital stay was 19.12 days. 71.7% percent patients were non-agriculture workers (mainly involved in construction work) and 28.3% patients were farmers. 61.2% of the patients sustained injuries due to fall from height and 34.2% patients sustained injuries due road traffic accidents. Cervical spine injuries were most common (44.1%), followed by thoraco-lumbar region (36.8%) and dorsal spinal region (19.1%). 9 patients expired in post-injury during hospital stay and all of them had complete cervical spinal cord injury. All patients received aggressive rehabilitation care. Conclusion: In accordance with the literature our results reflect that traumatic spinal cord injuries affect young population and can leave these persons with significant functional and physical morbidity. The major limitation of the study is that it is a single institution based and may not reflect the true spectrum of traumatic spinal cord injuries in the population.

scholarly journals Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Zhi-Meng Wang ◽  
Peng Zou ◽  
Jun-Song Yang ◽  
Ting-Ting Liu ◽  
Lei-Lei Song ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Northwest China ◽  
Cord Injury ◽  
Epidemiological Characteristics

Epidemiological characteristics of traumatic spinal cord injury in Xi’an, China

Spinal Cord ◽  
2020 ◽  
Author(s):  
Jinpeng Du ◽  
Dingjun Hao ◽  
Baorong He ◽  
Liang Yan ◽  
Qinghua Tang ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury ◽  
Epidemiological Characteristics
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