scholarly journals Epidemiological Characteristics of Traumatic Spinal Cord Injuries in Multi-Center Retrospective Study in Northwest China, 2017-2020.

2022 ◽  
Author(s):  
Xiaohui Wang ◽  
Chao Jiang ◽  
Jinpeng Du ◽  
Yongyuan Zhang ◽  
Fang Tian ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Retrospective Study ◽  
Rural Areas ◽  
Spinal Cord Injuries ◽  
Northwest China ◽  
Female Ratio ◽  
Conservative Group ◽  
Number Of Patients ◽  
Epidemiological Characteristics ◽  
Rural Patients

Abstract Introduction: Traumatic spinal cord injuries (TSCI) are worldwide public health problems. There has been a lack of extensive multi-center study of TSCI epidemiology in Northwest China in pre- and post-pandemic period of COVID-19. Materials and Methods: A multi-center retrospective study of 14 hospitals of Northwest China was conducted on patients with TSCI between 2017 and 2020. Variables assessed included patient demographics, etiology, segmental distribution, treatment, waiting time for treatment and outcomes.Results: The number of patients with TSCI showed an increasing trend from 2017 to 2019 while there were fewer patients in 2020 than in 2019. The male-to-female ratio was 3.67:1 and the mean age was 48±14.9. The major cause of TSCI was high fall (38.8%), low fall (27.7%), traffic accidents (23.9%), sports (2.6%) and others (7.0%). The segmental distribution showed a bimodal pattern, peak segments were C6 and Tl1, L1(14.7%) was the most frequently injured segments. Incomplete injury (72.8%) occurred more often than complete injury (27.2%). ASIA scale of most patients did not change before and after treatment both in operational or conservative group. 975 patients from urban and 1646 patients from rural areas were conducted, most urban residents could rush to get treatment after injured immediately (<1 h), whereas most rural patients get treatment spend several hours since injured. The rough annual incidence from 2017-2020 are 112.4, 143.4,152.2 and 132.6 per million people calculated by the population-coverage-rate.Conclusion: The incidence of TSCI in Northwest China is high and growing. However, under the pandemic policy reasons, it has decreased in 2020. The promotion of online work may be an effective primary prevention measures for trauma. Also, due to the distance from the hospitals with proper conditions, rural patients need to spend long time to there, the timely treatment of them should be paid attention.

scholarly journals Epidemiological Characteristics of Spinal Cord Injury in Northwest China: A Single Hospital-based Study

2020 ◽  
Author(s):  
ZhiMeng Wang ◽  
Peng Zou ◽  
Jun-Song Yang ◽  
Ting-ting Liu ◽  
Leilei Song ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Northwest China ◽  
Female Ratio ◽  
Hospitalization Period ◽  
Cord Injury ◽  
Epidemiological Characteristics

Abstract Background : While the cities in China in which spinal cord injury (SCI) studies have been conducted previously are at the forefront of medical care, northwest China is relatively underdeveloped economically, and the epidemiological characteristics of SCI have rarely been reported in this region. Methods : The SCI epidemiological survey software developed was used to analyze the data of patients treated with SCI from 2014 to 2018. The sociodemographic characteristics of patients, including name, age, sex, and occupation, were recorded. The following medical record data, obtained from physical and radiographic examinations, were included in the study: data on the cause of injury, fracture location, associated injuries, and level of injury. Neurological function was evaluated using the American Spinal Injury Association (ASIA) impairment scale. In addition, the treatment and complications during hospitalization were documented. Results : A total of 3,487 patients with SCI with a mean age of 39.5±11.2 years were identified in this study, the male to female ratio was 2.57:1. The primary cause of SCI was falls (low falls 47.75%, high falls 37.31%), followed by traffic accidents (8.98%) and impact with falling objects (4.39%). Of all patients, 1,786 patients (51.22%) had complications and other injuries. According to the ASIA impairment scale, the numbers of grade A, B, C, and D injuries were 747 (21.42%), 688 (19.73%), 618 (17.72%), and 1434 (41.12%), respectively. During the hospitalization period, a total of 1,341 patients experienced complications, with an percentage of 38.46%. Among all complications, pulmonary infection was the most common (437, 32.59%), followed by hyponatremia (326, 24.31%), bedsores (219, 16.33%), urinary tract infection (168, 12.53%), deep venous thrombosis (157, 11.71%), and others (34, 2.53%). Notably, among 3,487 patients with SCI, only 528 patients (15.14%) received long-term rehabilitation treatment. Conclusion : The incidence of SCI in northwest China was on the rise with higher proportion in males, fall and the MCVs were the primary causes of SCI. The occupations most threatened by SCI are farmers and workers. The investigation and analysis of the epidemiological characteristics of SCI in respiratory complications are important factors leading to death after SCI, especially when the SCI occurs in the cervical spinal cord. Finally, the significance of SCI rehabilitation should be addressed.

scholarly journals Retrospective study of pattern of treatment in free health camps from 2005 to 2017 in East Singhbhum, Jharkhand, India

2018 ◽  
Vol 7 (1) ◽  
pp. 266
Author(s):  
Ratan Kumar ◽  
Jakka Srinivas Rao ◽  
Chandan Biswas
Keyword(s):  
Retrospective Study ◽  
Rural Areas ◽  
Health Program ◽  
Health Department ◽  
Female Ratio ◽  
Governmental Organization ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
New Generation ◽  
Specific Health

Background: Free health camp is a common objective of non-governmental organization (NGO). Government health department alone or jointly with NGO use to organize free medical camp for some specific health program. This retrospective study of occurrence and proportion of diseases and their pattern of treatment was done for period from 2005 to 2017 with an NGO has been working in East Singhbhum district of Jharkhand.Methods: The data of patients over the age of 05 years attended the free health camp from 2005 to 2017 and consent were provided by NGO concerned in this study. The year wise, block wise number of patient, male/female ratio and list of drugs used in different time were tabulated for analysis.Results: The result of this study has been noted in four different tables which elaborates the total number of patients year wise, block wise, percentage wise, male/female ratio during thirteen years. Another table showed occurrence of diseases/ailments in different period with changing percentage of use the drugs in their treatment.Conclusions: This retrospective study provides a conception about some changes in occurrence of diseases in free medical camp in the rural areas of Jharkhand in thirteen years. These health camps have tried to provide and follow the treatment according to need of the patients with safer, efficacious, economical drugs and with periodical inclusion of new generation drugs.

scholarly journals Factors associated with induced second trimester abortion at a tertiary level hospital of Uttarakhand region: a 6-year retrospective study

2020 ◽  
Vol 9 (6) ◽  
pp. 2333
Author(s):  
Shweta Nimonkar ◽  
Priyanka Chaudhari ◽  
Vineeta Gupta ◽  
Namrata Saxena ◽  
Shivangi Agarwal
Keyword(s):  
Retrospective Study ◽  
Gestational Age ◽  
Rural Areas ◽  
Congenital Anomalies ◽  
Second Trimester ◽  
Contraceptive Methods ◽  
Trimester Abortion ◽  
Safe Abortion ◽  
Number Of Patients ◽  
Second Trimester Abortion

Background: Despite the liberalization of the abortion services since the early 1970s in India, access to safe abortion services remains limited for the vast majority of Indian women particularly from rural areas. Second trimester abortions have different indications and associated with increased maternal morbidity and mortality as compared to the first trimester abortions.Methods: This study was a retrospective study conducted from the January 2014 to December 2019 at obstetrics and genecology department of Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India. All patients of 12 weeks to 20 weeks of confirmed gestational age were given medical method of second trimester abortion. Data was collected and analyzed regarding demographic features, gestational age, indications, and induction-abortion interval and post abortion contraceptive methods accepted by patient.Results: During this study period a total of 180 patients had second trimester abortion at study institute. Maximum number of patients 69 (38.3%) were of 25-30 years of age group and 161 (85%) patients were of Hindu religion. Major indication was failure of contraception (42.8%) and congenital anomalies in the fetus (45.6%). There was one case of failed medical abortion in which emergency hysterectomy was done for undiagnosed adherent placenta. All patients were compliant of using contraceptive methods after the abortion because of recent medical and mental stress and majority 82 (45.6%) of the patients preferred oral combined contraceptive pills.Conclusions: Apart from congenital anomalies rest all indications can be reduced if women in our country are empowered to control their fertility, get education to become more aware and provided with social security.

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Stress in Patients with Spinal Cord Injuries

2019 ◽  
Vol 6 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Saharalsadat Torabian ◽  
Vahid Hemmati Sabet ◽  
Farahnaz Meschi
Keyword(s):  
Spinal Cord ◽  
Acceptance And Commitment Therapy ◽  
Spinal Cord Injuries ◽  
Reliable Change Index ◽  
Single Subject ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Number Of Patients ◽  
Anxiety Depression

Background: Since the number of patients with spinal cord injuries is increasing, paying attention to these patients’ psychological problems is a priority. This study aimed to evaluate the effect of acceptance and commitment therapy on anxiety, depression, and stress in patients with spinal cord injuries. Methods: The present study had utilized a single-subject approach in the form of multiple baseline design. The samples were selected using purposive sampling based on convenience sampling method. The statistical population included all patients in Hamadan city with spinal cord injuries who referred to the Shahid Beheshti hospital in this city. The total numbers of them were 181 people in 2016. The researchers informed the patients about the research and presented them with informed consent forms. Among 50 screened patients, five patients (4 males and one female) selected and entered the treatment process: anxiety, depression, and stress measured by Depression Anxiety Stress Scales (DASS-21). Acceptance and commitment therapy conducted in 8 treatment sessions on anxiety, depression, and stress in patients with spinal cord injuries. Results: The results of the graphic and chart analysis, reliable change index (RCI) and the percentage of recovery showed that acceptance and commitment therapy affected anxiety, depression, and stress in the patients with spinal cord injuries. Conclusion: Findings indicated that acceptance and commitment therapy improved people’s mental health by working on acceptance and mindfulness processes and behavior change processes. This therapy decreased anxiety, depression, and stress in patients with spinal cord lesion.

scholarly journals Profile of patients with spinal cord injuries and occurrence of pressure ulcer at a university hospital

2006 ◽  
Vol 14 (3) ◽  
pp. 372-377 ◽  
Author(s):  
Paula Cristina Nogueira ◽  
Maria Helena Larcher Caliri ◽  
Vanderlei José Haas
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Retrospective Study ◽  
Spinal Cord Injuries ◽  
Tertiary Hospital ◽  
University Hospital ◽  
Traumatic Spinal Cord Injury ◽  
Increased Risk ◽  
Cord Injury ◽  
Common Causes

Patients with traumatic spinal cord injury (TSCI) have an increased risk of developing pressure ulcers (PU). It is a retrospective study done by review of records in order to identify the characteristics of patients who were assisted at a tertiary hospital as well as the occurrence of PU. Most patients were male, white and 36,2% between 21 and 30 years. The most common causes of TSCI were wound by fire weapons followed by vehicle crash/overturn. There was a predominance of injury at the toracic level followed by cervical. The PU occurred in 20 pacientes (42,5%). The most frequent regions of occurrence were the sacral and heels. Only 25% of the records had PU's dimensions charted, 80% stated the aspect, and 52.1% did not state the stage. There is a need for better documentation of PU so that interventions used for treatment can be evaluated.

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 Neurosurgical injuries resulting from the 2011 tornados in Alabama: the experience at the University of Alabama at Birmingham Medical Center

2013 ◽  
Vol 118 (6) ◽  
pp. 1356-1362 ◽  
Author(s):  
Joseph H. Miller ◽  
Holly A. Zywicke ◽  
James B. Fleming ◽  
Christoph J. Griessenauer ◽  
Thomas R. Whisenhunt ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Medical Center ◽  
The State ◽  
Additional Patient ◽  
Direct Result ◽  
University Of Alabama ◽  
Southeastern Us ◽  
Number Of Patients ◽  
The University

Object The April 27, 2011, tornados that affected the southeastern US resulted in 248 deaths in the state of Alabama. The University of Alabama at Birmingham (UAB) Medical Center, the largest Level I trauma center in the state, triaged and treated a large number of individuals who suffered traumatic injuries during these events, including those requiring neurosurgical assessment and treatment. Methods A retrospective review of all adult patients triaged at UAB Medical Center during the April 27, 2011, tornados was conducted. Those patients who were diagnosed with and treated for neurosurgical injuries were included in this cohort. Results The Division of Neurosurgery at UAB Medical Center received 37 consultations in the 36 hours following the tornado disaster. An additional patient presented 6 days later, having suffered a lumbar spine fracture that ultimately required operative intervention. Twenty-seven patients (73%) suffered injuries as a direct result of the tornados. Twenty-three (85%) of these 27 patients experienced spine and spinal cord injuries. Four patients (15%) suffered intracranial injuries and 2 patients (7%) suffered combined intracranial and spinal injuries. The spinal fractures that were evaluated and treated were predominantly thoracic (43.5%) and lumbar (43.5%). The neurosurgery service performed 14 spinal fusions, 1 ventriculostomy, 2 halo placements, 1 diagnostic angiogram, 1 endovascular embolectomy, and 1 wound debridement and lavage. Twenty-two patients (81.5%) were neurologically intact at discharge and all but 4 had 1 year of follow-up. Three patients had persistent deficits from spinal cord injuries and there was 1 death in a patient with multisystem injuries in whom no procedures were performed. Two patients experienced postoperative complications in the form of 1 wound infection and 1 stroke. Conclusions The April 27, 2011, tornados in Alabama produced significant neurosurgical injuries that primarily involved the spine. There were a disproportionate number of patients with thoracolumbar fractures, a finding possibly due to the county medical examiner's postmortem findings that demonstrated a high prevalence of fatal cervical spine and traumatic brain injuries. The UAB experience can be used to aid other institutions in preparing for the appropriate allotment of resources in the event of a similar natural disaster.

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

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.

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