Epidemiological Study of Traumatic Spinal Injuries in Iranian Patients from 2007 to 2017

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohamadreza Saatian ◽  
Nayereh Kasiri ◽  
Younes Mohamadi ◽  
Sajjad Sangestani ◽  
Ali Abdoli ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Hospital Stay ◽  
Psychological Health ◽  
Length Of Hospital Stay ◽  
Spinal Injuries ◽  
Cross Sectional ◽  
Significance Level ◽  
Cord Injury ◽  
External Causes ◽  
Type Of Injury

Background: Traumatic spinal cord injury (TSCI) can cause numerous adverse effects on the spinal cord and neural tissues. These injuries may have negative effects on physical and psychological health during the lifespan. Objectives: The present study aimed to investigate the epidemiology of TSCI in patients with trauma admitted to Bessat Hospital of Hamadan between 2007 and 2017. Methods: A cross-sectional study was conducted on 3,219 patients with traumatic spinal injuries admitted to Bessat Hospital of Hamadan between 2007 and 2017. Data were collected from the hospital information system. Data analysis was performed using SPSS. Quantitative data were expressed as mean, standard deviation, and frequency, and qualitative data were analyzed using the chi-square and Fisher's exact tests. The significance level was considered to be less than 0.05. Results: Mortality was significantly associated with gender (P = 0.001), age (P = 0.051), external causes of injury (P = 0.001), and type of injury (P = 0.001). The length of hospital stay was significantly associated with the type of injury (P = 0.001) and external causes of injury (P = 0.001), whereas there was no significant relationship between the length of hospital stay and gender, age, and surgery (P > 0.05). Conclusions: Mortality rates were highest at the age of 55 years or over among other age groups. Thus, effective interventions and programs should be implemented for this age group.

scholarly journals Predictors of complications and mortality in traumatic spinal cord injuries

2020 ◽  
Vol 27 (1) ◽  
pp. 59-71
Author(s):  
Lyudmila M. Mirzaeva ◽  
Sergei V. Lobzin ◽  
Inga V. Chistova ◽  
Olga A. Rizahanova ◽  
Alexander A. Dulaev
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Alcohol Consumption ◽  
Hospital Stay ◽  
Spinal Cord Injuries ◽  
Length Of Hospital Stay ◽  
World Health ◽  
Secondary Complications ◽  
Risk Of Death ◽  
Cord Injury

Background. One of the most common causes of death is trauma. The World Health Organization predicts a 40 % increase in injuries and injury-related deaths over the next 10 years. Despite the achievements of modern medicine, mortality in spine and spinal cord injuries remains high. This is explained not only by the severity of traumas, but also a large number of secondary complications,.Aim. To study the frequency of complications and the mortality rate of traumatic spinal cord injuries; to identify factors affecting the outcome of such injuries. Materials and methods. A retrospective analysis covered 322 medical records from patients diagnosed with traumatic spinal cord injury and admitted to neurosurgical departments of Saint Petersburg in 2012–2016.Results. Secondary complications (outside of the central nervous system) were found in 33 % cases, with the most common and serious being respiratory complications, pressure ulcers and thromboembolism. Complications more often occurred in elderly patients (over 75), as well as in severe injuries at the cervical and thoracic level. Complications developed significantly more frequently in patients with concomitant traumatic brain injury (TBI) and persons with alcohol consumption before injury. Complications noticeably increased the length of hospital stay and increased the risk of death by 43 times. 14 % of the patients died during primary stay in hospital. The spinal cord injury incompatible with life occurred only in 1 % of the patients. The lethal outcome correlated with age, severity, level of injury, concomitant TBI and alcohol consumption.Conclusion. We have found a high incidence of unfavourable outcomes for traumatic spinal cord injuries (every third patient had at least one complication, every seventh died during the primary hospitalisation). In addition to unmodifiable factors, a statistically significant negative role of alcohol in the frequency of complications and death after spinal cord injury was found. Promoting a healthy lifestyle with low alcohol consumption, optimising preventive and therapeutic measures aimed at reducing the frequency of infectious and thromboembolic complications will improve the outcome of traumatic spinal cord injuries, reduce the length of hospital stay and decrease the economic burden of spinal cord injuries. 

scholarly journals Intra-hospital complications in acute traumatic spinal cord injury

2018 ◽  
Vol 25 (1) ◽  
pp. 36-39
Author(s):  
Victor Figueiredo Leite ◽  
Daniel Rubio de Souza ◽  
Marta Imamura ◽  
Linamara Rizzo Battistella
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Major Trauma ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Traumatic Spinal Cord Injury ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cord Injury ◽  
Surgical Corrections

There is scarce data about intra-hospital complications in acute traumatic spinal cord injury (TSCI). Objective: To report characteristics of complications in patients with TSCI in a major trauma center. Method: This is a cross-sectional study with 434 patients with acute TSCI from 2004 to 2014. Outcomes were frequency and description of complications, length of hospital stay (LOS), and causes of increased LOS. Results: Patients presented at least 1 complication in 82.2% of the cases: urinary tract infection (UTI) = 64.4%, pressure ulcers (PU) = 50.6%, and pneumonia = 23.7%. Pneumonia, intubation and cases of surgical corrections for PU were independently associated with increased LOS. Conclusion: UTIs and PUs were the most frequent complications. Investigating its causes and consequences is paramount in the care of patients with SCI. Possible reasons for such complications could comprise time, and frequency of repositioning in bed. Investigating intra-hospital complications is paramount in SCI centers.

scholarly journals Pediatric spinal cord injury rehabilitation: A protocol for an international multicenter project (SINpedSCI)

2021 ◽  
pp. 1-9
Author(s):  
Kirsti Skavberg Roaldsen ◽  
Vivien Jrgensen ◽  
Wiebke Höfers ◽  
Susanne Sällström ◽  
Marika Augutis ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Psychological Health ◽  
Structured Interview ◽  
Cross Sectional ◽  
Injury Rehabilitation ◽  
Individual Interviews ◽  
Rehabilitation Programs ◽  
Cord Injury ◽  
Physical And Psychological Health

PURPOSE: Children and adolescents (<18 years old) who sustain a spinal cord injury (SCI) should ideally be managed in specialized rehabilitation services. This project aims to describe the organization of pediatric SCI in ten rehabilitation units in seven countries and to qualitatively explore psychosocial aspects of adolescents living with SCI. METHODS: A multicenter cross-sectional project is planned, using quantitative (web survey) and qualitative (interview) methods in ten rehabilitation units from Norway, Sweden, United States, Israel, PR China, Russia and Palestine. Individual interviews will be conducted with ≥20 adolescents aged 13–17 years at least 6 months’ post rehabilitation. RESULTS: Units involved will be described and compared, according to funding, attachment to an acute SCI unit, catchment area, number of beds, admittance and discharge procedures, availability of services, staff/patient ratio, content and intensity of rehabilitation programs, length of stay, measurement methods, follow-up services, health promotion services, and pediatric SCI prevention acts. The semi-structured interview guide will include experiences from acute care and primary rehabilitation, daily life, school, contact with friends, leisure time activities, peers, physical and psychological health, and the adolescents’ plans for the future. CONCLUSION: Based on the present protocol, this project is likely to provide new insight and knowledge on pediatric SCI rehabilitation and increase the understanding of pediatric SCI in adolescents and their families internationally.

scholarly journals Length of Hospital Stay in Patients with Spinal Cord Injury

2011 ◽  
Vol 35 (6) ◽  
pp. 798 ◽  
Author(s):  
Hye Jin Jang ◽  
Jieung Park ◽  
Hyung-Ik Shin
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Cord Injury

Excretory dysfunction and quality of life after a spinal cord injury: A cross‐sectional study

2021 ◽  
Vol 30 (9-10) ◽  
pp. 1394-1402
Author(s):  
De Gong ◽  
Yingmin Wang ◽  
Lirong Zhong ◽  
Mengmeng Jia ◽  
Ting Liu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cord Injury

scholarly journals Age-related variation in mobility independence among wheelchair users with spinal cord injury: A cross-sectional study

2016 ◽  
Vol 39 (2) ◽  
pp. 180-189 ◽  
Author(s):  
Timo Hinrichs ◽  
Veronika Lay ◽  
Ursina Arnet ◽  
Inge Eriks-Hoogland ◽  
Hans Georg Koch ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Wheelchair Users ◽  
Related Variation ◽  
Age Related ◽  
Cord Injury

scholarly journals Elderly victims of falls seen by prehospital care: gender differences

2014 ◽  
Vol 17 (1) ◽  
pp. 3-16 ◽  
Author(s):  
William Campo Meschial ◽  
Dorotéia Fátima Pelissari de Paula Soares ◽  
Nelson Luiz Batista de Oliveira ◽  
Alice Milani Nespollo ◽  
Wesley Alexandre da Silva ◽  
...  
Keyword(s):  
Gender Differences ◽  
Elderly Patients ◽  
Exploratory Study ◽  
Prehospital Care ◽  
The Elderly ◽  
Cross Sectional ◽  
Significance Level ◽  
Care Services ◽  
Preventive Actions ◽  
Type Of Injury

OBJECTIVE: To identify elderly who are victims of falls, according to gender, who received care from prehospital services of Maringá, Paraná. METHODS: A cross-sectional exploratory study carried out with 1,444 elderly patients who suffered falls in Maringá in the period from 2006 to 2008. Data were gathered from prehospital care services, typed and processed using the Epi Info 6.04d(r). The χ² test was used to compare the falls in relation to gender (significance level = 0.05). RESULTS: The number of falls according to gender presented similar percentages, 51.0% for males and 49.0% for females. Significant differences between genders were observed regarding age (p < 0.001), presence of alcohol breath (p < 0.001), type of fall (p < 0.001), place of fall (p < 0.001), treatment at hospital (p = 0.023), number of injuries (p = 0.014), type of injury (p < 0.001) and injury location (p <0.001). CONCLUSION: These results show that falls happen differently among the elderly when considering gender. It highlights the importance of understanding these differences in detail and the circumstances in which the fall occurred, since this knowledge is key to plan preventive actions.

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