Patterns and medical complications among the patients with spinal cord injury admitted in a specialized public hospital (original) (raw)
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Introduction Spinal cord injury, is certainly a debilitating and devastating condition in terms of its effect on a person`s physical, mental, familial as well as social life [1]. Due to its profound impact on a person`s overall quality of life and increasingly high incidence, injury to spinal cord due to any pathology is now considered as a morbid condition as well as a threat to both personal and national economy [2,3]. Spinal cord injury itself is a crippling condition, at the same time may lead to a variety of complications which can affect the life of the patient as it increases the treatment cost significantly and accelerate the disease process which link to early mortality [1,3,4]. The incidence of Spinal cord injury is increasing throughout the world with an annual incidence rate of 15 to 40 per million with a male predominance, more prevalence in low socioeconomic society and the causes ranges from traumatic in most of the case like motor vehicle accident to gunshot injury and physical violence, however non traumatic causes like Tuberculosis (TB) of the spine is also responsible for this [3-6]. A great variety of complications usually follow injury to spinal cord such as pressure sore, urinary complications, most of which are preventable nonetheless these associated complications are the most common cause of re-hospitalization following spinal cord injury and eventually lead to a great deal of disability, morbidity, degree of dependence and mortality [1-4]. Spinal cord injury is a severe condition of the musculoskeletal system, more often leading to permanent disability and on the top of that brings about drastic changes the functioning ability of the patient and eventually encompassing each and every aspect of life [5-8]. Complications may associate virtually all systems of the body namely cardio-respiratory system, genitourinary system, local disorders like pressure sore or full blown biochemical disorders. Such domino effect following the injury to spinal cord significantly decreases the quality of life of the individual and happens on the early or acute stage when initial rehabilitation process are being initiated [6]. Spinal cord injury whether traumatic or form other cause and Abstract Background: Spinal cord injury and its health related complications pose a major impact on the overall morbidity and mortality as well as cause economic constrains. It was aimed at looking into the demographic distribution, diagnosis, as well as complications in patients with spinal cord injury.
International Journal of Physiotherapy and Research
Background: Spinal cord injuries are greatly disabling and deadly injuries. At present, there is little information regarding the risk factors for complete injuries. This study aims to describe the demographics and the injury characteristics for traumatic and non-traumatic spinal cord injuries and to explore the risk factors for complete spinal cord injuries. Methods: A retrospective study was performed by reviewing the medical records of 30 patients with spinal cord injuries who were admitted to the hospitals in Ahmednagar, India from 2016-2018. Variables included gender, age, marital status, etiology, occupation, level of injury, and severity of injury, associated complaints, complications and treatment. Results: The proportion of patients increased from 30% to 36.66% from 2016 to 2018. The male-to female ratio was 5:1. The major cause of spinal cord injuries was traffic accidents (36.66%). Many of the injured were skilled workers (36.66%), semiskilled (20%), and students (23.33%); these occupations accounted for 79.99% of the total sample. Cervical 13(33.33%) and lumbar 16(43.33%) spinal levels were the most affected. The most documented complications were pressure ulcers 11(36.66%) and urinary tract infection 02(6.66%). Conclusion: The proportion of males was higher than the proportion of females. Skilled workers, semiskilled workers and the students comprised the high-risk occupational categories. Male gender, having a spinal fracture, having a thoracic injury, and having complications were the major risk factors for a complete injury. We recommend that preventive measures should focus on high-risk populations, such as young males.
Neurotrauma Reports
The study aims to explore the demographic and clinical characteristics of persons with spinal cord injury (SCI) in Bangladesh. A total of 3035 persons with SCI spanning from 2018 to 2022 were included in this cross-sectional study. Information about demographic and clinical variables was obtained from the medical records and verified through telephone calls to ensure accuracy and consistency. Approximately half (48.30%) of the study participants were located in Dhaka Division. The average age of persons with SCI was 38.3 years, with a standard deviation of 15.9 years, and the largest proportion (33.4%) fell within the age range of 18-30 years. Males outnumbered females by nearly 2.5 times. In the study, 59.6% had suffered traumatic injuries, whereas 40.4% had SCI attributable to disease-related causes; 58.1% were diagnosed with tetraplegia and 40.1% with paraplegia. Fall from height (42.1%) and road traffic trauma (27%) were the most common causes of traumatic injuries. Degenerative myelopathy (41.1%) was the most frequent cause of non-traumatic SCI, followed by tumors (27.7%) and tuberculosis (TB; 14.8%). Both traumatic (58.3%) and degenerative (56.7%
Background: Traumatic spinal cord injury (SCI) is a devastating condition that can lead to significant physical, psychological, and social consequences for affected individuals and their families. SCI is a major public health problem worldwide, with an estimated incidence of 10-83 cases per million population per year, depending on the region and study population. Objective: This study was to determine the epidemiology of traumatic spinal cord injury (SCI) in Rajshahi, Bangladesh. Methods: This was a prospective study conducted at the Rajshahi Medical College Hospital from January 2018 to December 2021. The total sample size was 218. Data on demographic characteristics, cause and level of injury, associated injuries, and neurological status were collected and analyzed. Results: The majority of patients (69.3%) were male and the mean age was 39.8 years. The most common cause of SCI was road traffic accidents (47.7%), followed by falls (25.7%) and violence (15.6%). The cervical spine was the most common level of injury (50.9%), followed by the thoracic spine (37.2%) and lumbar spine (11.9%). Associated injuries were present in 43.1% of patients. The most common neurological status at admission was complete injury (47.7%). The mortality rate was 9.6%. Conclusion: Traumatic SCI is a significant public health problem in Rajshahi, with road traffic accidents being the leading cause. The cervical spine was the most commonly affected level, and associated injuries were present in a significant proportion of patients. The mortality rate was also considerable. These findings highlight the need for the development of effective prevention strategies, improved trauma care, and rehabilitation services for individuals with SCI in the region.
Background: Spinal cord injury (SCI) is a life-threating condition which has a profound impact in the morbidity and mortality. SCI causes lifetime sufferings and mostly occurs among the young adults. Not only in Bangladesh but also worldwide, SCI is a devastating and burdensome condition. This research was conducted to see the demographic profile of SCI patients in Bangladesh. Methods: This is a retrospective analysis where data were collected from medical records of all SCI patients admitted in between January 2012 and December 2014 from Center for the Rehabilitation of the Paralysed, Savar. Results: A total of 1172 SCI patients were analyzed. Most of the patients were in their second and third decades of life which consisted 28.8% (n = 338). Among total respondents, 86.2% (n = 1010) were male and 13.8% (n = 162) were female. Most of the participants, 61.1% (n = 716), were from rural area. The main cause of SCI was fall from height (FFH) {45.8% (n = 537)} followed by the road traffic accidents (RTA) {24.7% (n = 288)}. Overall, 52.3% (n = 613) of participants suffered from traumatic paraplegia while 60.9% (n = 714) had complete lesion. Among the total participants, 30.70% (n = 359) of participants had skeletal level C1-C7 injury. Division-wise distribution shows that FFH is a major cause of SCI {14.84% (n = 174)} followed by the RTA which is a second most common cause in 8.95% (n = 105) of participants in Dhaka division while SCI due to bull attacks and bullet injury are a major cause in Khulna division {1.02% (n = 12)} and Chittagong division respectively. Conclusion: The data are collected from a tertiary level of rehabilitation center where extensive demographic data were not previously represented. In many developing countries, SCI is neglected, poorly managed, and deprived from society. In addition, the present study suggests that demographic factors may affect the characteristics of SCI.
Pattern of Traumatic Spinal Cord Injury in a Tertiary Rehabilitation Center of Northern India
Indian Journal of Physical Medicine and Rehabilitation
Introduction: Spinal cord injury (SCI) causes functional, economic, psychological and social disability. No national SCI registry is available in India to describe its mortality characteristics. Objectives: To assess the epidemiological pattern and clinical profile of traumatic spinal cord injury and determine genderwise association with clinical profile.
Epidemiologic evidence of spinal cord injury in Tamil Nadu, India
Background: Spinal cord injury is a fearsome disability leading to increased rate of morbidity and mortality. Information about the incidence of spinal cord injury may provide support for the healthcare advancements. The aim of the present study is to investigate the epidemiology of spinal cord injury. Methods: The present study was carried out in Rajiv Gandhi government general hospital, Chennai, India. The study design was approved by the institutional human ethical committee. Questionnaire was used to collect the information from the patients in a prospective manner. The American Spinal Injury Association (ASIA) scoring systems was used to evaluate the severity of spinal cord injury. Results: A total of 245 cases of spinal injury were studied. Among them, 88 % (n=216) were male and 12% (n=29) were female. Spinal cord injuries of falls from height were prominent over the road traffic accident. Cervical level injuries are widespread in males and dorsal level Injuries are common in females. Conclusion: Hence awareness of the spinal cord injury and availability of healthcare facilities may minimise the consequences of spinal cord injury.