Epidemiologic evidence of spinal cord injury in Tamil Nadu, India (original) (raw)
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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.
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.
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.
Profile of Spinal Trauma in Kashmir
Journal of Evidence Based Medicine and Healthcare, 2015
Spinal cord injury is a devastating condition that affects all regions of the world. A high incidence of spinal cord injury in younger populations has resulted in enormous financial and physical costs for individual and the society. AIMS: The aim of this study was to know the epidemiological and clinico-radiological features of spinal trauma, analyse the diagnostic tools and to reveal the outcome of spinal trauma. METHODS: This was a retroprospective hospital based study. All patients of spinal trauma admitted in the department of Neurosurgery SKIMS, Srinagar from September 2003 to October 2013 were taken up for the study. RESULTS: A total of 667 cases of spinal trauma were reported from September 2003 to October 2013. 526 were males and 141 were females. The most prevalent age group was 21-40 years (49.93%). Most common mode of injury was fall from height (66.41%), followed by Road traffic accidents (28.63%). 38.08% had cervical, 31.64% had dorsal and 30.28% had lumbar spine injury. Trauma was most common in the month of August and was mainly due to fall from height. 69.61% patients were managed surgically and 30.58% conservatively. 41.22% patients showed improvement in neurological grade, 20.68% made complete recovery, 26.53% showed no neurological improvement. CONCLUSION: Spinal trauma occurs most commonly in young productive age group. Fall from height is the most common cause of injury. CT and MRI are complementary to each other in diagnosis. Initial neurological grade is most important prognostic factor.
Epidemiology of cervical spinal cord injury in eastern India: an autopsy-based study
The New Zealand medical journal, 2013
Cervical spinal cord injury is a major cause of fatality among trauma victims. Unlike developed countries, national spinal cord injury database is not maintained in India. Paucity of data hampers the understanding of epidemiology of the event in India. So, this study was conducted to ascertain the epidemiological pattern of death due to cervical spinal cord injury and to identify the risk factors; also to find the association of vertebral injuries with various epidemiological parameters. Among autopsies conducted in Burdwan Medical College and Hospital from 2000 to 2010, cases with autopsy report mentioning "death due to cervical spinal cord injury" either primary or secondary were included in the study. It was a retrospective observational study based on autopsy report. 536 cases met the inclusion criteria. Among them 89.4% were male and 10.6% were female; 63.8% victims were young adults (20-39 years). Mean (plus or minus S.D.) age was 33.5 years (plus or minus 12.8). All...
Spinal cord injury, Clinical Profile and its Management at Tertiary Care Center in Nepal
Journal of Nobel Medical College
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 sta...
Epidemiology of traumatic spinal cord injury in Nepal: A systematic review
Asian Journal of Medical Sciences
Spinal cord injury (SCI) leads to disabling condition. In Nepal the nationwide statistics of incidence and prevalence of SCI is still unclear which demands a systematic examination of crucial epidemiological aspects of SCI. An electronic search was conducted on PubMed, Ovid EMBASE, Cochrane Library and Google Scholar. Clinical studies investigating epidemiology of spinal cord injury were included. A narrative synthesis of the data that comprised 1796 patients was conducted. Males comprised 73%, and the mean age varied from 32 to 47 years. The two leading causes of SCI were falls (60%) and accidents (17%). Most patients had incomplete neurology (AIS grade B, C and D = 42%) followed by AIS A grade (36.3%). Cervical injury (37.4%) was the most common level of injury. Mortality during hospital stay was low (1.98%) whereas after rehabilitation was high (24.32%). The review contributes in understanding epidemiology of SCI in Nepal which is expected to help in planning for prevention and m...
The Incidence of traumatic spinal cord injury in Khyber Pukhtunkhwa, Pakistan from 2008 to 2012
Background: Incidence studies of SCI play an important role in planning health care policies. This study gives the incidence of SCI in Khyber Pukhtunkhwa province of Pakistan. Objective: To determine the incidence of Traumatic spinal cord injury in Khyber Pukhtunkhwa, Pakistan from 2008 to 2012 Methodology: This study is retrospective descriptive study. The data was collected from three SCI rehabilitation centers of Khyber Pukhtunkhwa. SCI cases were collected from the records of the rehab centers which occurred in KPK between 2008 and 2012. All data was entered in SPSS and was analyzed for finding the incidence rate of SCI, male and female ratio, most common cause, and most frequently injured level, age of patients, complete and incomplete injuries and district wise distribution. Results: Total 1,136 SCI patients were included in the study. The mean incidence on the five years was 10.23 per million people per year. Males were 920 patients (81 %) while females were 216 patients (19 %). Most patients (31.4 %) were at age between 20 to 29 years. Falls from height (35.3 %) was the most common cause of SCI which was followed by RTA (21.5 %) and FAI (21.3 %) respectively. Thoracic (58.2 %) was most common level injured. Complete injuries were 903 (79.5 %) and incomplete were 233 (20.5 %). Most patients were from Peshawar District (15.2 %). Conclusion: Incidence of SCI in KPK was 10.23 per million people per year.