Epidemiological Study of Traumatic Spinal Cord Injury in Goiânia (original) (raw)
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Traumatic injury to the spinal cord. Prevalence in Brazilian hospitals
Paraplegia, 1992
Traumatic spinal cord lesions have a worldwide high morbidity and mortality, and in many developed countries the problem has received special attention, based on epidemiological studies. In Brazil these studies have been restricted to institutional data. In 1988 a survey conducted by the Integrated System of Traumatology and Orthopaedics, covering 36 public hospitals from 7 Brazilian capitals, revealed a point prevalence of 8.6% (108 patients) with spinal cord injury, aged from 6-56 years; 81% were men. The most frequent causes were traffic accidents (42%), firearms (27%) and falling from heights (15%). The main complications were pressure ulcers (54%) and urinary infections (32%).
Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 2021
Objective To analyze the epidemiological profile of patients with spinal cord injury treated at POLEM – Associação de Apoio às Pessoas com Lesão Medular (Association for Supporting People with Spinal Cord Injury). Method The population studied comprised 113 patients with spinal cord injury, of traumatic or nontraumatic etiology, and the data obtained were compared with those of other institutions. Results Of the 113 patients, 70.8% were male and 29.2% female. Traumatic lesions were responsible for 54% of the patients, and nontraumatic for 46%. Of the patients with traumatic injury, 90.2% were male, the main cause being traffic accidents. In nontraumatic lesions, women were the most affected, 51.9%; and dysraphism and myelitis were the main causes (31% and 21%, respectively). Conclusion The results showed an important incidence of spinal cord injury due to trauma, mainly affecting young individuals of productive age and low educational level, representing high economic and social cos...
Profile of Spinal Cord Trauma Victims Treated at a Reference Unit in São Paulo
Coluna/Columna
Introduction: Spinal cord trauma (SCT) is an important cause of morbidity and mortality around the world. It affects different age groups, especially young adults who are victims of high-energy trauma. The most effective way to reduce the incidence of spinal cord trauma and its consequences is through preventive campaigns and control and surveillance measures through public agencies. The objective of this study is to outline the epidemiological profile of patients with spinal cord trauma attended at a tertiary care center in the city of São Paulo. Methods: Retrospective, cross-sectional study performed at a reference center for the care of patients with spinal cord injury in the State of São Paulo. Data were collected from the medical records of patients with spinal cord trauma between 2012 and 2016. Results: Of the 515 patients with spinal trauma, 153 (29.7%) had spinal cord injury of which 131 (85.62%) were male, and 22 (14.37%) were female, in a ratio of approximately 6:1. The me...
Spinal cord injuries – Epidemiology in Portugal's central region
Spinal Cord, 1998
This study concerns spinal cord injuries (SCI) in a region of Portugal with a population of 1 721 650 inhabitants. Legislation has made it possible to identify deaths occurring during collection and transport. Between 1989 and 1992, 398 new cases of spinal cord injuries were identi®ed, of which 77% were male and 23% female. The average age was 50, with a range of between 1 and 92. As far as the type of injury is concerned, there were 154 isolated SCI (38.7%); in 120 cases (30.1%) there were multiple associated injuries; in 66 cases (16.6%) there was an associated traumatic brain injury; in 34 cases (8.5%) there was an associated trauma of the thorax. In the hospitals concerned no Injury Severity Score (ISS) was carried out during hospitalization. Sixty-four (16%) were dead upon arrival at hospital, and 159 (40%) died before release. The average length of hospitalization was 26.6 days, with the maximum being 539 days. The annual incidence rate is 57.8 new cases per million inhabitants, including those who died before being admitted to hospital. The annual survival rate is 25.4 new cases per million inhabitants. The death rate is very high during the ®rst week, peaking during the ®rst 24 h.
Spine Trauma Epidemiological Profile in a Tertiary Neurosurgery Hospital in South Brazil
Coluna/Columna
Objective The aim of this paper is to analyze the epidemiological profile of a large series of spine trauma victims in the Southernmost state of Brazil. Methods A retrospective study including spine trauma patients was performed at a tertiary hospital from January 1st, 2013 to December 31st, 2018. The variables analyzed include demographic data, information related to the trauma (etiology, trauma mechanism, type of spine injury, number of vertebrae involved, vertebral segment involved), neurological status at hospital admission (Frankel scale), treatment performed and the outcome (number of days in hospital, neurological outcome, and mortality). Results A total of 808 patients were included. The mean age was 47.9 (±19.0), and the majority were male and Caucasian. The most frequent etiology was falls from height (N=508; 62.9%) followed by traffic accidents (N=185; 22.9%). The thoracolumbar segment was the spinal segment most frequently affected, occurring in 401 (52.1%) patients, fol...
Arquivos de Neuro-Psiquiatria, 2008
We studied 386 cases of spinal cord injury to analyze the follow up of the patients admitted most of the time more than four hours, the majority of the injuries happening far from the attending health service and first specialized care received long after the accident. This is a clinical study based on data collected during hospitalization of the patients, operated or not, in a Brazilian public health service. The lesion mainly seen was fracture and dislocation, isolated or on multiple levels, and the most important clinical complications were due to respiratory failure and hypotension, especially because 73.8% were from outside and they were admitted more then four hours after the trauma. The mortality rate was 11.9%, but just 2.1% had undergone a surgery. The complications resulted in major risk of death when the trauma was at the cervical level and the patients were over 50 years old, especially when admitted more than four hours after the trauma. We emphasize the importance of t...
Epidemiology of Post-Traumatic Spinal Cord Injury in a Tertiary Hospital
Acta Ortopédica Brasileira
Objective: to outline the profile of risk groups for spinal cord injury (SCI) at the Hospital de Clinicas de Campinas by an epidemiological survey of 41 patients with SCI. Methods: Data from patients with SCI were collected and analyzed: demographic data, level of neurological injury, visual analogue scale (VAS), and the current American Spinal Injury Association (ASIA) impairment scale (AIS), using questionnaires, medical records, and imaging tests. Fisher’s exact test was used to assess the relationship between categorical variables, Spearman’s correlation coefficient was used for numerical variables, and the Mann-Whitney and Kruskal-Wallis tests were used to analyze the relationship between categorical and numerical variables, with significance level of 5%. Results: There was a prevalence of 82.9% of men, a mean age of 26.5 years, and traffic accidents as the cause of SCI in 56.1% of cases. Conclusion: Results suggest the importance of SCI prevention campaigns directed at this po...
The profile of spinal injuries in Porto Alegre
Fisioterapia e Pesquisa, 2013
janeiro de 2005 a janeiro de 2010 foi investigado retrospectivamente a partir da coleta de dados em registros médicos. Foram analisados 1320 prontuários, dos quais 63,3% eram do sexo masculino, com média de idade de 47,02±19,60 anos. Os mecanismos de TRM que prevaleceram foram queda de altura (27,2%), acidente de trânsito (25,8%) e queda da própria altura (13,2%), e os níveis da coluna vertebral mais acometidos foram lombar (35,6%), torácico (21,9%) e cervical (20,5%). Da amostra total, 10,7% dos indivíduos que sofreram TRM apresentaram lesão medular (LM), com maior prevalência da lesão incompleta (63,3%). O TRM em Porto Alegre acomete principalmente homens na meia-idade, que tiveram na queda de altura a etiologia mais frequente e no nível lombar o mais acometido. A LM ocorreu mais em indivíduos jovens, sendo o nível cervical o mais lesado. Esses achados são importantes para orientar a alocação eficiente de recursos para o manejo desses agravos e suas repercussões e para prevenir a sua ocorrência nas populações em risco. Descritores | traumatismos da coluna vertebral; compressão da medula espinal; traumatismos da medula espinal; epidemiologia. RESUMEN | Este estudio transversal fue desarrollado con el objetivo de trazar el perfil de la población que sufrió trauma raquimedular (TRM) y fue internado en hospitales de emergencia de Puerto Alegre/RS. El perfil de la población que sufrió TRM de enero de 2005 a enero de 2010 ABSTRACT | This transversal study aimed at determining the profile of the population who suffered spinal injury (SI) and was admitted to emergency hospitals in Porto Alegre/RS. The profile of the population who had SI between January 2005 and January 2010 was retrospectively investigated through data collected from medical records. A total of 1320 records were analyzed, of which 63.3% were male, with a mean age of 47.02±19.6 years. The most prevalent spinal cord injury (SCI) mechanisms were falls from a height (27.2%), traffic accidents (25.8%) and falls from own height (13.2%) and the spinal levels that are usually affected were lumbar (35, 6%), thoracic (21.9%) and cervical (20.5%). Only 142 (10.7%) individuals who had a SI SCI, with a higher prevalence of incomplete lesion (63.3%). In Porto Alegre SI affects mainly middle aged men, who fell from a height and had the lumbar level as the most affected. The SCI affects younger individuals at the cervical level. These findings are important to guide the efficient allocation of resources for the management of these injuries and their repercussions and to prevent this kind of event in the risk population. Keywords | spinal injuries; spinal cord compression; spinal cord injuries; epidemiology. RESUMO | Este estudo de coorte retrospectivo foi desenvolvido com o objetivo de traçar o perfil da população que sofreu trauma raquimedular (TRM) e foi internada em hospitais de pronto atendimento de Porto Alegre/RS. O perfil da população que sofreu TRM de The profile of spinal injuries in Porto Alegre Estudo do perfil do trauma raquimedular em Porto Alegre Estudio del perfil de trauma raquimedular en Puerto Alegre
Change in the profile of traumatic spinal cord injury over 15 years in Spain
Scandinavian journal of trauma, resuscitation and emergency medicine, 2018
Traumatic spinal cord injury remains a serious public health and social problem. Although incidence rates are decreasing in our environment, it is a high cost condition that is associated with great disability. The objective of this study was to describe the epidemiological and demographic characteristics of traumatic spinal cord injury and to analyse its epidemiological changes. This study was an observational study with prospective monitoring of all traumatic spinal cord injury patients in the Canary Islands, Spain (2.1 million inhabitants) between 2001 and 2015. Over the specified period of the study, 282 patients suffered a traumatic spinal cord injury. The crude incidence rate was 9.3 cases per million people/year. The patients' mean age increased from 38 years (2001-2005) to 48 years (2011-2015) (p < 0.05). Overall, 80.1% of patients were males. The trauma mechanisms of spinal cord injury were falls in 44%, traffic accidents in 36.5%, diving accidents in 8.9% and others...
Incidence of Traumatic Spinal Cord Injury in Aragón, Spain (1972–2008)
Journal of Neurotrauma, 2011
Long-term incidence studies are required to identify high-risk groups, establish trends, and forecast needs, and thus contribute to health care planning in spinal cord injury (SCI). This study aimed to determine the incidence of traumatic SCI over a 36-year period in Aragó n, Spain, and compare rates with other published European estimates. Hospital records from the Servet Hospital, the only specialized SCI unit in the region, of a retrospective cohort with traumatic SCI between January 1972 and December 2008 were reviewed. Specification of SCI patient demographics, injury causes, and related factors was achieved by utilizing medical records available for inpatients, hospital archives, and central databases. A total of 540 cases were reported over the 36-year study period (79% were male). The age-and sex-adjusted incidence rate was 15.5 per million population (18.8 for males and 4.9 for females). Two incidence peaks were suggested, in the 20-to 29-year and 60-to 69-year age groups. Traffic accidents and falls were the main causes of injury. The highest peak occurs in young adults, mainly caused by traffic accidents. The majority of the lesions were at cervical or thoracic level, and ASIA grade A was most frequently observed. The proportion of SCI cases in persons older than 60 years, mostly due to falls, is increasing. The age-adjusted incidence rates found for the region of Aragó n in Spain fall within the range of other published European estimates. Comparative epidemiological features for 2001-2008 suggest that there is room for prevention.