Avaliação epidemiológica dos pacientes vítimas de traumatismo raquimedular

Brito, Luciane Maria Oliveira; Chein, Maria Bethânia da Costa; Marinho, Saymo Carneiro; Duarte, Thaiana Bezerra

doi:10.1590/s0100-69912011000500004

Cited by 50 publications

(56 citation statements)

References 7 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The increase in cases of vertebral trauma in women can be attributed to their greater inclusion in the labor market and the consequent exposure to the risk of accidents. 1,6 The most affected vertebral level in our study was L1, in 23.8% of the cases, with the thoracolumbar transition involved 40.65% of the time, which is consistent with the literature. 1,6,[12][13][14] Spinal cord lesion occurred in 40.62% of the patients, which is comparable to the study by Tavares et al, 14 which observed neurological lesions in 48.1%.…”

Section: Discussionsupporting

confidence: 92%

“…2,7 The incidence of vertebral trauma in this series, taking the population admitted to this hospital into account (788.434 patients in 2015 according to data from the hospital and from the IBGE), was 40.58 per million during the period analyzed. The incidence of spinal cord trauma was 16.48 per million, below the worldwide figure of 40 cases per million, 1,6,12 and the incidence in Brazil of 71 cases per million. 6 The difference in incidence may be related to the lack of notification of this health condition in Brazil 6 and to the exclusion criteria of this study (disregarding patients with neoplasia).…”

Section: Discussionmentioning

confidence: 71%

“…1,6,8,[12][13][14][15] The most common fracture mechanisms were falls (46.87%) and traffic accidents (46.87%), as different from the world literature where falls prevail. 8,12,13 In our series, males predominated all causes, with a male to female ratio of 6.57:1, with a more balanced relationship if we consider car accidents alone, where the ratio was 1.5:1.…”

Section: Discussionmentioning

confidence: 99%

“…1 The worldwide and Brazilian incidences of spinal trauma are around 50 and 40 new cases for every million inhabitants per year, respectively, the latter being similar to that in the United States where the cost is estimated at 300 million dollars annually. [1][2][3][4] It is estimated that in the USA there are between 185.000 and 400.000 people living with spinal cord injuries and around 2000 hospital beds are required each year to treat these patients. 5 The total incidence in Brazil is not known because of the precariousness of records and because it is not a situation requiring mandatory notification.…”

Section: Introductionmentioning

confidence: 93%

See 3 more Smart Citations

Thoracolumbar Spinal Arthrodesis - Epidemiology and Costs

et al. 2017

View full text Add to dashboard Cite

Objective: To describe the epidemiology of patients with thoracolumbar spine fracture submitted to surgery at Hospital Cristo Redentor and the related costs. Methods: Prospective epidemiological study between July 2014 and August 2015 of patients with thoracolumbar spine fracture with indication of surgery. The variables analyzed were sex, age, cost of hospitalization, fractured levels, levels of arthrodesis, surgical site infection, UTI or BCP, spinal cord injury, etiology, length of stay, procedure time, and visual analog scale (VAS). Results: Thirty-two patients were evaluated in the study period, with a mean age of 38.68 years. Male-female ratio was 4:1 and the most frequent causes were fall from height (46.87%) and traffic accidents (46.87%). The thoracolumbar transition was the most affected (40.62%), with L1 vertebra involved in 23.8% of the time. Neurological deficit was present in 40.62% of patients. Hospital stay had a median of 14 days and patients with neurological deficit were hospitalized for a longer period (p<0.001), with an increase in hospital costs (p= 0.015). The average cost of hospitalization was U$2,874.80. The presence of BCP increased the cost of hospitalization, and patients with spinal cord injury had more BCP (p= 0.014). Conclusion: Public policies with an emphasis on reducing traffic accidents and falls can help reduce the incidence of these injuries and studies focusing on hospital costs and rehabilitation need to be conducted in Brazil to determinate the burden of spinal trauma and spinal cord injury. os pacientes com déficit neurológico permaneceram internados por período mais prolongado (p <0,001), com aumento dos custos hospitalares (p= 0,015). O custo médio da internação foi de U$ 2.874,80. A presença de BCP aumentou o custo da internação e os pacientes com lesão medular tiveram mais BCP (p= 0,014). Conclusão: Políticas públicas com ênfase na redução de acidentes de trânsito e quedas podem ajudar a reduzir a incidência dessas lesões e estudos com foco nos gastos hospitalares e em reabilitação precisam ser realizados no

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

See 2 more Smart Citations

Thoracolumbar Spinal Arthrodesis - Epidemiology and Costs

et al. 2017

View full text Add to dashboard Cite

show abstract

“…[1][2][3] Os pacientes acometidos, em sua maioria, são jovens, do sexo masculino em idade produtiva (18-35 anos), solteiros e residentes em áreas urbanas. 4,5 Metade dos traumatismos resulta de acidentes com veículos motorizados, quedas, acidentes de trabalho, esportivos (principalmente aquáticos) e outros decorrentes de ferimento por armas de fogo. 6,1 de incidência de lesão medular traumática aguda permaneceu população, o número total de casos aumentou.…”

Section: Introductionunclassified