Aetioepidemiological profile of spinal injury patients in Eastern Nepal

Lakhey, S; Jha, Nilambar; Shrestha, BP; Niraula, Surya Raj

doi:10.1258/004947505774938756

Cited by 21 publications

(17 citation statements)

References 7 publications

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“…Similar to the studies by Shrestha et al and Lakhey et al 4,5 , 84% of our patients sustained fall injury. The fall was either from a tree or a cliff.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Epidemiological Characteristics of Dorsal and Lumbar Spine Trauma Presenting to a Trauma Hospital in Kathmandu, Nepal: Formulation of a National Spine Policy

Dhakal¹,

Paudel²,

Dhungana³

et al. 2018

Spine Surg Relat Res

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“…Similar to the studies by Shrestha et al and Lakhey et al 4,5 , 84% of our patients sustained fall injury. The fall was either from a tree or a cliff.…”

Section: Discussionsupporting

confidence: 92%

“…In India, the prevalence of SCI ranged from 236 per million in contrast to 1800 per million in the USA 3 4,5 . However, both these studies were conducted in eastern region of Nepal more than 10 years ago.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Characteristics of Dorsal and Lumbar Spine Trauma Presenting to a Trauma Hospital in Kathmandu, Nepal: Formulation of a National Spine Policy

Dhakal¹,

Paudel²,

Dhungana³

et al. 2018

Spine Surg Relat Res

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“…Falls and RTA comprise two major causes of SCI (60.3%) in the present study. However, falls were found to be the most common cause of SCI in Bangladesh (34.8%), in keeping with findings of other studies in the country (Hoque et al, 1999;Islam et al, 2011;Razzak et al, 2011 ), studies from some Asian countries such as Nepal (68.2% according to Lakhey et al, 2005) and Pakistan (63% according to Cripps et al, 2014), as well as studies from Finland (64.9% according to Koskinen et al, 2014).…”

Section: Discussionsupporting

confidence: 85%

Demographic Profile of Spinal Cord Injury (SCI): A Hospital-based Prospective study in Bangladesh

Razzak¹,

Roy

Khan

2017

DCID

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“…1 Worldwide incidence of spinal cord injury has been reported up to 236-1009/million/year. 2 3,4 The effect of spinal cord injury on the urethral sphincter and on the function of the detrusor muscle is the cause of neurogenic bladder dysfunction. 5 The degree of damage to the voiding cycle depends on the location, completeness as well as the vascular extension of the injury.…”

Section: Introductionmentioning

confidence: 99%

Long term Urological complications in patients with Spinal cord injury

Thapa

Shrestha

Thapa

et al. 2018

Med. J. Shree Birendra Hosp.

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Introduction: Neurogenic bladder (NGB) is common in daily urological practice; however, information on types of urological complications encountered in army and veterans are not under strict surveillance and little is known to them about the best way to manage the condition. This observational study aimed to determine the types of urological complications encountered in regular soldiers and veterans with traumatic spinal cord injury (SCI) with NGB, and the usage of bladder management programs to deal with NGB. Methods:We retrospectively reviewed the charts and records of interviewed patients with SCI in our urology clinic. Demographic data collected included: age, gender, mode of injury and level of spinal injury. Also noted were episodes of urinary tract infection (UTI), renal lesions, and bladder program followed. Results:The mean age of our study sample (N = 63) was 40 ± 10.8 years and all were male. Age at onset of injury was 33.8 ± 16.6 years and duration since SCI insult was 90.6 ± 54 months. Symptomatic urinary tract infection (75%), chronic cystitis (53.3%), hydro-nephrosis (36.5%) and urinary bladder calculi (33.3%) were the common urological lesion observed. Indwelling Foley's catheterization is a method of urinary bladder management in 54% study population where urinary tract infection is more common (p < 0.05).Conclusions:Urinary tract infection, hydro-nephrosis and Urinary bladder calculi were the most common urological complications encountered in army and veterans with NGB. Indwelling Foley's catheter was the most frequently used bladder management program with the higher risk for UTI. RESULTSThe mean age of all male of our study sample (N=63) was 40 ± 10.8 years (range 23 to 63 years).Average age at onset of injury was 33.8 ± 16.6 years (range 19 to 55 years) and duration since SCI insult was 90.6 ± 54 months (range 13 to 180 months). The most common cause of injury was fall from height (47%) followed by blast injury (30% management in patients with SCI, it is now the practice method preferred. 14 None of our patient was instructed for CIC and overall incidence of symptomatic UTI/year was 75%. Western literatures revealed the overall incidence of symptomatic UTI between 30% to 65%. 12,13 CIC is a superior method for preserving bladder c o m p l i a n c e a n d p r e v e n t i n g u p p e r t r a c t complications associated with low compliance

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Aetioepidemiological profile of spinal injury patients in Eastern Nepal

Cited by 21 publications

References 7 publications

Epidemiological Characteristics of Dorsal and Lumbar Spine Trauma Presenting to a Trauma Hospital in Kathmandu, Nepal: Formulation of a National Spine Policy

Epidemiological Characteristics of Dorsal and Lumbar Spine Trauma Presenting to a Trauma Hospital in Kathmandu, Nepal: Formulation of a National Spine Policy

Demographic Profile of Spinal Cord Injury (SCI): A Hospital-based Prospective study in Bangladesh

Long term Urological complications in patients with Spinal cord injury

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