Epidemiology of traumatic spinal cord injuries in Colombia

Giraldo, Yalisma Andrea; Castro, José L.; Sánchez, María Ana Tovar; Kumar, Annora A.; Pacichana-Quinayáz, Sara Gabriela; Bonilla-Escobar, Francisco J.

doi:10.1038/s41394-021-00408-3

Cited by 7 publications

(4 citation statements)

References 25 publications

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“…Our findings and previous reports showed that the majority of TSCI result from falls on level ground in Japan [ 11 , 12 ], while low- to middle-income countries experience a particularly high frequency of TSCI caused by violence. An epidemiological study in Colombia revealed that interpersonal violence is the most common mechanism of TSCI in the region [ 38 ]. Notably, the severity of TSCI resulting from interpersonal violence often leads to a high percentage of ASIA grade A (complete paralysis).…”

Section: Discussionmentioning

confidence: 99%

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Yokota,

Sakai,

Kawano

et al. 2024

PLoS ONE

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Traumatic spinal cord injury (TSCI) causes an insult to the central nervous system, often resulting in devastating temporary or permanent neurological impairment and disability, which places a substantial financial burden on the health-care system. This study aimed to clarify the up-to-date epidemiology and demographics of patients with TSCI treated at the largest SCI center in Japan. Data on all patients admitted to the Spinal Injuries Center with TSCI between May 2005 and December 2021 were prospectively collected using a customized, locally designed SCI database named the Japan Single Center Study for Spinal Cord Injury Database (JSSCI-DB). A total of 1152 patients were identified from the database. The study period was divided into the four- or five-year periods of 2005–2009, 2010–2013, 2014–2017, and 2018–2021 to facilitate the observation of general trends over time. Our results revealed a statistically significant increasing trend in age at injury. Since 2014, the average age of injury has increased to exceed 60 years. The most frequent spinal level affected by the injury was high cervical (C1-C4: 45.8%), followed by low cervical (C5-C8: 26.4%). Incomplete tetraplegia was the most common cause or etiology category of TSCI, accounting for 48.4% of cases. As the number of injuries among the elderly has increased, the injury mechanisms have shifted from high-fall trauma and traffic accidents to falls on level surfaces and downstairs. Incomplete tetraplegia in the elderly due to upper cervical TSCI has also increased over time. The percentage of injured patients with an etiology linked to alcohol use ranged from 13.2% (2005–2008) to 19% (2014–2017). Given that Japan has one of the highest aging populations in the world, epidemiological studies in this country will be very helpful in determining health insurance and medical costs and deciding strategies for the prevention and treatment of TSCI in future aging populations worldwide.

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Section: Discussionmentioning

confidence: 99%

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Yokota,

Sakai,

Kawano

et al. 2024

PLoS ONE

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“…In an international study the most frequent injury patterns were incomplete paraplegia with 34.5% of the studied population and incomplete paraplegia with 28.1% (3). In Colombia, according to studies in the 1990s and 2000s, the population with spinal cord injury was younger, with an average age of 32 years, men represented 85% of the population, injuries were more frequent at the thoracic level and the main etiology was violence with 40% of the cases, especially rearm injuries (4,5).…”

Section: Introductionmentioning

confidence: 95%

Function of people with spinal cord and health care models in high-complexity institutions in Colombia

Lugo,

Grisales,

Seijas

et al. 2023

Preprint

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Background: In Colombia, there are two reasons why the function profile of people with spinal cord injuries differs from the rest of the world: most injuries are related to violence with firearms, and there are no inpatient acute and subacute rehabilitation centers. Due to these differences, there is a need to describe the healthcare models of different institutions and how they affect the function of people with spinal cord injuries in Colombia. Methods: Within the second International Spinal Cord Injury Community Survey (InSCI), we designed a national module to describe the different institutional healthcare models for spinal cord injury. It seeks to establish professionals involved in care, group dynamics, and rehabilitation objectives and intensity. Institutional coordinators of spinal cord care will complete the questionnaire. Results: We expect that the InSCI and this module for institutional health care models will allow us to describe these models and how they affect the function of people with spinal cord injuries.

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“…The manuscripts tackled topics in the fields of hematology and oncology, [17][18][19][20][21][22][23] ethics (e.g., diversity, equity and inclusion), [24][25][26][27] infectious diseases, 28,29 surgery, 30,31 pediatrics, 32 and physical and rehabilitation medicine. [33][34][35] We invite you to read them and encourage you to include students and early career scientists in your research projects.…”

Section: How To Make Editors and Scientists: An Ijms Initiativementioning

confidence: 99%

Global Needs and Barriers for Medical Research Education: Initiatives to Solve the Physician-Scientists Shortage

et al. 2023

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Epidemiology of traumatic spinal cord injuries in Colombia

Abstract: Study Design: Retrospective cohort study. Objectives: To determine the incidence and characteristics of newly injured individuals admitted to a traumatic spinal cord injury (TSCI) referral center during a 4-year period.

Cited by 7 publications

References 25 publications

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Function of people with spinal cord and health care models in high-complexity institutions in Colombia

Global Needs and Barriers for Medical Research Education: Initiatives to Solve the Physician-Scientists Shortage

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