Spinal cord injuries as a consequence of falls: are there differential rehabilitation outcomes?

Kennedy, Paul; Cox, Anthony L.; Mariani, Alessandro

doi:10.1038/sc.2012.124

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…23 A slightly higher percentage of whites were observed in our fall group compared with the non-fall group. However, because these are proportions rather than incidence rates, one cannot draw a conclusion that whites fall more often than non-whites.…”

Section: Fall Vs Non-fall Etiologiesmentioning

confidence: 83%

Fall-induced spinal cord injury: External causes and implications for prevention

Chen¹,

Tang²,

Allen³

et al. 2015

The Journal of Spinal Cord Medicine

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Objective: To document the demographic and clinical profile of persons who sustained spinal cord injury (SCI) as a result of accidental falls and to determine the usual circumstances surrounding the fall-induced SCI. Design: Cohort study. Results: Falls on the same level from slipping, tripping, and stumbling were the most common cause of fallinduced SCI (20%), followed by falls from building (16%), stairs and steps (16%), and ladder (9%). People who were 61 years of age and older had the highest frequency of falls on the same level, while those aged 16-45 years had a higher percentage of falls from buildings, usually work-related. The mechanisms of falls also varied by sex and race. Associated injury and vertebral injury occurred frequently among falls from buildings and ladders. High falls were more likely to be work-related and result in thoracic and complete injury, while low falls were more commonly associated with cervical and motor functionally incomplete injury. Conclusion: The study findings of different mechanisms of falls by age, sex, race and medical consequences provide an insight for future interventions aimed at high risk persons, activities, and environmental factors for preventing or reducing fall-induced SCI.

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Section: Fall Vs Non-fall Etiologiesmentioning

confidence: 83%

Fall-induced spinal cord injury: External causes and implications for prevention

Chen¹,

Tang²,

Allen³

et al. 2015

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

show abstract

“…Possible explanations for the functional outcome differences between the age groups is that the prevalence of medical comorbidities prior to TSCI is higher among the elderly and they also suffer from more frequent in-hospital secondary complications [ 27 , 28 ]. Furthermore, prior studies show that patients with older age and those acquiring TSCI as a result of a fall seem to benefit from rehabilitation but achieve less independence in some areas, like mobility, bowel and bladder management compared to patients in the younger age group and patients injured due to other etiologies [ 29 ]. With these results in mind, it is especially profitable to invest in the rehabilitation of working age patients and to prevent falls in the elderly.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of traumatic spinal cord injury in Finland

et al. 2020

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Study design Prospective cohort study. Objectives To determine the incidence and evaluate the characteristics of newly injured patients admitted to two spinal cord injury (SCI) centers during a 4-year period. Setting Oulu and Tampere University Hospital, Finland. Methods A dedicated multidisciplinary team evaluated all of the patients with new traumatic SCI (TSCI). The data were recorded according to the International Spinal Cord Injury Core Data Sets. Results In a 4-year period, 346 new patients with TSCI were admitted to the study centers. In the Oulu and Tampere University Hospitals’ catchment areas, the mean annual incidence of TSCI was 36.6 per million. The leading causes of injury were low-level falls (36.2%), high-level falls (25.5%), and transport-related accidents (19.2%). In the patients >60 years, 72.6% were injured by falling and the proportion of low-level falls was 49.7%. In the patients ≤60 years old, 47.4% were alcohol-related. The proportion of cervical injuries in the patients >60 years was 77.1%, while in the patients ≤60 years the proportion was 59.6%. The incidence of TSCI was higher during the Summer and Autumn months. Conclusion The mean annual incidence of TSCI was 36.6 per million corresponding to 200 new annual cases in Finland. Incomplete tetraplegia due to falling among elderly was overrepresented in the study population. Alcohol-consumption preceded injury in nearly half of the cases in the younger population. The prevention should focus on alcohol-related injuries and falls in the elderly.

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“…Nearly one percent of the study sample had spinal cord injuries, agreeing with the Oxley et al study [21]. However, it disagrees with the Kennedy et al study reporting nearly a quarter percent of falls had spinal cord injury which may be attributed to the long duration of the study and differences in the heights of fall [22]. More than half of the sample has a major degree of severity which disagreed with Luzia et al, which reported that most injuries were classified as mild.…”

Section: Methods Resultsmentioning

confidence: 62%

Assessment and Clinical Outcomes of Fall Related Injuries at Emergency

Osman

Naqshbandi

2021

Erbil j. nurs. midwifery

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Background and objectives: Falls are significant cause of mortality and morbidity with a considerable burden on societies, families and victims. The study aims to determine the interventions and outcomes of fall-related injuries, and the association between injury se-verity and fall height. Methods: A descriptive cross-sectional study was conducted among 322 fall-related in-jured persons in West and East emergency hospitals in Erbil City from September 2020 to February 2021. Study sample demography, location of injury, place of affected body re-gions, outcome, and hospital stay were analyzed. Results: Of the 322 patients studied, 68.9% were males, and 31.1% were female. Less than half of the samples (48.8%) were between the ages 18 to 36 years old. The most common location for fall-related injuries was residential facilities (44.1%) followed by the place of work (35.1%). According to the type of fall, fall from ground was 38.4%, and fall from a fall height of 1-3 meters was 48.8%. Finally, according to the injury classification, more than half (56.5%) of the study sample had a significant degree of severity. The discharged status of disposition at the emergency room had the highest percentage (64.9%) of the study sample. There was a significant difference between the scores of the items of fall conse-quences and outcomes regarding to type of ground (soft or hard). There was a significant relationship between injury severity and fall height (p-value = 0.00). Conclusion: Fall-related injuries are the most common cases at emergency departments in Erbil city. Among ages 18 to 36, men are more frequently exposed to falls than women. The highest risk of fall is occupation with construction laborers at the greatest risk. Fall-related injury is a burden on the health care system, particularly on emergency services in developing countries like Iraq in relations cost of care and resources.

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Spinal cord injuries as a consequence of falls: are there differential rehabilitation outcomes?

Cited by 8 publications

References 18 publications

Fall-induced spinal cord injury: External causes and implications for prevention

Fall-induced spinal cord injury: External causes and implications for prevention

Epidemiology of traumatic spinal cord injury in Finland

Assessment and Clinical Outcomes of Fall Related Injuries at Emergency

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