Spinal cord injury epidemiological profile in the Sarah Network of Rehabilitation Hospitals—a Brazilian population sample

Barbetta, D C; Smanioto, TR; Poletto, M F; Ferreira, Rfa; Lopes, Acg; Casaro, F M; Camargo, A.P.P; Ogashawara, T O

doi:10.1038/s41394-018-0049-8

Cited by 20 publications

(16 citation statements)

References 13 publications

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“…We found that falls (both from a small and large height) and MVCs were the main causes of SCIs and occurred in nearly all age groups. The incidence of violence also varied by country and region, with the incidence of SCI due to violence being as low as 0.40% in Beijing [6] and as high as 28.4% in Brazil [20]. In the same fashion, gunshot wounds were rare in China, mainly due to the strict social security and gun control implemented by the state.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study

et al. 2020

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Background: While the cities in China in which spinal cord injury (SCI) studies have been conducted previously are at the forefront of medical care, northwest China is relatively underdeveloped economically, and the epidemiological characteristics of SCI have rarely been reported in this region. Methods: The SCI epidemiological survey software developed was used to analyze the data of patients treated with SCI from 2014 to 2018. The sociodemographic characteristics of patients, including name, age, sex, and occupation, were recorded. The following medical record data, obtained from physical and radiographic examinations, were included in the study: data on the cause of injury, fracture location, associated injuries, and level of injury. Neurological function was evaluated using the American Spinal Injury Association (ASIA) impairment scale. In addition, the treatment and complications during hospitalization were documented. Results: A total of 3487 patients with SCI with a mean age of 39.5 ± 11.2 years were identified in this study, and the male to female ratio was 2.57:1. The primary cause of SCI was falls (low falls 47.75%, high falls 37.31%), followed by traffic accidents (8.98%), and impact with falling objects (4.39%). Of all patients, 1786 patients (51.22%) had complications and other injuries. According to the ASIA impairment scale, the numbers of grade A, B, C, and D injuries were 747 (21.42%), 688 (19.73%), 618 (17.72%), and 1434 (41.12%), respectively. During the hospitalization period, a total of 1341 patients experienced complications, with a percentage of 38.46%. Among all complications, pulmonary infection was the most common (437, 32.59%), followed by hyponatremia (326, 24.31%), bedsores (219, 16.33%), urinary tract infection (168, 12.53%), deep venous thrombosis (157, 11.71%), and others (34, 2.53%). Notably, among 3487 patients with SCI, only 528 patients (15.14%) received long-term rehabilitation treatment. Conclusion: The incidence of SCI in northwest China was on the rise with higher proportion in males; fall and the MCVs were the primary causes of SCI. The occupations most threatened by SCI are farmers and workers. The investigation and analysis of the epidemiological characteristics of SCI in respiratory complications are important factors leading to death after SCI, especially when the SCI occurs in the cervical spinal cord. Finally, the significance of SCI rehabilitation should be addressed.

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Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study

et al. 2020

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“…in Brazil [20]. In the same fashion, gunshot wounds were rare in China, mainly due to the strict social security and gun control implemented by the state.…”

Section: Discussionmentioning

confidence: 96%

Epidemiological Characteristics of Spinal Cord Injury in Northwest China: A Single Hospital-based Study

Wang¹,

Zou²,

Yang³

et al. 2020

Preprint

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Background : While the cities in China in which spinal cord injury (SCI) studies have been conducted previously are at the forefront of medical care, northwest China is relatively underdeveloped economically, and the epidemiological characteristics of SCI have rarely been reported in this region. Methods : The SCI epidemiological survey software developed was used to analyze the data of patients treated with SCI from 2014 to 2018. The sociodemographic characteristics of patients, including name, age, sex, and occupation, were recorded. The following medical record data, obtained from physical and radiographic examinations, were included in the study: data on the cause of injury, fracture location, associated injuries, and level of injury. Neurological function was evaluated using the American Spinal Injury Association (ASIA) impairment scale. In addition, the treatment and complications during hospitalization were documented. Results : A total of 3,487 patients with SCI with a mean age of 39.5±11.2 years were identified in this study, the male to female ratio was 2.57:1. The primary cause of SCI was falls (low falls 47.75%, high falls 37.31%), followed by traffic accidents (8.98%) and impact with falling objects (4.39%). Of all patients, 1,786 patients (51.22%) had complications and other injuries. According to the ASIA impairment scale, the numbers of grade A, B, C, and D injuries were 747 (21.42%), 688 (19.73%), 618 (17.72%), and 1434 (41.12%), respectively. During the hospitalization period, a total of 1,341 patients experienced complications, with an percentage of 38.46%. Among all complications, pulmonary infection was the most common (437, 32.59%), followed by hyponatremia (326, 24.31%), bedsores (219, 16.33%), urinary tract infection (168, 12.53%), deep venous thrombosis (157, 11.71%), and others (34, 2.53%). Notably, among 3,487 patients with SCI, only 528 patients (15.14%) received long-term rehabilitation treatment. Conclusion : The incidence of SCI in northwest China was on the rise with higher proportion in males, fall and the MCVs were the primary causes of SCI. The occupations most threatened by SCI are farmers and workers. The investigation and analysis of the epidemiological characteristics of SCI in respiratory complications are important factors leading to death after SCI, especially when the SCI occurs in the cervical spinal cord. Finally, the significance of SCI rehabilitation should be addressed.

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“…This rate varies from one country to another, dropping down to 8.4% in Thailand and as low as 1.9% in Turkey. [5][6][7] In the US, 12.2% (784 out of a total of 17,730 new annual SCIs) are secondary to gunshot injuries. 8,9 Spinal cord injuries also result in a significant health and financial burden at the level of the individual patient and their families, as well as at the level of the healthcare system.…”

Section: Discussionmentioning

confidence: 99%

Patterns and Predictors of Firearm-related Spinal Cord Injuries in Adult Trauma Patients

2021

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Spinal cord injury epidemiological profile in the Sarah Network of Rehabilitation Hospitals—a Brazilian population sample

Abstract: Gunshot wounds were the main cause of SCI in our population, comprising mostly male individuals with thoracic injury, resulting in complete SCI. Data show a high incidence of SCI in young adults owing to violence in Brazil.

Cited by 20 publications

References 13 publications

Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study

Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study

Epidemiological Characteristics of Spinal Cord Injury in Northwest China: A Single Hospital-based Study

Patterns and Predictors of Firearm-related Spinal Cord Injuries in Adult Trauma Patients

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