Traumatic injury to the spinal cord. Prevalence in Brazilian hospitals

Paz, Aloysio Campos da; Beraldo, Paulo Sérgio Siebra; Almeida, Jorge; Neves, E G C; Alves, Crawford; Khan, Palwasha

doi:10.1038/sc.1992.126

Cited by 35 publications

(17 citation statements)

References 6 publications

(1 reference statement)

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“…Spinal cord injuries are more common in men worldwide with male/female ratios ranging from 1.6 to 8.0 [6,9,10,11,12,13,14,15,16,17,18]. In the present study, this ratio was 5.6.…”

Section: Discussionsupporting

confidence: 52%

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Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology

Bellucci

Filho²,

Gomes³

et al. 2015

Neuroepidemiology

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Background: Epidemiological features of spinal cord injury (SCI) have been changing over the last decades. We evaluated the contemporary trends in the epidemiology of traumatic SCI patients from a rehabilitation center. Methods: In a cross-sectional study, a consecutive series of 348 patients with traumatic SCI were evaluated. Variables were collected through an epidemiological form, which included gender, age at injury, duration and cause of SCI. We investigated SCI epidemiological trends over time including the association between gender and age at injury with SCI features such as etiology, injury severity and level. Results: The mean age at SCI has increased from 26.0 ± 11.8 in patients with SCI before 2003 to 37.9 ± 15.7 in those with SCI after 2009 (p < 0.001). Gunshot wounds were the main cause of injury in patients with SCI before 2003, dropping from 40.6 to 16.9% after 2009 and being surpassed by road traffic injuries (38.6%) and falls (31.4%) after 2009 (p < 0.001). Gender, SCI severity and level have not changed significantly over the time. Conclusions: There was a major increase in the average age of patients as well as changes in the etiology of SCI over the past fifteen years, including a significant decrease in gunshot wounds and an increase in the frequency of road traffic injuries and falls. These changes and accompanying risk factors must be taken into consideration when planning measures to prevent SCI.

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“…Spinal cord injuries are more common in men worldwide with male/female ratios ranging from 1.6 to 8.0 [6,9,10,11,12,13,14,15,16,17,18]. In the present study, this ratio was 5.6.…”

Section: Discussionsupporting

confidence: 52%

“…In the present study, this ratio was 5.6. Previous Brazilian series have shown a male/female ratio ranging from 7.6 to 8.9 [12,19]. It is interesting to note that the predominance of men in developed countries, such as Canada and Denmark, is highly attenuated, with male/female ratios around 2.0 [5,10].…”

Section: Discussionmentioning

confidence: 99%

Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology

Bellucci

Filho²,

Gomes³

et al. 2015

Neuroepidemiology

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“…1) [8,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73] related to the 28 developing countries all around the world. Tables 1 and 2 show the study period, number of patients, age, sex, level of injury, completeness of SCI and etiology.…”

Section: Resultsmentioning

confidence: 99%

Epidemiology of Traumatic Spinal Cord Injury in Developing Countries: A Systematic Review

et al. 2013

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Background/Aims: To describe the epidemiology of spinal cord injury (SCI) in the developing world. Methods: Developing countries were selected based on the definition proposed by the International Monetary Fund. A literature search was performed in July 2012 in Medline and Embase. Further article procurement was obtained via the reference lists of the identified articles, websites, and direct contact with the authors of the identified studies. We designed search strategies using the key words: SCI, epidemiology, incidence, and prevalence. According to the inclusion criteria, 64 studies from 28 countries were included. Results: The incidence of SCI in developing countries is 25.5/million/year (95% CI: 21.7-29.4/million/year) and ranges from 2.1 to 130.7/million/year. Males comprised 82.8% (95% CI: 80.3-85.2) of all SCIs with a mean age of 32.4 years (95% CI: 29.7-35.2). The two leading causes of SCI were found to be motor vehicle crashes (41.4%; 95% CI: 35.4-47.4) and falls (34.9%; 95% CI: 26.7-43.1). Complete SCIs were found to be more common than incomplete injuries (complete SCI: 56.5%; 95% CI: 47.6-65.3; incomplete SCI: 43.0%; 95% CI: 34.1-52.0). Similarly, paraplegia was found to be more common than tetraplegia (paraplegia: 58.7%; 95% CI: 51.5-66.0; tetraplegia: 40.6%; 95% CI: 33.3-48.0). Conclusion: Through an understanding of the epidemiology of SCI in developing countries, appropriate preventative strategies and resource allocation may decrease the incidence and improve the care of these injuries.

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“…The study consisted of a first phase where a detailed survey was carried out of all hospit alised patients with SCI in the Hospital for Medicine of the Locomotor System (HMLS/SARAH) on 5 July 1989. Besides the clinical features, a record was made of all patients with more than two episodes of fever (axillary temperature � 38°C) for 24 hours before and whilst undergoing treatment for a clinical condition associated with fever.…”

Section: Methodsmentioning

confidence: 99%

Pyrexia in hospitalised spinal cord injury patients

et al. 1993

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To discover the frequency of pyrexia in spinal cord injury (SCI) patients in the Hospital for Medicine of the Locomotor System (HMLS/SARAH), a review study was undertaken. For a period of 3 months, all new episodes of fever were recorded. During the study 221.3 patients/month were observed. The age ranged from 14 to 60 years and time of lesion from 1 to 6,264 days: 85 patients were paraplegia or paraparetic, and 44 tetraplegic or tetraparetic. At the beginning of the study 10.8% of the patients had fever. During follow up, we observed a rate of 33. 9 new incidences per 100 patients/month. In 77. 3% only one cause was identified, and in 8% no cause could be defined. The commonest causes were urinary tract infection (UTI) (44.3%), and soft tissue infections (11.4%). Frequent causes of fever in the acute stage other than UTI were complications related to the initial trauma and thromboembolic disease (p < 0.05). These results demonstrate the high incidence of fever in patients with SCI, in addition to providing a useful approach for diagnosis and management.

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Traumatic injury to the spinal cord. Prevalence in Brazilian hospitals

Cited by 35 publications

References 6 publications

Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology

Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology

Epidemiology of Traumatic Spinal Cord Injury in Developing Countries: A Systematic Review

Pyrexia in hospitalised spinal cord injury patients

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