Workshop on Spinal Cord Injuries (SCI) Management: the Chiang Mai Experience

Kovindha, Apichana; Dollfus, P

doi:10.1038/sj.sc.3100801

Cited by 3 publications

(2 citation statements)

References 1 publication

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“…Training programs to give an opportunity to health workers to improve their knowledge in the comprehensive management of spinal cord injured patients should be carried out on a regular basis 14. Hospitals managing spinal cord injured patients must have a comprehensive spinal trauma patient rehabilitation team.…”

Section: Discussionmentioning

confidence: 99%

Care of post-traumatic spinal cord injury patients in India: An analysis

et al. 2007

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Background:The spinal cord injured patients if congregated early in spinal units where better facilities and dedicated expert care exist the outcome of treatment and rehabilitation, can be improved. The objective of this study is to find out the various factors responsible for a delay in the presentation of spinal injury patients to the specialized spinal trauma units and to suggest steps to improve the quality of care of the spinal trauma patients in the Indian setup.Materials and Methods:Sixty patients of traumatic spinal cord injury admitted for rehabilitation between August 2005 and May 2006 were enrolled into the study and their data was analyzed.Results:Eighty-five per cent of the spinal cord injured patients were males and the mean age was 34 years (range 13-56 years). Twenty-nine (48.33%) of the spinal injuries occurred due to fall from height. There was an average of 45 days (range 0-188 days) of delay in presentation to a specialized spinal unit and most of the time the cause for the delay was unawareness on the part of patients and/or doctors regarding specialized spinal units. In 38 (62.5%) cases the mode of transportation of the spinal cord injured patient to the first visited hospital was by their own conveyance and the attendants of the patients did not have any idea about precautions essential to prevent neurological deterioration. Seventeen (28.33%) patients were given injection solumedrol with conservative treatment, 35 (60%) patients were given only conservative treatment and seven patients were operated (11.66%) upon at initially visited hospital. Of the seven patients operated five were fixed with posterior Harrington instrumentation (71.42%) and two (28.57%) were operated by short segment posterior pedicle screw fixation. None of the patients were subjected to physiotherapy-assisted transfers or wheel chair skills or even basic postural training, proper bladder/ bowel training program and sitting balance.Conclusion:Awareness on the part of the general population, attendants of the patients, clinical and paraclinical team regarding spinal cord injury needs to be addressed. Safe mode of transportation of spinal cord injured patient and early presentation at tertiary spinal care center with comprehensive spinal trauma care team should be stressed upon.

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Section: Discussionmentioning

confidence: 99%

Care of post-traumatic spinal cord injury patients in India: An analysis

et al. 2007

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“…Regional workshops, such as those offered by ISCOS, have been rated as very helpful by participants. 29 The international community can also contribute by providing advanced training opportunities and rotations at established SCI centers around the world, as well as financially supporting attendance at appropriate international conferences and meetings. Efforts such as this were central to the establishment of the Armenian center 12 as well as centers in Haiti.…”

Section: The Role Of the International Communitymentioning

confidence: 99%

The challenge of spinal cord injury care in the developing world

Burns

O’Connell

2012

The Journal of Spinal Cord Medicine

127

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Great strides have been made in reducing morbidity and mortality following spinal cord injury (SCI), and improving long-term health and community participation; however, this progress has not been uniform across the globe. This review highlights differences in global epidemiology of SCI and the ongoing challenges in meeting the needs of individuals with SCI in the developing world, including post-disaster. Significant disparities persist, with life expectancies of 2 years or less not uncommon for persons living with paraplegia in many developing countries. The international community has an important role in improving access to appropriate care following SCI worldwide.

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Meeting the challenges of spinal cord injury care following sudden onset disaster: lessons learned

Burns¹,

O’Connell²,

Rathore³

2012

J Rehabil Med

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Improved disaster response has led to higher survival rates and an increasing number of injuries in relation to deaths (injury to death ratio). Recent earthquakes, in particular, have led to unprecedented numbers of spinal cord injuries. Meeting the needs of individuals with spinal cord injuries is particularly challenging when disaster strikes a low resource environment. Clinicians who care for spinal cord injuries can learn from prior experiences and proactively address how to best meet needs in future disasters. Here we review and propose measures targeted to specific challenges including: coordination and mobilization; identification and procurement of required expertise; initial survey and assessment; health care delivery; community reintegration and health maintenance; and sustainability and capacity building.

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Workshop on Spinal Cord Injuries (SCI) Management: the Chiang Mai Experience

Cited by 3 publications

References 1 publication

Care of post-traumatic spinal cord injury patients in India: An analysis

Care of post-traumatic spinal cord injury patients in India: An analysis

The challenge of spinal cord injury care in the developing world

Meeting the challenges of spinal cord injury care following sudden onset disaster: lessons learned

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