Nulle Anda, Tjurina Uljana, Erts Renars, Vetra Anita
National Rehabilitation Centre "Vaivari", Jurmala, Latvia.
2Riga Stradins University, Riga, Latvia.
Spinal Cord Ser Cases. 2017 Dec 6;3:17088. doi: 10.1038/s41394-017-0002-2. eCollection 2017.
A single centre retrospective study.
To collect data and analyse the epidemiological profile of traumatic spinal cord injury and its medical complications during the subacute rehabilitation period.
Spinal Cord Injury Rehabilitation Programme of the National Rehabilitation Centre, 'Vaivari', Jurmala, Latvia.
Information was collected in 2015 from the medical records of 134 patients with a traumatic spinal cord injury admitted for primary rehabilitation between January 2011 and December 2014.
During this period, the median age of patients with a traumatic spinal cord injury was 39.5 years, and the male to female ratio was 5:1. The leading causes of traumatic spinal cord injuries were falls (37%), road traffic accidents (29%), sport and leisure activities (19%), other cause (8%), unidentified causes (5%), and assault (2%). The most common medical complications were pain (77%), spasticity (48%), urinary tract infections (45%), pressure ulcers (25%), and orthostatic hypotension (14%).
Preventive measures in Latvia should be aimed primarily to address falls, road traffic accidents, and sport and leisure activities in the young male population. Medical complications are varied, and they are an important factor following traumatic spinal cord injury. The results obtained in this study comply with the data from studies in countries of the Baltic and North Sea regions of Europe.
单中心回顾性研究。
收集数据并分析创伤性脊髓损伤在亚急性康复期的流行病学特征及其医学并发症。
拉脱维亚尤尔马拉市“瓦伊瓦里”国家康复中心脊髓损伤康复项目。
2015年从2011年1月至2014年12月期间因初次康复入院的134例创伤性脊髓损伤患者的病历中收集信息。
在此期间，创伤性脊髓损伤患者的中位年龄为39.5岁，男女比例为5:1。创伤性脊髓损伤的主要原因是跌倒（37%）、道路交通事故（29%）、体育和休闲活动（19%）、其他原因（8%）、不明原因（5%）以及袭击（2%）。最常见的医学并发症是疼痛（77%）、痉挛（48%）、尿路感染（45%）、压疮（25%）和体位性低血压（14%）。
拉脱维亚的预防措施应主要针对年轻男性人群中的跌倒、道路交通事故以及体育和休闲活动。医学并发症多种多样，是创伤性脊髓损伤后的一个重要因素。本研究获得的结果与欧洲波罗的海和北海地区国家的研究数据相符。
