FLENI Rehabilitation Institute, Buenos Aires, Argentina.
Santa Catalina Neurorehabilitación Clínica, Ciudad Autónoma de Buenos Aires, Argentina.
Spinal Cord Ser Cases. 2020 Dec 3;6(1):109. doi: 10.1038/s41394-020-00362-6.
Descriptive and ambispective study.
To describe the demographics, clinical characteristics, and etiologies of traumatic spinal cord injury (TSCI) in a metropolitan region of Argentina.
Five inpatient rehabilitation centers in Buenos Aires, Argentina.
We included all patients with acute TSCI who required hospital treatment at five rehabilitation facilities between 2015 and 2019. We collected data using portions of the International Spinal Cord Injury (SCI) Core Data Set.
We registered 186 individuals as having TSCI. The males were 77% of the total sample. The mean age was 36 (SD ± 15.7) years. The distribution between paraplegia and tetraplegia was 50.3% and 49.7%, respectively. TSCI was complete in 57.3%. Including patients with motor complete SCI, the percentage reached 71.9% of the sample. Vehicular collisions were the leading cause of TSCI (47.3%), followed by falls (21.5%) and assaults (16.1%).
We collected data about demographics, clinical characteristics, and aetiologies of TSCI for the first time in Argentina. The predominant demographic profile of the individuals with TSCI was of young males with complete SCI. We found the most important cause of TSCI was vehicular collisions. Implementation of road safety strategies in this target population might decrease the incidence of TSCI.
描述性和前瞻性研究。
描述阿根廷一个大都市地区创伤性脊髓损伤(TSCI)的人口统计学、临床特征和病因。
阿根廷布宜诺斯艾利斯的 5 个住院康复中心。
我们纳入了所有在 2015 年至 2019 年期间在五家康复机构因急性 TSCI 而需要住院治疗的患者。我们使用国际脊髓损伤(SCI)核心数据集的部分内容来收集数据。
我们共登记了 186 例 TSCI 患者。男性占总样本的 77%。平均年龄为 36(SD±15.7)岁。截瘫和四肢瘫的分布分别为 50.3%和 49.7%。TSCI 完全性损伤占 57.3%。包括运动完全性 SCI 患者,该比例达到了样本的 71.9%。车辆碰撞是 TSCI 的主要原因(47.3%),其次是跌倒(21.5%)和袭击(16.1%)。
我们首次在阿根廷收集了有关 TSCI 的人口统计学、临床特征和病因的数据。TSCI 患者的主要人口统计学特征是年轻男性和完全性 SCI。我们发现,TSCI 的最重要原因是车辆碰撞。在这一目标人群中实施道路安全策略可能会降低 TSCI 的发生率。