Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea.
Spinal Cord Ser Cases. 2022 Apr 9;8(1):40. doi: 10.1038/s41394-022-00509-7.
Retrospective electronic medical record review combined with a telephone interview.
The purpose of this study was to describe the neurological and socio-professional outcomes of patients with diving injuries of the cervical spine.
A tertiary hospital and its affiliated rehabilitation hospital in South Korea.
Electronic medical records were reviewed for medical and neurological information. Telephone interviews were then conducted with questionnaire regarding specific circumstances at the time of injury and social status.
A total of 33 patients with spinal cord injury (SCI) due to diving accidents were analyzed, of which 27 responded to telephone interviews. Thirty-two (97%) participants were men and 27 (81.8%) were younger than 40 years at the time of injury. The American Spinal Injury Association grade A was the most common of all grades in 16 participants (48.5%), whereas C4 was the most common neurologic level of the injury (n = 13, 39.4%). SCI due to diving accidents most commonly occurred in swimming pools in holiday lodges (n = 12, 36.4%). Five out of 13 married couples with motor complete SCI were divorced or separated after injury. Eight persons resumed work or studies after the injury, with a mean return time of 33 (24.4) months.
SCI resulting from a diving accident not only causes severe functional impairment but can also result in changes in marital and employment status. This study may be used as a basic source of education and awareness to prevent further SCI due to diving accidents.
回顾性电子病历回顾结合电话访谈。
本研究旨在描述颈椎潜水损伤患者的神经和社会职业结局。
韩国的一家三级医院及其附属康复医院。
对电子病历进行了医疗和神经信息的回顾。然后，通过电话采访，用问卷对受伤时的具体情况和社会状况进行了询问。
共分析了 33 例因潜水事故导致脊髓损伤（SCI）的患者，其中 27 例接受了电话采访。32 名（97%）参与者为男性，27 名（81.8%）在受伤时年龄小于 40 岁。所有等级中最常见的是美国脊髓损伤协会 A 级，有 16 名参与者（48.5%），而损伤最常见的是 C4 神经水平（n=13，39.4%）。潜水事故导致的 SCI 最常见于度假小屋的游泳池（n=12，36.4%）。13 对已婚夫妇中，有 5 对因完全性运动 SCI 而离婚或分居。8 人在受伤后恢复工作或学习，平均返回时间为 33（24.4）个月。
潜水事故引起的 SCI 不仅会导致严重的功能障碍，还可能导致婚姻和就业状况的改变。本研究可作为预防进一步潜水事故导致 SCI 的基本教育和意识来源。
