创伤性脊髓损伤患者收治于一家三级医疗中心的脊柱科。
Traumatic Spinal Cord Injury among Patients Admitted to the Spine Unit in a Tertiary Care Centre.
机构信息
Department of Orthopaedics, National Trauma Center, Mahankal, Kathmandu, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2023 Oct 1;61(266):765-768. doi: 10.31729/jnma.8292.
INTRODUCTION
Spinal cord injury usually results in disabling conditions. The incidence of spinal trauma is region-specific due to unique geography and demography. The epidemiology of spinal trauma changes with economic and social factors even in different periods. The aim of this study was to find out the prevalence of traumatic spinal cord injury among patients admitted to the Spine Unit in a tertiary care centre.
METHODS
A descriptive cross-sectional study was done in a tertiary care centre among patients admitted to the Spine Unit from 1 January 2022 to 31 December 2022 after receiving ethical approval from the Institutional Review Committee. Demographic details, mode of injury, level of injuries, neurological grading at the time of admission using American Spinal Injury Association grading, management methods, and complication if any were recorded. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
RESULTS
Out of 465 patients, the prevalence of traumatic spinal cord injury was 316 (67.95%) (63.72-72.20, 95% Confidence Interval). A total of 243 (76.89%) cases were due to falls. The mean age of patients was 43.13±16.55 years.
CONCLUSIONS
The prevalence of traumatic spinal cord injury patients was lower than the other studies done in similar settings.
KEYWORDS
falls; prevalence; spinal cord injuries.
简介
脊髓损伤通常导致残疾。由于地理位置和人口统计学的独特性，脊髓创伤的发生率因地区而异。即使在不同时期，脊髓创伤的流行病学也会因经济和社会因素而发生变化。本研究旨在调查三级护理中心脊柱科收治的患者中创伤性脊髓损伤的患病率。
方法
在获得机构审查委员会的伦理批准后，在三级护理中心对 2022 年 1 月 1 日至 2022 年 12 月 31 日期间入住脊柱科的患者进行了一项描述性横断面研究。记录了人口统计学细节、损伤方式、损伤水平、入院时使用美国脊髓损伤协会分级的神经学分级、管理方法以及任何并发症。采用便利抽样法。点估计值在 95%置信区间计算。
结果
在 465 名患者中，创伤性脊髓损伤的患病率为 316 例（67.95%）（63.72-72.20，95%置信区间）。共有 243 例（76.89%）病例是由跌倒引起的。患者的平均年龄为 43.13±16.55 岁。
结论
创伤性脊髓损伤患者的患病率低于类似环境下进行的其他研究。
关键词
跌倒；患病率；脊髓损伤。
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