Baral Yadu Nath, Yadav Rajesh Kumar, Baral Sushila, Paudel Srijana, Yadav Yoveen, Gurung Subash, Ghimire Kathit Raj, Pokharel Jhapindra, Gurung Ashim
Department of Orthopaedics, Pokhara Academy of Medical Sciences, Western Regional Hospital, Gandaki province, Kaski, Nepal.
Department of Global Fund, Save The Children International, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 May 31;62(274):397-400. doi: 10.31729/jnma.8619.
Spinal cord injury is one of the common injury which causes damage to the spinal cord due to trauma, diseases or degenerations leading to disability and decreasing life expectancy. The study aims to find the characteristics of spinal cord injury presenting at a tertiary care centre.
A Descriptive hospital based cross-sectional study was conducted at Pokhara, Gandaki Province, from 28th March to 25th September, 2023. 139 participants were interviewed for the study. Structured interview schedule and validated questionnaires were used for data collection. Ethical approval was taken for the study (Reference number: 151/079).
A total of 139 cases were observed; most common affected age group was between 25-55 years with a mean age of 48.68 years. Most (66.9%) of the spinal cord injury patients were not enrolled in health insurance program. Most 107 (77.0%) common cause for spinal cord injury was falls from height. Age, gender, occupation and duration of stay in the hospital were statistically significant with mode of treatment.
Spinal cord injury mostly traumatic commonly due to fall from height affecting mainly male population residing in rural areas at their fourth decade of life who are mainly involve in manual work and agriculture. Spinal cord injury is a major health problem at global and local level causing major morbidity.
脊髓损伤是常见损伤之一，因创伤、疾病或退变导致脊髓受损，进而造成残疾并缩短预期寿命。本研究旨在探寻三级医疗中心脊髓损伤的特征。
2023年3月28日至9月25日，在甘达基省博克拉开展了一项基于医院的描述性横断面研究。139名参与者接受了访谈。采用结构化访谈提纲和经过验证的问卷进行数据收集。该研究获得了伦理批准（参考编号：151/079）。
共观察到139例病例；最常见的受影响年龄组为25至55岁，平均年龄为48.68岁。大多数（66.9%）脊髓损伤患者未参加医疗保险计划。脊髓损伤最常见的原因是高处坠落，共107例（77.0%）。年龄、性别、职业和住院时间在治疗方式上具有统计学意义。
脊髓损伤大多为创伤性，常见原因是高处坠落，主要影响农村地区40岁左右从事体力劳动和农业的男性人群。脊髓损伤在全球和地方层面都是一个重大的健康问题，会导致严重的发病率。
