Rijal Badri, Adhikari Min Chandra, Bhusal Suzit, Shrestha Reshika, Chaudhary Ashlesha, Pandey Dipendra, Phuyal Mandish Prasad, Prasai Akanshya, Chaudhar Aashutosh
Department of Orthopedics, National Trauma Center, Mahankal, Kathmandu, Nepal.
Department of Medicine, National Trauma Center, Mahankal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Nov;62(279):757-760. doi: 10.31729/jnma.8809. Epub 2024 Nov 30.
Spinal cord injuries result in severe neurological impairments and disabilities. With an estimated 15.4 million cases globally in 2021, spinal cord injuries are more common in low- and middle-income countries, yet research in these areas is limited. This study aimed to find the pattern of spinal injuries and outcomes associated with spine injuries over a five-year duration at a tertiary trauma care center.
This observational cross-section study was conducted at the National Trauma Center, Kathmandu from 2075 to 2080 B.S. with ethical clearance from the Nepal Health Research Council (Reference number: 968). Total-population sampling was used. A structured proforma was employed as the primary data collection tool. Data was analyzed using SPSS.
Of the 20843 patients, 2070 (9.93%) had spinal injuries. The median age was 43 (IQR 32-56) years, with 1391 (67.20%) male patients. The median hospital stay was 12 (IQR 7-20) days. Falls accounted for 1221 (58.99%) cases, and road traffic accidents for 195 (9.42%). Spinal fractures were present in 1076 (51.98%) patients with 456 (42.38%) in lumbar vertebra. There were 225 (10.87%) cases of subluxation with 214 (95.11%) in cervical level.
The study provides insights into the patterns and outcomes of spinal injuries over five years of time. The mortality rate and cases of patients leaving against medical advice highlight areas for improvement in patient care and follow-up.
脊髓损伤会导致严重的神经功能障碍和残疾。2021年全球估计有1540万例脊髓损伤病例，在低收入和中等收入国家更为常见，但这些地区的研究有限。本研究旨在找出一家三级创伤护理中心在五年期间脊髓损伤的模式以及与脊柱损伤相关的结果。
本观察性横断面研究于尼泊尔加德满都国家创伤中心在2075年至2080年进行，获得了尼泊尔卫生研究委员会的伦理批准（参考编号：968）。采用总体抽样。使用结构化表格作为主要数据收集工具。数据使用SPSS进行分析。
在20843例患者中，2070例（9.93%）有脊髓损伤。中位年龄为43岁（四分位间距32 - 56岁），男性患者1391例（67.20%）。中位住院时间为12天（四分位间距7 - 20天）。跌倒占1221例（58.99%），道路交通事故占195例（9.42%）。1076例（51.98%）患者存在脊柱骨折，其中456例（42.38%）在腰椎。有225例（10.87%）半脱位病例，其中214例（95.11%）在颈椎水平。
该研究提供了五年期间脊髓损伤模式和结果的相关见解。死亡率和自动出院病例凸显了患者护理和随访方面有待改进的领域。
