Demographic Profile of Spinal Cord Injury (SCI): A Hospital-based Prospective study in Bangladesh

Atma Razzak, R. Roy, Shamim Khan
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引用次数: 5

Abstract

Purpose: To provide an overview of demographic characteristics of spinal cord injury (SCI) in Bangladesh. Methods: The study was conducted between 1st January and 31st December 2012 at 5 hospitals:  Centre for the Rehabilitation of the Paralysed (CRP) in Savar, National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Bangabandhu Sheikh Mujib Medical University (BSMMU), Rangpur Medical College Hospital, and Chittagong Medical College Hospital. 600 SCI cases from these tertiary hospitals were enrolled, and data was collected from those who met the study criteria, using a structured questionnaire developed on the basis of SCI core data set. Data was processed and analysed by SPSS version 16. Results: The male/female ratio was 4.5:1. Mean age at injury was 34.53 years (16–83 years). The cause of SCI was falls for 34.8% and RTA for 25.5% of the clients. 83.5% of SCI was traumatic and 16.5% was non-traumatic in origin. Only 9.5% of the clients were directly admitted to tertiary hospitals while 90.5% had intermediate admission before that. One-third (33.2%) of the clients used ambulance for intra-hospital transfer. 70.5% of the injury resulted in paraplegia and 29.5% in tetraplegia. Thoraco-lumbar junction (T11-L2) was the region most commonly involved, accounting for 38.7% of all cases. Overall 58.7% SCI cases were found with complete injury (ASIA-A) and 41.3% with incomplete injury during admission. 20.8% of the clients were admitted with pressure ulcer. The study found 27.2% of cases were operated on. The in-hospital mortality rate was 3.3%. Limitation: The pre-hospital fatalities were not included in the study. During data collection, extent of SCI was found in only 507 cases instead of all 600 enrolled. Conclusions: This study could contribute to the establishment of an effective prevention programme and comprehensive SCI management in Bangladesh.
脊髓损伤(SCI)的人口统计特征:孟加拉国一项基于医院的前瞻性研究
目的:概述孟加拉国脊髓损伤(SCI)的人口统计学特征。方法:该研究于2012年1月1日至12月31日在5家医院进行:萨瓦尔的瘫痪康复中心(CRP)、国家创伤与骨科康复研究所(NITOR)、Bangabandhu Sheikh Mujib医科大学(BSMMU)、Rangpur医学院医院和吉大港医学院医院。从这些三级医院收集了600例脊髓损伤病例,并收集了符合研究标准的患者的数据。采用基于SCI核心数据集的结构化问卷。数据采用SPSS 16进行处理和分析。结果:男女比例为4.5:1。平均受伤年龄为34.53岁(16 ~ 83岁)。导致SCI的原因分别是下跌(34.8%)和RTA(25.5%)。83.5%的脊髓损伤为外伤性,16.5%为非外伤性。在三级医院直接住院的患者仅占9.5%,在三级医院之前住院的患者占90.5%。三分之一(33.2%)的病人使用救护车进行院内转院。70.5%的损伤导致截瘫,29.5%的损伤导致四肢瘫痪。胸腰椎交界区(T11-L2)是最常受累的区域,占所有病例的38.7%。总体而言,58.7%的SCI患者在入院时出现完全损伤(ASIA-A), 41.3%的患者出现不完全损伤。20.8%的患者以压疮入院。研究发现,27.2%的病例接受了手术。住院死亡率为3.3%。局限性:院前死亡未包括在研究中。在数据收集过程中,仅507例发现SCI程度,而不是全部600例。结论:本研究有助于孟加拉国建立有效的脊髓损伤预防方案和全面的脊髓损伤管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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