:: Volume 1, Number 1 (6-2015) ::
Back to browse issues page IrJNS 2015, 1(1): 39-42
Incidence of Spinal Cord Injury in Traumatic Patients Admitted to a Trauma Referral Center in Guilan
Shahrokh Yousefzadeh-Chabok, Hamid Behzadnia, Leila Kouchakinejad-Eramsadati, Marieh Hosseinpour, Babak Alijani 1, Omid Taghinejadi
Abstract:   (326 Views)

Background & Aim: Patients with spinal cord injury (SCI) impose a heavy burden on health care system. Awareness on prevalence and incidence of SCI is important because this would show the necessity of prevention. This study aimed to investigate the epidemiology and types of traumatic spinal cord injuries in a trauma referral center in Guilan. Methods &

Materials/Patients: This is a descriptive study which was conducted on patients with spinal cord trauma using a questionnaire during one year. The questionnaire included demographic information, injured spinal cord area, mechanism of injury, and type of neural damage based on ASIA scale. The data were analyzed using SPSS18 and descriptive statistics.

Results: Out of 76 study patients, 68 (88.2%) were men with mean age of 35.2 ± 1.45 years. The most common cause of SCI was motor vehicle accidents (MVA) (48.7%). 34 patients (44.7%) had cervical spine injury and in 23 patients (30.3%), thoraco-lumbar injuries caused SCI. 29.7% of patients suffered from paraplegia and 10.8% quadriplegia. 25 patients (38.5%) had complete SCI. 7 patients with SCI (9.2%) died during hospitalization. In this study, increased age was identified as a risk factor for death. In 4 of these patients (57.1%) cervical SCI was the underlying cause of death.

Conclusion: Young men were the group at highest risk and the most mechanism leading to SCI was motor vehicle accidents. Many of these accidents are preventable; thus, more attention should be devoted to safety policies based on needs of the vulnerable groups. Besides, comprehensive education program with clear and practical goals should be developed.

Keywords: Epidemiology, Spinal injuries, Trauma
Full-Text [PDF 384 kb]   (210 Downloads)    
Type of Study: Research | Subject: Special
1. Lee BB, Cripps RA, Fitzharris M, et al. The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate. Spinal Cord. 2014 Feb;52(2):110-6.
2. Pickett GE, Campos Benitez M, Keller JL, et al. Epidemiology of traumatic spinal cord injury in Canada. Spine (Phila Pa 1976). 2006; 31(7):799-805.
3. Yang R, Guo L , Wang P, et al. Epidemiology of spinal cord injuries and risk factors for complete injuries in Guangdong, China: a retrospective study. PLoS One. 2014; 9(1):e84733.
4. McCammon JR, Ethans K. Spinal cord injury in Manitoba: a provincial epidemiological study. J Spinal Cord Med. 2011;34(1):6-10.
5. Feng HY, Ning GZ, Feng SQ, et al. Epidemiological profile of 239 traumatic spinal cord injury cases over a period of 12 years in Tianjin, China. J Spinal Cord Med. 2011;34(4):388-94.
6. Pérez K, Novoa AM, Santamariña-Rubio E, et al. Incidence trends of traumatic spinal cord injury and traumatic brain injury in Spain, 2000-2009. Accid Anal Prev. 2012; 46:37-44.
7. Ji Cheol Sh, Dae Hyun K, Su Jin Y, et al. Epidemiologic Change of Patients With Spinal Cord Injury. Ann Rehabil Med. 2013; 37(1): 50–56.
8. Rahimi-Movaghar V, Saadat S, R. Rasouli M, et al. Prevalence of Spinal Cord Injury in Tehran, Iran. The Journal of Spinal Cord Medicine. 2009; 32(4): 428- 431.
9. Furlan JC, Fehlings MG. Blood alcohol concentration as a determinant of outcomes after traumatic spinal cord injury. Eur J Neurol. 2013;20(7):1101-6.
10. Wyndaele M, Wyndaele JJ. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey?. Spinal Cord. 2006; 44(9):523-9.
11. Wyndaele M, Wyndaele JJ. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey?. Spinal Cord. 2006; 44(9):523-9.
12. Jackson AB, Dijkers M, Devivo MJ, et al. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil. 2004; 85(11):1740-8.
13. Dryden DM, Saunders LD, Rowe BH, et al. The epidemiology of traumatic spinal cord injury in Alberta, Canada. Can J Neurol Sci. 2003; 30(2):113-21.
14. Ning GZ, Wu Q, Li YL, et al. Epidemiology of traumatic spinal cord injury in Asia: a systematic review. J Spinal Cord Med. 2012; 35(4):229-39.
15. Saeedi-Broojeni H, Ghavimi L, Fakheri T, et al. Penetrating spinal injuries by sharp objects; report of 20 cases in Neurosurgery Ward of Taleghani Hospital. Forensic Medicine. 2003; 9(30): 61-64.
16. Taghippor M, Sherafat Kazemzadeh E. Traumatic Vertebral Column and Spinal Cord in Shiraz Nemazi Hospital, an Epidemiological Study. ARMAGHANE DANESH. 2005; 10(40): 55-62.
17. Erdoğan MÖ, Anlaş Demir S, Koşargelir M, et al. Local differences in the epidemiology of traumatic spinal injuries. Ulus Travma Acil Cerrahi Derg. 2013; 19(1):49-52.

PMCID: 25450658

Cited 0 times in PubMed Central

XML     Print

Back to browse issues page Volume 1, Number 1 (6-2015)