%0 Journal Article %A Andalib, Sasan %A Mohtasham-Amiri, Zahra %A Yousefzadeh-Chabok, Shahrokh %A Saberi, Alia %A Kakovan, Maryam %A Kouchakinejad-Eramsadati, Leila %A Sayad-Fathi, Sara %A Shokatjalil, Hadiseh %A Ghorbani-Shirkouhi, Samaneh %T Evaluation of Pre-hospital Emergency Services, Non-Surgical Interventions, and Clinical Outcomes in Patients With Traumatic Spine %J Iranian Journal of Neurosurgery %V 5 %N 1 %U http://irjns.org/article-1-170-en.html %R 10.32598/irjns.5.1.31 %D 2019 %K Spine trauma, Spinal cord injury, Glasgow comma scale, Emergency medical services, %X Background and Aim: The aim of this study was to assess the pre-hospital emergency services, non-surgical interventions, and clinical outcomes in patients with traumatic spine referred to Poursina hospital in Guilan. Methods and Materials/Patients: Spine trauma registry of Poursina hospital of Rasht were used. Records of patients with traumatic spine were reviewed for pre-hospital emergency services, non-surgical interventions, and clinical outcomes during 2015 to 2019. Results: 197 patients with traumatic spine were reviewed. 80.2% of the patients were transferred by ambulance. Pre-hospital fixation was performed in 59.4% of the patients (n=117). Pre-hospital intubation was required in 1% of patients (n=2). 4.6% of the patients had Glasgow Comma Scale (GCS) <9; 3% of them (n=6) had 9< GCS<12; and 92.4% had GCS≥13. 11.7% of the patients experienced SCI. 6.1%, 1%, 3%, 0.5%, and 1% of the patients suffered from paraplegia, paraparesis, quadriplegia, quadriparesis, hemiparesis respectively. Surgery was performed in 89.8% of the patients. Traction was performed for 3.6% of the patients. Good recovery, moderate disabilities, severe disabilities, persistent vegetative state, and death were found in 85.8%, 2%, 5.1%, 1.5%, and 2.5% of the patients, respectively, according to Glasgow Outcome Scale. Conclusion: Most of the patients were transferred to the hospital by ambulance. Pre-hospital fixation was required in more than half of the patients. Most of the patients showed GCS≥13 and a good recovery outcome, according to GCS. %> http://irjns.org/article-1-170-en.pdf %P 31-36 %& 31 %! EMS, non-surgical interventions, and GOS in patients with traumatic spine %9 Research %L A-10-1-21 %+ Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran %G eng %@ 2423-6497 %[ 2019