PATTERN OF TRAUMATIC SPINAL CORD INJURY AND ITS MANAGEMENT IN A RURAL HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 1
Abstract
BACKGROUND Understanding the current epidemiology of acute traumatic spinal cord injury is essential for public resource allocation and primary prevention. The spinal cord injured patient is congregated early in spinal unit where better facilities and dedicated expert care exists the outcome of treatment and rehabilitation can be improved. The objective of this study, therefore, is to know how traumatic spinal cord injury patients are being treated at rural area of India and to suggest step to improve the quality of care of the traumatic cord injury patients in rural population of the Indian setup. MATERIALS AND METHODS A total of 203 patients were retrospectively studied by analysing the data from hospital information system (computerised medical database) between January 2005 to October 2016 of all patients treated for spinal cord injury at Mahatma Gandhi Institute of Medical Sciences and Kasturba Hospital, Sevagram, a rural hospital of central India. Variables analysed include age, gender, length of hospitalisation, type and mechanism of injury, associated spinal fracture and neurologic deficit and treatment. RESULTS Total 203 cases were analysed. 172 (84.72%) of the spinal cord injury patients were male and the mean age was 45.5 years (range 9-82 years). 111 (54.67%) cases of the spinal cord injury patients occurred from fall from height. Average hospital stay was 37 days (range 1-73 days). 113 (55.66%) of the spinal cord injury patients were cervical, 44 (21.67%) were dorsal and 46 (22.66%) were lumbar region. 77 (37.93%) cases were surgically treated and 126 (62.06%) cases were managed conservatively. 4 (1.97%) cases were died during the hospitalised period. CONCLUSION A large proportion of injury was seen among the young age group predominantly as result of fall. Prevention program should expand their focus to include safety and avoidance of fall. Awareness on the part of general population, attendants of the patients, clinical and paraclinical team regarding spinal cord injury need to be addressed. For better outcome, we re-emphasise the need to establish and congregate these patients into spinal trauma centre.
Authors and Affiliations
Girish Balasaheb Mote, Chandrashekhar Martand Badole, Kiran Narayanrao Wandile, Kisan Rajaramji Patond
Keywords
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- EP ID EP210898
- DOI 10.18410/jebmh/2017/1
- Views 94
- Downloads 0
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