Patterns and medical complications among the patients with spinal cord injury admitted in a specialized public hospital
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Spinal cord injury, Patterns, Complications, Specialized hospital
Abstract
Background: Spinal cord injury (SCI) is one of the most devastating of all traumatic accidents. It often leads to the loss of some or all of the sensation & movement of an individual, making patients prone to complications in both the short and the long term.
Aim: To determine the patterns and medical complications among the patients with spinal cord injury.
Methods: A hospital based cross sectional study was conducted at the Para-ward of National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka. Data was collected by a semi-structure administered questionnaire with face to face interview & from individual’s medical records. Data was analyzed by SPSS (Version 20).
Results: 40 SCI patients comprising 38 male and 2 female took part in this study. The maximum age range was between16 to 35 years where most of the participants were workers. Results indicated a significantly higher prevalence of incomplete cord injury. Most of the patients with SCI suffered from lumbar level. Both lower limb paralysis (Paraplegia) was reported by the maximum. However, there were significant relationships between types of injury with age, sex, & occupation (p<0.05).
Conclusion: Incomplete cord injury was therefore prevalently high in patients admitted to Para-ward & most of them suffered from incontinence of the bowel and bladder. Proper knowledge and education on SCI might help to prevent the prevalence of SCI and reduce the complications.
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References
Sezer N, Akkuş S, Uğurlu FG. Chronic complications of spinal cord injury. World J Orthop. 2015 Jan 18; 6(1):24-33. doi:10.5312/wjo.v6.i1.24. [PubMed]
Nas K, Yazmalar L, Şah V, Aydın A, Öneş K. Rehabilitation of spinal cord injuries. World J Orthop. 2015 Jan 18; 6(1):8-16. Doi: 10.5312/wjo.v6.i1.8. [PubMed]
Claydon VE, Steeves JD, Krassioukov A. Orthostatic hypotension following spinal cord injury: understanding clinical pathophysiology. Spinal Cord. 2006 Jun; 44(6):341-51. DOI:10.1038/sj.sc.3101855 [PubMed]
Rintala DH, Holmes SA, Fiess RN, Courtade D, Loubser PG. Prevalence and characteristics of chronic pain in veterans with spinal cord injury. J Rehabil Res Dev. 2005 Sep-Oct; 42(5):573-84. [PubMed] [PMID:16586183]
Yarkony GM, Bass LM, Keenan V 3rd, Meyer PR Jr. Contractures complicating spinal cord injury: incidence and comparison between spinal cord centre and general hospital acute care. Paraplegia. 1985 Oct; 23(5):265-71. DOI: 10.1038/sc.1985.43. [PubMed]
Rintala DH, Holmes SA, Fiess RN, Courtade D, Loubser PG. Prevalence and characteristics of chronic pain in veterans with spinal cord injury. J Rehabil Res Dev. 2005 Sep-Oct; 42(5):573-84. [PubMed] [PMID:16586183]
Hagen EM. Acute complications of spinal cord injuries. World J Orthop. 2015 Jan 18; 6(1):17-23. Available from URL: doi: 10.5312/wjo.v6.i1.17. [PMC]
Linsenmeyer TA, Boder DR, Creasey GH, Green BG, Groah SL, Joseph A et al. Bladder management for adults with spinal cord injury: A clinical practice guideline for health care providers. J Spinal Cord Med (2006); 29: 527-73. [PubMed] [ PMID:17274492]
Singh A, Tetreault L, Kalsi-Ryan S, Nouri A, Febling MG. Gloval Prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol. 2014; 6: 309-31. Doi: 10.2147/CLEP.S68889. [PubMed]
Hasina JA, Vander–Woude LH, Stam HJ, Bergen MP, Sluis TA, Post MW, et al. Complication following spinal cord injury: occurance and risk factors in a longitudinal study during and after inpatient rehabilitation. J Rehab Med Rehabil. 2007; 39: 393-8. DOI:10.2340/16501977-0067 [PubMed]
Wyndaele JJ. Complications of intermittent catheterization: their prevention and treatment. Spinal Cord. 2002; 40: 536-41. DOI:10.1038/sj.sc.3101348 [PubMed]