A survey on the early management of spinal trauma in low and middle-income countries: From the scene of injury to the diagnostic phase (part II)

Demetriades, Andreas K.; Marchesini, Nicolò; Alves, Óscar L.; Rubiano, Andrés M.; Sala, Francesco

doi:10.1016/j.bas.2022.101185

Cited by 11 publications

(6 citation statements)

References 44 publications

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“…Notably, the severity of TSCI resulting from interpersonal violence often leads to a high percentage of ASIA grade A (complete paralysis). In low- to middle-income countries, poor outcomes are exacerbated by factors such as prolonged transport times for injured patients, limited access to intensive care units for treatment, and a high proportion of treatment costs [ 39 , 40 ]. Strikingly, 90% of these injuries in Colombia are attributed to gun violence.…”

Section: Discussionmentioning

confidence: 99%

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Yokota,

Sakai,

Kawano

et al. 2024

PLoS ONE

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Traumatic spinal cord injury (TSCI) causes an insult to the central nervous system, often resulting in devastating temporary or permanent neurological impairment and disability, which places a substantial financial burden on the health-care system. This study aimed to clarify the up-to-date epidemiology and demographics of patients with TSCI treated at the largest SCI center in Japan. Data on all patients admitted to the Spinal Injuries Center with TSCI between May 2005 and December 2021 were prospectively collected using a customized, locally designed SCI database named the Japan Single Center Study for Spinal Cord Injury Database (JSSCI-DB). A total of 1152 patients were identified from the database. The study period was divided into the four- or five-year periods of 2005–2009, 2010–2013, 2014–2017, and 2018–2021 to facilitate the observation of general trends over time. Our results revealed a statistically significant increasing trend in age at injury. Since 2014, the average age of injury has increased to exceed 60 years. The most frequent spinal level affected by the injury was high cervical (C1-C4: 45.8%), followed by low cervical (C5-C8: 26.4%). Incomplete tetraplegia was the most common cause or etiology category of TSCI, accounting for 48.4% of cases. As the number of injuries among the elderly has increased, the injury mechanisms have shifted from high-fall trauma and traffic accidents to falls on level surfaces and downstairs. Incomplete tetraplegia in the elderly due to upper cervical TSCI has also increased over time. The percentage of injured patients with an etiology linked to alcohol use ranged from 13.2% (2005–2008) to 19% (2014–2017). Given that Japan has one of the highest aging populations in the world, epidemiological studies in this country will be very helpful in determining health insurance and medical costs and deciding strategies for the prevention and treatment of TSCI in future aging populations worldwide.

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Section: Discussionmentioning

confidence: 99%

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Yokota,

Sakai,

Kawano

et al. 2024

PLoS ONE

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“…Although a hopeful step toward better management of spine trauma, there is a huge and growing need to address the global burden of spine trauma on society through greater collaboration between low-income, low-middle-income, and high-income countries, establishment of research and data networks, and provision of training through educational programmes and international conferences. [ 6 7 8 , 24 ]…”

Section: Discussionmentioning

confidence: 99%

“…Ultimately, spinal trauma has been widely recognized as a global health priority in the last decade owing to the huge physical, psychological, socioeconomic, and work-related burden; it places on patients, their families, health-care systems, and society. [ 5 6 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

Traumatic spinal cord and spinal column injuries: A bibliometric analysis of the 200 most cited articles

Mavrovounis,

Makris,

Demetriades

2023

Journal of Craniovertebral Junction and Spine

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Study Design: Bibliometric analysis. Objectives: This study aimed to highlight the 200 most influential articles related to traumatic spinal cord and spinal column injuries and provide an insight of past and current global trends in spinal trauma research. Methods: The Web of Science database was used to identify the top 200 most cited articles on the topic of traumatic spinal cord injury (SCI) and spinal column injuries between using a prespecified algorithm. The articles were manually reviewed; bibliometrics were collected on title, first and corresponding authors’ country, institution, journal, publication year, and citation data. Results: The search string yielded 30,551 articles during 1977–2019. The average time from the publication was 19.5 years. A total of 1356 authors contributed to 67 different journals, the top 200 most cited articles amassing a total of 88,115 citations and an average 440.6 citations. The United States of America (USA) contributed the most with 110 articles; the top institution was the University of Toronto with 34 publications. Most studies focused on basic science research on SCI. Keyword analysis revealed the most commonly used keywords: SCI, inflammation, apoptosis, incidence/prevalence, and regeneration; four word-clusters were identified. Institutions from the USA and Canada collaborated the most and two major and two minor institutional collaboration subnetworks were identified. Co-citation analysis detected three main clusters of authors. Conclusion: This overview of the most cited articles on traumatic spinal cord and spinal column injuries provides insight into the international spinal trauma community and the terrain in this field, potentially acting as a springboard for further collaboration development.

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“…This study aims to identify the major types of fall mechanisms and the-related TBI and SCI, victims' sociodemographic characteristics, trauma impact, and treatment in Ethiopia. Knowledge on the patterns of neurotrauma due to fall injuries will be helpful for resource allocation and designing guidelines tailored to the specific settings ( Marchesini et al, 2022 ; Demetriades et al, 2022 ). It particularly focuses on falls from construction sites and the use of protective measures to prevent such injuries thereby providing important data for the development of safety policies in Ethiopia and the sub-Saharan region at a larger scale.…”

Section: Introductionmentioning

confidence: 99%

Neurotrauma from fall accidents in Ethiopia

Laeke,

Tirsit,

Moen

et al. 2024

Brain and Spine

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A survey on the early management of spinal trauma in low and middle-income countries: From the scene of injury to the diagnostic phase (part II)

Cited by 11 publications

References 44 publications

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Changing trends in traumatic spinal cord injury in an aging society: Epidemiology of 1152 cases over 15 years from a single center in Japan

Traumatic spinal cord and spinal column injuries: A bibliometric analysis of the 200 most cited articles

Neurotrauma from fall accidents in Ethiopia

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