Cross-sectional and prospective data-collection in North Macedonia—methodological considerations

Kostovski, Emil; Jakimovska, Vesna Miloshevska; Lidal, Ingeborg Beate; Biering‐Sørensen, Fin

doi:10.1038/s41394-019-0204-x

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…We have also tried to locate them by driving to their residences. A recent study conducted in North Macedonia experienced similar challenges to follow-up and thus proposed an improvement of health information systems in settings in order to conduct defensible epidemiological research [18]. Second, no physical assessment of functioning and deficits was performed at 4 years of injury; this information is necessary to identify the extent to which other outcomes are met.…”

Section: Secondary Medical Conditions and Related Factorsmentioning

confidence: 99%

Mortality and secondary complications four years after traumatic spinal cord injury in Cape Town, South Africa

Madasa

Boggenpoel

Phillips

et al. 2020

Spinal Cord Ser Cases

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Study design A prospective, regional, population-based study.Objectives (1) Determine the mortality rate and factors associated with it 4 years after a TSCI and (2) The point prevalence of secondary medical complications of survivors at 4 years. Setting Communities of the Cape metropolitan area, South Africa. Methods All persons (n = 145) sustaining a TSCI from 15 September 2013 to 14 September 2014 were eligible for followup at 4 years. Participants were contacted after 4 years. The next of kin, via verbal autopsy, was used to establish cause of death. Those who were alive at 4 years were asked to indicate any secondary medical complications. Logistic regression techniques were used to identify independently associated risk indicators for death and development of secondary complications, respectively. Results Of the initial 145 persons, 87 were included and accounted for. Of these, 21 (24%) had died, 55 (63%) were alive and completed the survey, and 11 (13%) were classified as alive but did not submit the survey. The main cause of death reported was septicaemia (n = 7; 33%), followed by unknown natural causes (n = 7; 33%), then pressure injuries (n = 5; 24%). Out of the 55 persons alive, 89% had at least one medical complication at the time of enquiry, while more than 50% experienced 6 or more complications. The most common complications were pain (80%), muscle spasms (76%), sleeping problems (56%), and bladder dysfunction (44%). Conclusions Almost one-quarter of persons with TSCI have died 4 years after injury. Also, secondary complications were found to be highly prevalent at 4 years. This information could be used to develop secondary complications prevention programmes to reduce premature deaths.

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Section: Secondary Medical Conditions and Related Factorsmentioning

confidence: 99%

Mortality and secondary complications four years after traumatic spinal cord injury in Cape Town, South Africa

Madasa

Boggenpoel

Phillips

et al. 2020

Spinal Cord Ser Cases

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Community dwelling life- and health issues among persons living with chronic spinal cord injury in North Macedonia

et al. 2021

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Cross-sectional and prospective data-collection in North Macedonia—methodological considerations

Abstract: Study design Cross-sectional and prospective cohort-study. Objectives To describe methodological issues, experienced challenges related to data collection in North Macedonia and to discuss possible improvements of epidemiological data collection in future studies.

Cited by 2 publications

References 22 publications

Mortality and secondary complications four years after traumatic spinal cord injury in Cape Town, South Africa

Mortality and secondary complications four years after traumatic spinal cord injury in Cape Town, South Africa

Community dwelling life- and health issues among persons living with chronic spinal cord injury in North Macedonia

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