Epidemiological study of traumatic spinal cord injuries: experience from a specialized spine center in Iran

Derakhshanrad, Nazi; Yekaninejad, Mir Saeed; Vosoughi, Fardis; Fazel, F; Saberi, Hooshang

doi:10.1038/sc.2016.10

Cited by 32 publications

(23 citation statements)

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“…In Iran, the prevalence of traumatic SCI in Tehran Province is estimated 2.36 per 10,000 population (11). A 34.6% prevalence for PU is estimated in SCI cases in Iran (11); in the current study, the rate was 21.8% (n = 58). This discrepancy may be due to selection of rehabilitated cases in the current study patients.…”

Section: Discussionmentioning

confidence: 43%

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Bacteriology and Antimicrobial Sensitivity of Isolated Bacteria from Pressure Ulcers After Spinal Cord Injury

et al. 2019

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Background: Infection is a common problem in chronically denuded skin, especially in pressure ulcers (PUs). It is one of the main reasons for delayed wound healing, in addition to morbidity and even mortality after spinal cord injury (SCI). Objectives:The current study aimed at determining the pathogenic microorganisms, as well as their antimicrobial sensitivity, isolated from active PUs in post-rehabilitated cases with SCI. Methods:The current cross sectional study was conducted from January 2015 to January 2016, on 55 outpatients with traumatic SCI and active stage II, III, and IV PUs in the Brain and Spinal Cord Injury Research Center (BASIR), Tehran, Iran. The largest PU in each case was rinsed with sterile saline and deeply sampled with sterile swabs. The cultures were bacteriologically identified and antibiogram was performed. Results:The current study population included 55 cases with a mean age of 32.7 ± 11.5 years, of which 87.3% were male. The sacral region was the most common site (n = 31; 56.4%) for PU, followed by trochanteric area (n = 9; 16.4%). The wound swab culture was positive in 51 patients (92.7%). Majority of the bacteria isolated from smaller lesions of stage II and III PUs was Escherichia coli (E. coli) (P = 0.027), while larger lesions with advanced stage were more commonly colonized with Staphylococcus epidermidis (P = 0.0378). Antimicrobial assessment of the isolated microorganisms revealed multidrug resistant E. coli and staphylococci as the prevailing organisms. Conclusions:Microorganisms invade PUs are multi-drug resistant, and their anti-microbial sensitivity patterns may be quite different from that of normal flora.

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Section: Discussionmentioning

confidence: 43%

“…Some cases are more prone to PU development due to more PU risk factors (9,10). In Iran, the prevalence of traumatic SCI in Tehran Province is estimated 2.36 per 10,000 population (11). A 34.6% prevalence for PU is estimated in SCI cases in Iran (11); in the current study, the rate was 21.8% (n = 58).…”

Section: Discussionmentioning

confidence: 44%

Bacteriology and Antimicrobial Sensitivity of Isolated Bacteria from Pressure Ulcers After Spinal Cord Injury

et al. 2019

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“…After title and abstract screening, five papers pertaining to the review topic have not been included in it. [3][4][5][6][7] Two of them were published in Persian.…”

Section: Dear Editormentioning

confidence: 99%

Comment on the paper "Epidemiology of worldwide spinal cord injury: a literature review"

Elshahidi¹

2018

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“…RTA was the main cause (48.8%) followed by falls (36.5%) while 67.8% of TSCI were paraplegic and 32.2% were tetraplegia [7]. Another study conducted in Iran between 2011 and 2015, focusing on the characteristics of injury stated that 53.5% of patients were complete and 46.5% incomplete and RTA was the primary reason (61%) followed by falls (24.5%) and the incident male to female ratio was (3.8:1) [8]. The incidence rate of TSCI in Jordan was reported at 18 incidences per million with male to female ratio of 5.8:1 with mean age recorded at 33 years old.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Spinal Cord Injury (TSCI) in King Fahd Medical City, An Epidemiological Study

Ss¹

2016

NNOAJ

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Introduction: Our study aims to estimate the characteristics & causes of TSCI at King Fahad Medical City (KFMC) in Riyadh city in order to hypothesize strategy for primary prevention of traumatic spinal cord injury. Method: Cross-sectional, Retrospective study was conducted on all TSCI patients who aged 14 and above and who were admitted in rehabilitation center of King Fahad Medical City from January 2012 to December 2015. Furthermore, a descriptive analysis was conducted while considering factors including age, gender, marital status, educational level and causes of injury and characteristics of injury. Results: Total of 216 patients were admitted during this period, mean age was 28.94, majority of patients were male (86.5%), 71.7% of total patients were high school level of education or less, 68% were single, RTA was the main cause with 90.7% and the main result of TSCI was complete paraplegia 37%. Furthermore, statistically we found that male are at a low risk of having incomplete paraplegia compared to female (p = 0.035, RRR=0.35). Conclusion: The rate of TSCI related to RTA has increased in Saudi Arabia in previous years. Despite the government's efforts to decrease RTA. It's clear that we need TSCI registry data developed on the basis of international data standards to have a clear idea about the exact etiology of TSCI in Saudi Arabia. These will assist in planning for primary prevention.

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Epidemiological study of traumatic spinal cord injuries: experience from a specialized spine center in Iran

Abstract: MVA was the most common cause for TSCI. The elderly subjects were less frequent among our patients than more developed countries. The high rate of unemployment and divorce in our cases deserves special consideration.

Cited by 32 publications

References 46 publications

Bacteriology and Antimicrobial Sensitivity of Isolated Bacteria from Pressure Ulcers After Spinal Cord Injury

Bacteriology and Antimicrobial Sensitivity of Isolated Bacteria from Pressure Ulcers After Spinal Cord Injury

Comment on the paper "Epidemiology of worldwide spinal cord injury: a literature review"

Traumatic Spinal Cord Injury (TSCI) in King Fahd Medical City, An Epidemiological Study

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Epidemiological study of traumatic spinal cord injuries: experience from a specialized spine center in Iran

Abstract: MVA was the most common cause for TSCI. The elderly subjects were less frequent among our patients than more developed countries. The high rate of unemployment and divorce in our cases deserves special consideration.

Cited by 32 publications

References 46 publications

Bacteriology and Antimicrobial Sensitivity of Isolated Bacteria from Pressure Ulcers After Spinal Cord Injury

Bacteriology and Antimicrobial Sensitivity of Isolated Bacteria from Pressure Ulcers After Spinal Cord Injury

Comment on the paper &quot;Epidemiology of worldwide spinal cord injury: a literature review&quot;

Traumatic Spinal Cord Injury (TSCI) in King Fahd Medical City, An Epidemiological Study

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Comment on the paper "Epidemiology of worldwide spinal cord injury: a literature review"