Epidemiology of traumatic spinal cord injury in Nepal: A systematic review

Parajuli, Bikash; Acharya, Khagendra; Shrestha, D

doi:10.3126/ajms.v11i6.30151

Cited by 7 publications

(2 citation statements)

References 38 publications

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“…respectively. The median injury to surgery interval was 8 days (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16), and the median admission to surgery interval was 3.4 days (IQR: 2-7).…”

Section: Resultsmentioning

confidence: 99%

Traumatic Cervical spine injury epidemiology: a tertiary care center perspective in Nepal

Parajuli,

Sharma,

Kayastha

et al. 2023

IJPHAP

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Background: The epidemiology of traumatic cervical spine injury is not well documented in developing/ underdeveloped countries. There are a few single-centered studies on the epidemiology of cervical spine injury in Nepal. Objectives: This study aimed to explore the epidemiology of traumatic cervical spine injuries presented at Dhulikhel Hospital, Kathmandu University Hospital, Nepal. Methods: This was a retrospective study of individuals with traumatic cervical spine injuries admitted to the Department of Orthopedics from 2015 January to 2021 December. Data collection was done by using the International Spinal Cord Injury core data set (version 2) and International Spinal Cord Injury Spinal Column Injury Basic Data Set (version 1.0). Results: One hundred and forty-four patients were included of which the majority (68.8%) were males. The mean age of the patients was 47.89 ± 17 years. Fall injury was the most common etiology (79.2%). C2 was the most common level injured (28.5%). Patients with ASIA A neurology was 18% and surgical treatment was given to nearly 60%. The patients had a median hospital stay of 9 days (4- 16) and a mortality of 4.2%. Conclusion: There was a male predominance with a recent increase in the female proportion for traumatic cervical spine injury. Fall was the most common etiology with the majority of patients in their 30s and 40s. Surgical treatment is more preferred recently. The mortality rate was relatively low which needs further investigation.

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“…respectively. The median injury to surgery interval was 8 days (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16), and the median admission to surgery interval was 3.4 days (IQR: 2-7).…”

Section: Resultsmentioning

confidence: 99%

Traumatic Cervical spine injury epidemiology: a tertiary care center perspective in Nepal

Parajuli,

Sharma,

Kayastha

et al. 2023

IJPHAP

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“…In a study by Starr et al., 43-57% of patients with orthopedic injuries due to falls and road tra c injuries (RTIs) met the criteria for PTSD 1 year after injury [11]. According to a recent study in Nepal, the two major etiologies of spinal cord injury are fall from height (60%) and RTIs (17%), predominantly common in the age between 32 to 47 years, which highlights the possibility of high prevalence of PTSD among individuals with TSCI [12].…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic stress disorder among individuals with traumatic spinal cord injury in Nepal: a cross-sectional study

Parajuli

Acharya

Groves

et al. 2023

Spinal Cord Ser Cases

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Burden of care among primary caregivers’ of spinal cord injury patients attending a tertiary care center in Eastern Nepal

Sinha

Parajuli

et al. 2022

Discov Soc Sci Health

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Background Nepal is a resource-constrained country where primary caregivers of spinal cord injury (SCI) patients face increasing physical, social, emotional, and economic burdens. This study aimed to assess the level of primary caregiver burden and the association between caregiver burden and sociodemographic factors of SCI patients and their caregivers. Methods The burden of caregivers was evaluated in 71 primary caregivers through face-to-face interviews using the Zarit Burden Interview Scale (ZBI-22). Based on the total ZBI-22 score, caregiver burden was classified as little or no, mild to moderate, moderate to severe, and severe. Results The mean caregiver burden score was 46.28 ± 12.05. Moderate to severe burden was more common (63.4%), followed by severe (18.3%), mild to moderate (11.3%), and little or no burden (7.0%). Caregivers were more worried about “what the future holds for patients (3.07 ± 1.22) and what should do more for patients (3.04 ± 1.01)”. Several sociodemographic factors, such as marital status (P = 0.009), activities of daily living (P = 0.038), monthly family income (P = 0.023), and time spent caring for patients (P = 0.028), were statistically significantly associated with the burden on primary caregivers. Conclusions Our results showed that primary caregivers experienced a high burden of care, primarily related to fear and uncertainty about the patient’s future, patient’s dependency, caregiver exhaustion and finances. Several sociodemographic factors of patients and their caregivers were associated with the burden of the primary caregivers.

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Epidemiology of traumatic spinal cord injury in Nepal: A systematic review

Cited by 7 publications

References 38 publications

Traumatic Cervical spine injury epidemiology: a tertiary care center perspective in Nepal

Traumatic Cervical spine injury epidemiology: a tertiary care center perspective in Nepal

Post-traumatic stress disorder among individuals with traumatic spinal cord injury in Nepal: a cross-sectional study

Burden of care among primary caregivers’ of spinal cord injury patients attending a tertiary care center in Eastern Nepal

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