Epidemiology Profile of Traumatic Spine Injury of a Spinal Cord Service in the State of Espírito Santo

Abstract

Objective To analyze the epidemiological profile of patients with traumatic spinal cord injury (SCI) undergoing surgical procedures in the state of Espírito Santo, Brazil. Methods A cross-sectional, descriptive study was performed based on the analysis of 70 medical records of patients who underwent surgery due to traumatic SCI in the state of Espírito Santo, Brazil. Results Males comprised 79% of the patients. The average age of the occurrence of the traumatic SCI was 44 years; automobile accidents were the main cause of trauma (44%). Half of the patients had lesions in the cervical region, and 46% were classified as Frankel A, according to the Frankel scale. In the first 60 days after surgery, the main complication presented by the patients was urinary tract infection (UTI). Half of the patients were from the metropolitan area. Conclusion Patients undergoing surgery for traumatic SCI in the state of Espírito Santo are predominantly men, with a mean age of 44 years, with cervical spine injury due to car accidents, from the metropolitan area, and whose main complication was UTI. ResumoObjetivo Analisar o perfil epidemiológico dos pacientes com traumatismo raquimedular (TRM) submetidos a procedimentos cirúrgicos no estado do Espírito Santo, Brasil. Métodos Foi realizado um estudo transversal e descritivo, baseado na análise de 70 prontuários de pacientes submetidos a procedimento cirúrgico em decorrência de TRM no estado do Espírito Santo, Brasil. Resultados Um total de 79% dos pacientes era do sexo masculino. A média de idade foi de 44 anos, sendo acidente automobilístico a causa principal de trauma (44%). Metade dos pacientes apresentou lesão em região cervical, e 46% foram classificados

Incidence and pattern of traumatic spine injury in a single level I trauma center of southern Iran

“…Thus, we can say that men more likely to suffer from spine injuries. 3 , 18 On the other hand, although the mean age of trauma patients with spine injury in Brazil, the United States, Germany, Japan, and Italy varied between 44 and 60 years 10 , 20 , 21 , 22 , 23 and estimated to be 40 years in the world, 3 in the present study the mean age of spine injury victims was 38 years. Therefore, since traumatic injuries are 1 of the main causes of disability, especially among young people, which has a great impact on the years of life with disability, 24 it is necessary to pay attention to preventive measures focusing on young men.…”

“… 3 And in 2017, motor vehicle accidents and falls were the most common causes of spine injury worldwide. 18 Other researchers in their studies in different countries showed that traffic accidents 10 , 20 , falls and road injuries 25 , falls and collisions of motor vehicles 26 , falls (57.1%) and transport accidents (19.9%) 27 , car accident (44.0%), 21 motor vehicle accident (29.3%), and fall (23.7%) 22 , 23 were cited as the most common cause of spine cord trauma. Car accidents and falls were major causes of traumatic spinal injuries, given the preventable nature, health planners and managers should review traumatic injury trends and identify at-risk groups to implement targeted prevention policies.…”

“…The majority of spine injury victims were men (78.7%), which is consistent with other studies. 10 , 19 , 20 , 21 Men, being the main custodian of family finances and income, often employ outdoors in dangerous jobs, and therefore, men are in the high risk of injury than women. Thus, we can say that men more likely to suffer from spine injuries.…”

“…However, in a number of studies, cervical spine injuries accounted for a higher percentage of injuries. 20 , 21 The elderly population strongly influences the epidemiology of cervical spine injury in high- and middle-income countries. But in LMICs, the epidemiology of cervical spine injury has been affected by trauma, as well as lacking of medical resources, general poverty, and poor patient care.…”

Main nursing diagnoses in a patient with traumatic injury of the spinal cord from the perspective of high complexity

“…In addition to physical, mental and social limitations, the injury is responsible for a considerable financial impact both for the victim and for the public or private healthcare system. To elucidate this impact, it is estimated in the United States a cumulative cost of 1.1 to 4.6 million dollars per patient, including costs for hospital expenses, treatment and lost productivity, considering that the most affected group is in an age group of high labor productivity (Roberts et al, 2017;Scopel et al, 2018;Silva et al, 2018).…”