Epidemiology, trend and in-hospital outcome of traumatic spinal injuries due to road traffic accidents

Abstract

Objectives: This study aimed to provide information on the epidemiology, trend, associated traumatic spinal cord injury (TSCI) and non-spinal injuries, and risk factors affecting the in-hospital outcome of RTA-related traumatic spinal injury (TSI) over the past decade in Aseer province, Saudi Arabia.
 Methods: In this retrospective study, we included all RTA-related traumatic injuries (5797) admitted to ACH from 1st January 2010 to 31 December 2019, from which 810 cases were TSIs. The cases were identified through the hospital database registry.. Descriptive analysis was performed for gender, age, level of spinal injury, admission day, type of care unit, associated injuries, presence of TSCI and discharge category.
 Results: TSIs accounted for 13.97% of RTA-related injuries with a predominantly male population. The patients had a mean age of 30.7 years, 46.67 % of victims were between 19 to 30-years old. There was a significant decrease in the number of RTA-related TSIs over the study period. Lumbar and cervical injuries were more prevalent (32.47 and 31.36 %, respectively). Most (73.58 %) TSIs occurred during working days, and 6.54% required critical care admission. Associated non-spinal injuries occurred in 50.25% and TSCI in 6.91% of patients. The in-hospital mortality was 5.18%. The Age, level of spine injury, need for critical care, associated injuries, and TSCI significantly affected the likelihood of improvement.
 Conclusion: The latest government initiatives to reduce RTA like speed limits and waring of seat belts have resulted in a concordant decline in TSI incidence with good consistency between police and health registration data
 doi: https://doi.org/10.12669/pjms.38.3.5288
 How to cite this:Algahtany MA. Epidemiology, trend and in-hospital outcome of traumatic spinal injuries due to road traffic accidents. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5288
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The efficacy of intrathecal methyl-prednisolone for acute spinal cord injury: A pilot study

“…Exclusion criteria: Ref. [ 1 ] non-thoracolumbar cause of SCI [ 2 ] penetrating cord injuries [ 3 ] any condition which would not allow intervention in the first 8 h [ 4 ] previous spinal deformity [ 5 ] previously disabled patients [ 6 ] hemodynamically unstable [ 7 ] unconsciousness [ 8 ] any absolute or relative contraindication for Lumbar puncture [ 9 ] the use of high dose steroids within the last month before injury [ 10 ] serious medical condition which drug administration safety is unclear [ 11 ] patients with diabetes mellitus [ 12 ] Pregnant and breastfeeding patients [ 13 ] any systemic immunodeficiency or known infection [ 14 ] any relative or absolute contraindication for high-dose intravenous steroid [ 15 ] any condition which would interfere with consenting [ 16 ] patients with normal sensory and motor function.…”

“…It mostly impacts the younger age population because of its most common cause [ 2 ] (which is vehicle collision.). Hence, it carries a tremendous socioeconomic and individual burden worldwide [ [3] , [4] , [5] ]. The injury consists of two types of injury: the primary and the secondary.…”

Prevalence and Determinants of Road Traffic Accidents in Saudi Arabia: A Systematic Review

“…Socio-demographic characteristics of participants: The socio-demographic information of participants from nine distinct studies is included in Table 1, which summarises the large number of cases from references [20][21][22][23][24][25][26][27][28]. These studies' geographic scope is constrained because they were all selected within Saudi Arabia's regions, like the Aseer region [22], Al Kharj [23], Riyadh [24,26], Tabuk [25], Eastern Province [27], and Ha'il [28]. The research methodology of the reviewed studies [23,[25][26][27] used a cross-sectional design; one study [20] was Analysis of national data, and the others [21,22,24,28] were retrospective studies.…”

“…These studies' geographic scope is constrained because they were all selected within Saudi Arabia's regions, like the Aseer region [22], Al Kharj [23], Riyadh [24,26], Tabuk [25], Eastern Province [27], and Ha'il [28]. The research methodology of the reviewed studies [23,[25][26][27] used a cross-sectional design; one study [20] was Analysis of national data, and the others [21,22,24,28] were retrospective studies.…”

The efficacy of Intrathecal Methyl-Prednisolone for acute Spinal cord injury: a prospective double-blinded randomized clinical trial

“…(2) (which is vehicle collision.) Hence, it carries a tremendous socioeconomic and individual burden worldwide (3)(4)(5). The injury consists of two types of injury: the primary and the secondary.…”