International Spinal Cord Society (ISCoS) database: Asian Spinal Cord Network (ASCoN) Pilot Project [IDAPP]

Chhabra, Harvinder Singh; Sachdeva, G.; Kovindha, Apichana; Hossain, Mohammad Sohrab; Hasnan, Nazirah; Thapa, E.; Rajasekaran, Shanmuganathan; Yusniza, M. Y.; Shah, S. Sybil; Pinto, Neethi; Groves, Christine C.; Kammuang-Lue, Pratchayapon; Helal, Sayeed Uddin; Fauzi, Aishah Ahmad; Aiyer, Siddharth N.; Kasah, N. B. Ahmad; Niroshanie, R. A. C.

doi:10.1038/s41394-018-0076-5

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…14,16e18 Lack of proper prehospitalization care, initial management by quacks, late presentation and poor transportation of injured patients to tertiary care hospitals, as prevalent in the region all account for high rates for complete injuries as reported in the IDAPP study also. 2 Cervical spine injuries were most commonly observed to translate to complete neurological deficit. However, our results were different from Mathur et al 14 and Agarwal et al 18 who reported Lumbar and Thoracolumbar injuries respectively to be the most common level for complete traumatic SCI.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal Cord Injury (SCI) is associated with permanent disability and decreased life expectancy especially in low and middle-income countries. 1,2 The etiology of spine trauma varies with country and the results of the epidemiological study from developed countries do not apply to developing countries. 3,4 Worldwide, the incidence of spine trauma lies between 10.4 and 83 million inhabitants per year.…”

Section: Introductionmentioning

confidence: 99%

“…5 Worldwide, the most common mechanism of spine trauma is Road traffic accidents but in India, fall from height is the most common mechanism of spine trauma. 2,6 Epidemiological studies are of great importance in understanding the underlying etiology, social, cultural environmental factors, regional differences in the incidence and prevalence of a particular disease or trauma, and its resulting socioeconomic impact. 7,8 Data describing the distribution and determinants of injury are vital for the development of strategies to mitigate its effects.…”

Section: Introductionmentioning

confidence: 99%

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Pattern of spine fracture in Sub-Himalayan region: A prospective study

Mittal

Rana

Ahuja

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: Though spine trauma contributes to great functional, psychological, and economic loss, research regarding the demographic profile of patients according to different regions of our country are lacking.This study aims to identify the demographic pattern and clinical profile of patients with spinal fracture in the Sub-Himalayan region. Method: Patients with acute or subacute spine trauma presenting within 8weeks and involving fracture of cervical, dorsal, or lumbar vertebra, from July 2017 to December 2019 were included prospectively. Patients with osteoporotic or metastatic collapse, isolated transverse or spinous process fracture, penetrating trauma or ballistic injuries were excluded. Results: Out of 280 enrolled patients, 180 were males and 100 were females. The maximum number of spine trauma patients was in 16e30 years age group. The most common mechanism of injury was fall from height (FFH, 42.5%)> road traffic accident (RTA, 38.6%). RTA was more common among males and FFH among females (p < 0.0001). Most common location of injury was at thoracolumbar junction (D10-L2) (37.5%) followed by cervical spine (25.3%). 58.2% of patients had AO type A facture morphology followed by AO types C (36.1%) and AO type B (5.7%). Spinal Cord Injury (SCI) was seen in 82.1% spine trauma patients with statistically significant association with male gender (p-0.045). Complete paralysis was seen maximum in patients with cervical spine injury (67.3%, p < 0.0001). Complete neurological deficit (ASIA grade A) was seen maximum in AO type C fracture morphology (74.25%, p < 0.001) followed by AO type A4 (29.6%). Seasonal distribution showed increased incidence during summer and monsoon season. Conclusion: Young aged males in age group of 16e30 yrs were most commonly affected with fall from height as the most common mechanism of trauma. Association was found between gender and mechanism of injury (RTA in males and FFH in females). Most common vertebral injury level was thoracolumbar junction. AO type A was the most common fracture morphology. SCI seen in 82.1% of spine trauma. Statistically significant association was found between Complete SCI with Location of Injury (Cervical) and Fracture morphology (AO type C).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pattern of spine fracture in Sub-Himalayan region: A prospective study

Mittal

Rana

Ahuja

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…14 Data were recorded using a collection form provided by ISCoS as part of their pilot study within the Asian Spinal Cord Network (ASCoN) known as ISCoS Database ASCON Pilot Project (IDAPP). 15 The form was read out to patients and filled out by a healthcare professional using information provided by the patient and information from the patient’s clinical records. This study analysed a one-year cohort (September 2015–August 2016) extracted from the dataset.…”

Section: Methodsmentioning

confidence: 99%

The demographics and traumatic causes of spinal cord injury in Nepal: An observational study

Willott

Dhakal²,

Groves

et al. 2020

Trauma

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Introduction There has been little systematic study of the epidemiology of traumatic spinal cord injury (TSCI) in Nepal, South-East Asia, and low- and middle-income countries (LMICs) in general. One third of the global morbidity and mortality due to injuries is concentrated in South-East Asia. We need to better understand the circumstances leading to TSCI if we are to make progress with prevention. Method The Spinal Injury Rehabilitation Centre (SIRC) in Nepal systemically collected prospective data describing people with TSCI admitted between September 2015 and August 2016. Descriptive analyses of variables yielded demographic, aetiological and clinical descriptors of this cohort. Cross-tabulations were used to explore the associations between variables. Results Of 184 admissions over one year, males were admitted to SIRC almost 2.3 times more often than females. Young adults (21–30 years) were the largest age group (34%). The majority of TSCI resulted in paraplegia (67%) and was complete in nearly half (49%). Falls caused the majority of TSCI (69%), and falls from trees were the most common. Road traffic injuries (RTIs) were the second leading cause (29%); the majority involved two- or three-wheeled motorised vehicles and patients were most commonly driving. Conclusion Falls were the leading cause of TSCI across both genders and all age groups, followed by RTIs, which occurred most often in young adults and men. Injury surveillance and further research would provide a greater understanding of the pattern of TSCI and enable progress in TSCI prevention and rehabilitation.

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“…In Bangladesh, spinal cord injuries (SCI) are commonly due to work-related accidents in young manual labourers [1][2][3][4][5], often with low socioeconomic backgrounds [6][7][8]. A similar pattern is seen across other low-and middleincome countries (LMIC) [9][10][11][12]. SCI causes hardship for those who are injured and often also for the families who are financially dependent on them [3,[13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Loss of work-related income impoverishes people with SCI and their families in Bangladesh

et al. 2019

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Study design Cross-sectional study. Objectives To determine the degree of impoverishment of people with spinal cord injury (SCI) and their families in Bangladesh caused by loss of work-related income following injury. Setting Spinal cord injury centre, Bangladesh. Methods A total of 410 wheelchair-dependent people with recent SCI about to be discharged from a hospital in Bangladesh were interviewed to determine the size of their families, their incomes from paid work prior to injury and the incomes of their family members. These data were used to calculate income per family unit and per family member prior to and immediately after injury. Results Ninety percent of the participants were men, 98% were from rural areas of Bangladesh and 58% were manual labours prior to injury. Median (interquartile range, IQR) family size was 5 (4-6) people. Prior to injury, 74% of participants were the main income earners for their families and 50% provided the only source of income for their families. Participants' median (IQR) monthly income prior to injury was US$106

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International Spinal Cord Society (ISCoS) database: Asian Spinal Cord Network (ASCoN) Pilot Project [IDAPP]

Abstract: The study confirms that establishing the SCI database is possible using the variables, processes and web platform of the pilot study. It also provides a low cost solution. Expansion to other centers/regions and including non-traumatic SCI would be the next step forward.

Cited by 9 publications

References 14 publications

Pattern of spine fracture in Sub-Himalayan region: A prospective study

Pattern of spine fracture in Sub-Himalayan region: A prospective study

The demographics and traumatic causes of spinal cord injury in Nepal: An observational study

Loss of work-related income impoverishes people with SCI and their families in Bangladesh

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