Traumatic Spine Injury: Which Discrepancy Between the Research Output and the Actual Burden of the Disease?

Tropeano, Maria Pia; Spaggiari, Riccardo; Ileyassoff, Hernán; Mabunda, Delisile J.D.; Anania, Carla Daniela; Costa, Francesco; Fornari, Maurizio; Sharif, Salman; Zılelı, Mehmet; Park, Kee B.; Servadei, Franco

doi:10.1016/j.wneu.2020.06.131

Cited by 9 publications

(7 citation statements)

References 37 publications

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“…Traumatic spinal cord injury (TSCI) is increasing yearly worldwide [1] , particularly in the developing countries; the annual incidence rate in China is 23.7-60.6/million [2] . TSCI, which causes functional impairment in patients [3] , also affects these patients' families, resulting in a considerable economic societal burden [1] . The epidemiology of TSCI varies in different countries and regions.…”

Section: Introductionmentioning

confidence: 99%

“…The epidemiology of TSCI varies in different countries and regions. Currently, there is a substantial gap in epidemiological research on TSCI in countries with high TSCI burdens and in developed countries [1] . Conducting epidemiological analysis of TSCI helps to develop targeted prevention and professional emergency rst aid for high-risk groups, and provides reference for care and treatment strategies for patients with TSCI.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological Analysis of 459 Patients Hospitalized With Traumatic Spinal Cord Injury in Suzhou City, China

Niu

WeiXing

Zhang

et al. 2021

Preprint

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Study design Retrospective study.Objective: To analyze the epidemiological characteristics of patients hospitalized with traumatic spinal cord injury (TSCI). Setting: The First Affiliated Hospital of Soochow UniversityMethods: This retrospective epidemiological study included 459 patients hospitalized with TSCI. Results: Mean age in this patient cohort was 50.7 ± 14.2 years, and 50–59 year olds were the most vulnerable age group (27.0%). Main cause of injury was fall from height in the 10-49 year-old group, traffic accident in the 50-79 year-old group, and low fall in ≥80 year-old group. Traffic accident accounted for the largest proportion of injuries (37.0%). The male-to-female ratio was 3.1:1, with more males than females accounting for all causes of injury. The difference in proportion of males to females was the greatest for fall from height and lowest for low fall. The anatomical site most vulnerable to fracture was the cervical segment (68.2%). Thoracolumbar segment (15.0%) was the anatomical site most frequently injured in fall from height, and the cervical segment was the most commonly injured site for all the remaining causes of injury. Most patients were classified with Grade D injuries using the American Spinal Injury Association (ASIA) Impairment scale. The most common complication of injuries was urinary tract infection (48.3%). Patients with bedsores had the longest hospital stay, with an average of 105 days. Patients with complications had significantly longer hospital stays than those without complications. Patients with multiple complications had longer hospital stays than those with a single complication. Patients receiving surgery accounted for 82.4%, and those receiving conservative treatment accounted for 17.6%, of our patient population. Average length of hospital stay for all patients was 51.1 ± 79.3 days. Patients that received surgery, those with ASIA Grade A, and those with injured thoracolumbar segment had prolonged hospital stays.Conclusion: Patients with TSCI were generally of advanced age. Traffic accident was the main cause of TSCI, but causes of TSCI were different in different age groups. Elderly patients showed a high rate of low fall. The majority of TSCI occurred in male patients, and males and females had different causes of TSCI. Neck injuries were relatively common. Injury sites varied according to the different causes of injury. The prolonged hospital stays of patients with TSCI were related to numerous factors. Our study highlights the need to focus on the prevention and treatment of various complications, and selection of appropriate treatment, in patients with TSCI. TSCI should be comprehensively prevented according to its epidemiological characteristics.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Epidemiological Analysis of 459 Patients Hospitalized With Traumatic Spinal Cord Injury in Suzhou City, China

Niu

WeiXing

Zhang

et al. 2021

Preprint

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“…Although in developed countries the main cause of the trauma is tumbling, in developing countries, car accidents prevail as the main cause of trauma. [8][9][10] Taking into account the burden of neurological diseases, in the main part of neurotrauma and cerebrovascular disease in Latin America, it is necessary to develop and apply technological tools that help to reduce morbidity rates, mortality, and disability, as well as health costs. Robotic neurosurgery is an innovative field that has been shown to meet diagnostic and therapeutic needs in developed countries, generating excellent postoperative results, ease in the rehabilitation process, and reduction in hospital stay time.…”

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confidence: 99%

“…9 In regions such as Africa, Latin America, and Southeast Asia, there is insufficient evidence to calculate these estimates. 10 However, it is in these regions that the incidence of neurotrauma occurs the most according to a series of cases, constituting approximately 65% of what is reported. 9 In developed countries it tends to affect people over 65 yr of age, whereas in developing countries, it affects the population aged 18 to 32 yr, the population with the greatest capacity functions.…”

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confidence: 99%

Letter: Need and Impact of the Development of Robotic Neurosurgery in Latin America

Lozada-Martínez¹,

Maiguel-Lapeira²,

Torres-Llinás³

et al. 2021

Neurosurg.

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“…In a previous work [9], the authors showed an apparent underrepresentation of LMICs in the neurosurgical data and, more specifically, in the high-impact neurosurgical journals. This data is even more disheartening when we consider that these countries face the most significant burden of some diseases, such as traumatic brain injury (TBI) [10] and traumatic spine injury (TSI) [11]. Data on epidemiology, treatment, follow-up and rehabilitative plans are necessary to direct the allocation of public health resources or comprehensively understand what needs to be done to help LMICs achieve the best outcomes.…”

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confidence: 99%

The Global Neurosurgery and the WFNS

Servadei

Tropetano²

2021

JGNS

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In 2015, the Lancet Commission on Global Surgery highlighted surgical care disparities worldwide [1]. No one could ever imagine that Global Neurosurgery would become a real movement, a source of inspiration for others surgical specialties [2]. Over the years, Global Neurosurgery allowed the realization of a collective awareness of surgery as a global health priority. The Neurosurgical community accepted the challenge of delivering timely, safe, and affordable neurosurgical care to all who need it. Multiple efforts have been made to address this need to promote national surgical policies, improve surgical education and training, build quality research, and advocate for the surgical workforce. The critical factor has been the relationship between the World Health Organization (WHO) and the World Federation of Neurosurgical Societies (WFNS). Since 1955, the WFNS has promoted global improvement in neurosurgical care, building neurosurgical capacity through education, training, technology, and research. The goals are ambitious. By creating international partnerships, the WFNS has established multiple training programs in neurosurgical centers in Africa and other countries with limited facilities, allowing residents to work first in the host countries to learn and improve their skills and return to their country of origin [3,4,5]. Furthermore, the WFNS is working on sustainable surgical programs within Low-and Middle-income countries (LMICs) using digital technology [6]. Internet availability allows fast and easy access to digital resources, and digital education has become an emerging tool to bridge the gap between surgeons from High-Income Countries (HICs) and LMICs.

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Traumatic Spine Injury: Which Discrepancy Between the Research Output and the Actual Burden of the Disease?

Cited by 9 publications

References 37 publications

Epidemiological Analysis of 459 Patients Hospitalized With Traumatic Spinal Cord Injury in Suzhou City, China

Epidemiological Analysis of 459 Patients Hospitalized With Traumatic Spinal Cord Injury in Suzhou City, China

Letter: Need and Impact of the Development of Robotic Neurosurgery in Latin America

The Global Neurosurgery and the WFNS

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