The characteristics of cervical spinal cord trauma at a North Tanzanian Referral Hospital: a retrospective hospital based study
The characteristics of cervical spinal cord trauma at a North Tanzanian Referral Hospital: a retrospective hospital based study
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DOI：
10.11604/pamj.2019.33.82.18353
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发表时间：
2019-06-04
影响因子：
1.2
通讯作者：
Temu, Rogers Joackim
中科院分区：
文献类型：
--
作者：
Bellet, Fanuel Damian;Rashid, Sakina Mehboob;Temu, Rogers Joackim
引言：创伤性颈脊髓损伤（SCI）的幸存对个体的身体功能和独立性有着巨大的影响。这也使他们在一生中容易出现经济、社会、心理和若干医疗并发症。在高收入国家，多学科护理的改善带来了更好的长期结果，但在低收入国家，这种疾病的负担及其相关死亡率仍然很高。本研究的目的是说明在北方坦桑尼亚的基利曼哈罗基督教医疗中心（KCMC）的颈椎创伤性脊髓损伤（TSCIs）的社会人口统计学和临床特征。方法：这是一项基于医院的回顾性研究，纳入了2012年1月至2016年12月入住KCMC的105例颈椎TSCI病例。结果：我们在研究队列中纳入了105名患者，男性占86.7%，男女比例为6.5：1。受伤时的平均年龄为44.1岁。总体而言，65.7%是农民，69名患者来自基利曼哈罗地区。道路交通事故（RTC）占47.6%的伤害，17.9%有相关的伤害，38.1%持续完全TSCI和45.7%的继发性并发症在病房住宿。出院前死亡率为35.2%。结论：大多数患者是来自低社会经济背景的男性，最常见的损伤原因是RTC。出院前的继发性并发症发生率和死亡率很高。
Introduction: surviving a traumatic cervical Spinal Cord Injury (SCI) has an immense effect on an individual's physical function and independence. It also predisposes them to financial, social, psychological and several medical complications throughout their life. In high-income countries, improved multidisciplinary care has led to better long term outcomes, however in low-income countries, the burden of the condition and its associated mortality remain high. The aim of this study was to illustrate the sociodemographic and clinical characteristics of cervical level Traumatic Spinal Cord Injuries (TSCIs) at Kilimanjaro Christian Medical Centre (KCMC) in northern Tanzania. Methods: this was a retrospective hospital-based study of 105 cervical TSCI cases admitted to KCMC from January 2012 to December 2016. Results: we included 105 patients in the study cohort, with a male preponderance of 86.7%, giving a male-to-female ratio of 6.5:1. The mean age at injury was 44.1 years. Overall, 65.7% were farmers and 69 patients were from within the Kilimanjaro region. Road Traffic Crashes (RTCs) accounted for 47.6% of the injuries, 17.9% had associated injuries, 38.1% sustained complete TSCIs and 45.7% developed secondary complications during the ward stay. The mortality rate before discharge from hospital care was 35.2%. Conclusion: the majority of patients were males from a low socioeconomic background and the most common cause of injury was RTCs. The secondary complication rates and mortality rates before discharge from hospital care are high.