Clinico-epidemiological study of spinal injuries in a predominantly rural population of eastern Nepal: A 10 years' analysis.
Clinico-epidemiological study of spinal injuries in a predominantly rural population of eastern Nepal: A 10 years' analysis.
复制标题
DOI：
10.4103/0019-5413.36988
复制
发表时间：
2007-10-01
影响因子：
1
通讯作者：
Shrestha, Bikram Prasad
中科院分区：
文献类型：
--
作者：
Bajracharya, Suraj;Singh, Mahipal;Shrestha, Bikram Prasad
背景：一项临床流行病学研究有助于规划未来脊柱创伤的预防措施和管理策略。这是一个10年的回顾性研究，在尼泊尔东部的三级卫生中心治疗的脊髓损伤患者，以确定临床流行病学方面的脊髓损伤患者在主要是农村人口的东部Nepal.MATERIALS：所有的病历文件，从1996年至2005年在BPKIHS（B的病历部分脊髓损伤患者。P. Koirala健康科学研究所）进行了研究。根据患者的病历档案填写预先准备好的表格，包括年龄、性别、居住地、损伤方式、损伤程度、损伤部位、合并损伤、Frankel神经功能缺损分级和治疗方式。将这些参数输入Excel 8，并通过EPI INFO 2002进行分析。结果：男性684例（76.35%），女性212例（23.66%），平均年龄分别为41.74 ± 16.53岁和38.56 ± 15.86岁。242例（27%）患者来自尼泊尔东部山区。从高处坠落[350例（39%）患者]是最常见的脊柱损伤模式。636例（71%）患者出现神经功能缺损。733例（85%）患者接受保守治疗，而163例（15%）患者接受手术治疗。146例（22%）患者在过去的五年中接受了手术干预治疗。结论：研究表明，脊柱损伤最易受伤害的人群是生产年龄较晚的患者（即，受伤住院时间- 41.64 ± 54.24小时）。在世界的这一地区，治疗方式已经发生了变化（从保守治疗到手术治疗）。这些具体的观察有助于我们进一步规划我们环境中的预防措施和管理。
BACKGROUND: A clinico-epidemiological study helps to plan future preventive measures and management strategies for spinal trauma. This is a 10 years' retrospective review of spinal-injury patients treated at a tertiary health center in the eastern of Nepal to determine clinico-epidemiological aspects of spinal-injury patients in a predominantly rural population of eastern Nepal.MATERIALS AND METHODS: All medical record files of patients with spinal injury from 1996 to 2005 in the Medical Record Section of BPKIHS (B. P. Koirala Institute of Health Sciences) were studied. The preformed pro forma consisting age, sex, place of living, mode of injury, hospital stay level of injury, site of injury, associated injury, Frankel grading of neural deficit and treatment modality was filled from the record files of patients. These parameters were entered in Excel 8 and analyzed by EPI INFO 2002. Details of 896 patients of spinal injury were recorded in the 10-year period of review.RESULTS: 684 (76.35%) male and 212 (23.66%) female patients with mean age of 41.74 ± 16.53 years and 38.56 ± 15.86 years respectively were studied. Two hundred forty-two (27%) patients were from hilly districts of eastern Nepal. Fall from height [in 350 (39%) patients] was the commonest mode of spinal injury. Six hundred thirty-six (71%) patients presented with a neurological deficit. Seven hundred thirty-three (85%) patients were treated conservatively, compared to 163 (15%) surgically treated patients. One hundred forty-six (22%) patients were treated with operative interventions in the last five years.CONCLUSION: The study shows that the most vulnerable group for spine injury was the group of patients of productive age with late presentation (i.e., injury hospital duration - 41.64 ± 54.24 hours) without proper prehospital management. The treatment modalities have changed (from conservative to surgical) in this part of the world. These specific observations help us in further planning for preventive measures and management in our setting.