Incidence of Spinal Cord Injury in Traumatic patients Admitted to a Trauma Referral Center in Guilan

Background & Aim: Patients with spinal cord injury (SCI) impose a heavy burden on health care system. Awarenesson prevalence and incidence of SCI is important because this would show the necessity of prevention. This study aimedto investigate the epidemiology and types of traumatic spinal cord injuries in a trauma referral center in Guilan.Methods & Materials/Patients: This is a descriptive study which was conducted on patients with spinal cord traumausing a questionnaire during one year. The questionnaire included demographic information, injured spinal cord area,mechanism of injury, and type of neural damage based on ASIA scale. The data were analyzed using SPSS18 anddescriptive statistics.Results: Out of 76 study patients, 68 (88.2%) were men with mean age of 35.2 ± 1.45 years. The most common causeof SCI was motor vehicle accidents (MVA) (48.7%). 34 patients (44.7%) had cervical spine injury and in 23 patients(30.3%), thoraco-lumbar injuries caused SCI. 29.7% of patients suffered from paraplegia and 10.8% quadriplegia. 25patients (38.5%) had complete SCI. 7 patients with SCI (9.2%) died during hospitalization. In this study, increased agewas identified as a risk factor for death. In 4 of these patients (57.1%) cervical SCI was the underlying cause of death.Conclusion: Young men were the group at highest risk and the most mechanism leading to SCI was motor vehicleaccidents. Many of these accidents are preventable; thus, more attention should be devoted to safety policies based onneeds of the vulnerable groups. Besides, comprehensive education program with clear and practical goals should bedeveloped.

کلیدواژه ها:

Epidemiology ، Spinal injuries ، Trauma