Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma

Arquivos de Neuro-Psiquiatria

Manoel Baldoino Leal-filho²  Guilherme Borges²  Bruno Ribeiro De Almeida¹  Aline De Almeida Xavier Aguiar¹  Marcelo Adriano Da Cunha E Silva Vieira¹  Karoline Da Silva Dantas¹  Ricardo Keyson Paiva De Morais¹  Carlos Rogério Nogueira Dos Santos¹  Sumihara De Sousa Mendes¹  Luciana Maria Pinheiro¹ 

[1] ,State University of CampinasSão Paulo,Brazil

关键词: spinal cord injury;    trauma;    spine;    trauma raquimedular;    trauma;    coluna vertebral;   

DOI  :  10.1590/S0004-282X2008000300016

来源: SciELO

【 摘 要 】

We studied 386 cases of spinal cord injury to analyze the follow up of the patients admitted most of the time more than four hours, the majority of the injuries happening far from the attending health service and first specialized care received long after the accident. This is a clinical study based on data collected during hospitalization of the patients, operated or not, in a Brazilian public health service. The lesion mainly seen was fracture and dislocation, isolated or on multiple levels, and the most important clinical complications were due to respiratory failure and hypotension, especially because 73.8% were from outside and they were admitted more then four hours after the trauma. The mortality rate was 11.9%, but just 2.1% had undergone a surgery. The complications resulted in major risk of death when the trauma was at the cervical level and the patients were over 50 years old, especially when admitted more than four hours after the trauma. We emphasize the importance of the first health care concerning the clinical treatment, aiming to reduce the mortality rate.

【 授权许可】

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