دورية أكاديمية

Pattern and outcome of traumatic spinal cord injury managed at University of Maiduguri Teaching Hospital, Nigeria: A retrospective study.

التفاصيل البيبلوغرافية
العنوان: Pattern and outcome of traumatic spinal cord injury managed at University of Maiduguri Teaching Hospital, Nigeria: A retrospective study.
المؤلفون: Ishaku CM; Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria., Jawa BK; Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria., Maduagwu SM; Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State; Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nnewi Campus, Anambra State, Nigeria., Hassan AB; Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria., Lawan A; Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria., Rufa'i AA; Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria., Oyeyemi AY; Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria.
المصدر: The Nigerian postgraduate medical journal [Niger Postgrad Med J] 2021 Apr-Jun; Vol. 28 (2), pp. 139-144.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria Country of Publication: Nigeria NLM ID: 9613595 Publication Model: Print Cited Medium: Print ISSN: 1117-1936 (Print) NLM ISO Abbreviation: Niger Postgrad Med J Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : Mumbai : published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria
Original Publication: Ebute Metta, Lagos, Nigeria : National Postgraduate Medical College of Nigeria, [1994-
مواضيع طبية MeSH: Spinal Cord Injuries*/epidemiology , Spinal Cord Injuries*/therapy, Hospitals, Teaching ; Humans ; Male ; Nigeria ; Patient Discharge ; Retrospective Studies ; Young Adult
مستخلص: Background: Understanding pattern and outcome of traumatic spinal cord injury (TSCI) will inform better management which expectedly would improve prognosis and minimise complications.
Methods: : A retrospective study was carried out on all managed TSCI cases from January 2009 to December 2018. Sociodemographic characteristics, injury type, cause and complications were extracted from patients' registers and case folders. Descriptive statistics summarised the data, and Fisher's exact test analysed associations between variables.
Results: Eighty-one cases met the inclusion criteria and were analysed. Most cases (91.4%) were males, aged 18-39 years (65.4%) and were civil servants (37.0%). Road traffic accident (RTA) was the leading cause of injury (37.0%) and incomplete lesion predominated (69.1%). Cases referred for physiotherapy constituted 77.8%, only 14.8% of cases recovered without neurological deficits. On discharge, most patients were wheelchair bound (33.3%). Region of spine affected showed significant association with complications developed (P = 0.01). RTA caused more dead as a cause of injury was found to be significantly associated with outcome (P = 0.04). Referral for physiotherapy showed significant association with outcome (P = 0.01), so also, region of spine affected with outcome (0.01). The study found a significant association between type of injury and functional status (P = 0.01).
Conclusions: : The study concludes that young adults of working class were mostly affected, and RTA and gunshots injuries were the leading causes of TSCI. Findings such as the association found between regions of spine affect and complication developed on admission will help healthcare providers identify those susceptible and offer prompt preventive measures.
Competing Interests: None
فهرسة مساهمة: Keywords: Bedsore; road traffic accident; spinal cord; trauma
تواريخ الأحداث: Date Created: 20210908 Date Completed: 20210909 Latest Revision: 20220426
رمز التحديث: 20221213
DOI: 10.4103/npmj.npmj_345_20
PMID: 34494601
قاعدة البيانات: MEDLINE
الوصف
تدمد:1117-1936
DOI:10.4103/npmj.npmj_345_20