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2013, Number 2

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Rev Cub Med Mil 2013; 42 (2)

Characterization of patients with Spinal Cord Injury

García GA, Gutiérrez GL, Barthelemy MMÁ, Pradere PJC, Díaz GE
Full text How to cite this article

Language: Spanish
References: 20
Page: 201-209
PDF size: 165.83 Kb.


Key words:

Spinal Cord Injury, aetiology, treatment, mortality.

ABSTRACT

Introduction: Spinal Cord Injury is one of the major causes of morbidity and mortality in young people. It produces a great impact on society and represents annual elevated costs in treatment services.
Objective: to characterize patients with Spinal Cord Injury.
Method: a retrospective descriptive study was performed in patients with spinal cord injury who were admitted to the Intensive Care Unit of "Dr. Carlos J. Finlay" Military Central Hospital from January 2005 to December 2010. The universe and sample were composed of 41 patients over 18 years of age who were admitted to hospital.
Results: the male sex (85.4 %) and the age group 18-34 were the most affected ones (43.9 %). Traffic accidents and falls from high levels were the causes that reported most victims (78 %). The most frequent lesion was in the cervical region (85.4 %). The 53.7 % of patients presented associated lesions. It was necessary to ventilate the 68.3 % of patients upon arrival at the Intensive Care Unit. The direct and most frequent cause of death was the lesions of the upper nervous centres (30.5 %). The female sex presented a higher mortality rate (83 %) and the 88 % of all patients died.
Conclusions: mortality in patients with Spinal Cord Injury who are admitted to Intensive Care Units is higher than the one which is reported internationally.


REFERENCES

  1. Furlan JC, Fehlings MG. Cardiovascular complications After Acute Spinal Cord Injury: Pathophysiology, Diagnosis, and Management. Neurosurg Focus. [Internet]. 2008 [cited 2010 Jan 12];25(5):E13.[about 1 p.]. Available from: http://www.medscape.com/viewarticle/585281

  2. Rowland JW, Hawryluk GWJ, Kwon B, Fehlings MG. Current Status of Acute Spinal Cord Injury Pathophysiology and Emerging Therapies: Promise on the Horizon. Neurosurg Focus [Internet]. 2008 [cited Jan 2010 12];25(5):[about 1 p.]. Available from: http://www.medscape.com/viewarticle/585253

  3. Wyndaele M, Wyndaele JJ. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord. 2006;44:523-9.

  4. Saunders LL, Selasie AW, Hill EG, Nicholas JS, Varma AK, Lackland DT, et al. Traumatic spinal cord injury mortality, 1981-1998. J Trauma. 2009 Jan;66(1):184-90.

  5. Varma AK, Hill EG, Nicholas JS, Selassie AW. Predictors of Early Mortality after Traumatic Spinal Cord Injury: A Population-based Study. Spine [Internet]. 2010 [cited 2010 May 11];35(7):778-83.[about 11 p.]. Available from: http://www.medscape.com/viewarticle/719903

  6. Emergencia y Medicina Clínica [Internet]. Cursos de Postgrado. Neurología. 2007. Fariña G, Biestro A. Trauma Raquimedular [aprox. 28 p.]. citado 12 Ene 2010 . Disponible en: http://www.cti.hc.edu.uy/Principal/Educacion/Postgrados/Neuro2007/TRMFINAL.pdf

  7. McKinney D, Garstang SV. Prevention of Thromboembolism in Spinal Cord Injury. Phys Med Rehabil [Internet]. [cited 11 May 2010]; [about 16 p.]. Available from: http://emedicine.medscape.com/article/322897

  8. Cotton BA, Pryor JP, Chinwalla I, Wiebe DJ, Reily PM, Schwab CW. Respiratory complications and mortality risk associated with thoracic spine injury. J Trauma. 2005 Dec;59(6):1400-9.

  9. Elf K, Nilsson P, Enblad P. Outcome after traumatic brain injury improved by an organized secondary insult program an standarzed neurointensive care. Crit Care Med. 2002 Sep.;30(9):2129-34.

  10. Bradbury EJ, Moon LD, Popat RJ, King VR, Bennett GS, Patel PN, et al. Chondroitinase ABC promotes functional recovery after spinal cord injury. Nature. 2002;416:636-40.

  11. González Corrales Ll, García Gómez A, Gutiérrez Gutiérrez L, Morales Jímenez EL, Machado Trujillo V. Causas de muerte en traumatizados graves del Hospital Dr. Carlos J. Finlay. Panorama Cuba y Salud. 2008;3(2):31-8.

  12. Gondim FA, Florian TP. Spinal Cord Trauma and Related Diseases. Neurology [Internet]. cited 2010 Jan 12 . [about 16 p.]. Available from: http://emedicine.medscape.com/article/1149070-overview

  13. Ministerio de Salud Pública. Anuario Estadístico de Salud de Cuba [Internet]. 2009 Consultado 11 May 2010 . [about 243 p.]. Disponible en: http://bvs.sld.cu/cgibin/ wxis/anuario/?IsisScript=anuario /iah.xis&tag5003=anuario&tag5021=e&tag6000=B&tag5013=GUEST&tag5022=2009

  14. Berlly M, Shem K. Respiratory Management During the First Five Days After Spinal Cord Injury. J Spinal Cord Med. 2007;30(4):309-18.

  15. Reyes CA, Levy A, Sánchez JE. Hospital Universitario Evaristo García-Cali Traumatismo raquimedular [Internet]. citado 12 Ene 2010 . Disponible en: http://www.aibarra.org/Guias/2-17.htm

  16. Ho CH, Wuermser LA, Priebe MM, Chiodo AE, Scelza WM, Kirshblum SC. Spinal cord injury medicine. 1. Epidemiology and classification. Arch Phys Med Rehabil. 2007 Mar;88(3 Suppl 1):S49-54.

  17. Forner Cordero I. Tratamiento conservador versus quirúrgico de la paraplejia traumática por fracturas torácicas y lumbares. Universidad de Valencia 2005 Departamento de Medicina [Tesis para optar por el título de Doctor en Medicina y Cirugía]. 2005. citado 14 Ene 2008 . Disponible en: http://www.tdx.cat/handle/10803/10021

  18. Shanker N. Steroids and spinal cord injury: revisiting the NASICS 2 and NASICS 3 trials. J Trauma. 1998;45:1088-93.

  19. Dumont RJ, Verma S, Okonkwo DO, Hurlbert RJ, Boulos PT, Ellegala DB. Acute spinal cord injury: II. Contemporary pharmacotherapy. Clin Neuropharmacol. 2008;24:265-79.

  20. Postigo TR. Metilprednisolona en el tratamiento del trauma raquimedular. Análisis de la evidencia. Rev Med Clin Condes. 2006;17(1):12-9.




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Rev Cub Med Mil . 2013;42