Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries
Background/Aim. Spinal cord injuries (SCI) could be associated with a significant functional impairment in the areas of mobility, self-care, bowel and bladder emptying and sexuality. The aim of this study was to compare demographic characteristics and functional outcomes of nontraumatic and trau...
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2012-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501212061M.pdf |
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| author | Milićević Saša Bukumirić Zoran Karadžov-Nikolić Aleksandra Babović Rade Janković Slobodan |
| author_facet | Milićević Saša Bukumirić Zoran Karadžov-Nikolić Aleksandra Babović Rade Janković Slobodan |
| author_sort | Milićević Saša |
| collection | DOAJ |
| description | Background/Aim. Spinal cord injuries (SCI) could be associated with a significant functional impairment in the areas of mobility, self-care, bowel and bladder emptying and sexuality. The aim of this study was to compare demographic characteristics and functional outcomes of nontraumatic and traumatic spinal cord injury patients. Methods. This study was designed as retrospective case series study. A detailed medical history including sex, age, mode of trauma, and clinical and radiological examination was taken for all patients. Hospital records were used to classify the patients according to the following: mechanism of injury, neurological level of injury, functional outcomes, associated injuries, method of treatment, secondary complications and length of stay. The following clinical scores were measured in the patients: American Spinal Injury Association standards (CASTA), Functional Independence Measure (FIM), and Modified Aschworth score (MAS). Results. Out of totally 441 patients with spinal cord injury, 279 were traumatic patients (TSCI) and 162 nontraumatic patients (NTSCI); 322 men and 119 women. The mean age of the patients was 46.1 ± 19.9 years. Traumatic and nontraumatic populations showed several significant differences with regard to age, level and severity of lesion. When adjusted for these factors patients with traumatic injuries showed a significantly lower FIM score at admission and significantly better improvement in the FIM score at discharge. The two populations were discharged with similar functional outcome. Conclusions. The NTSCI patients in our study were younger, more frequently female, with less complications before rehabilitation and less frequently treated operatively than the TSCI patients. Hospital rehabilitation of the TSCI patients was longer than that of the NTSCI patients, but their functional gain from admission was also higher, so at discharge. Traumatic and nontraumatic spinal cord lesion patients achieved similar results in regard to neurological and functional status. |
| first_indexed | 2024-12-11T17:15:08Z |
| format | Article |
| id | doaj.art-191432f0036945b8b9ad2ba0fa1dff27 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 |
| language | English |
| last_indexed | 2024-12-11T17:15:08Z |
| publishDate | 2012-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-191432f0036945b8b9ad2ba0fa1dff272022-12-22T00:57:21ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502012-01-0169121061106610.2298/VSP1212061MDemographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuriesMilićević SašaBukumirić ZoranKaradžov-Nikolić AleksandraBabović RadeJanković SlobodanBackground/Aim. Spinal cord injuries (SCI) could be associated with a significant functional impairment in the areas of mobility, self-care, bowel and bladder emptying and sexuality. The aim of this study was to compare demographic characteristics and functional outcomes of nontraumatic and traumatic spinal cord injury patients. Methods. This study was designed as retrospective case series study. A detailed medical history including sex, age, mode of trauma, and clinical and radiological examination was taken for all patients. Hospital records were used to classify the patients according to the following: mechanism of injury, neurological level of injury, functional outcomes, associated injuries, method of treatment, secondary complications and length of stay. The following clinical scores were measured in the patients: American Spinal Injury Association standards (CASTA), Functional Independence Measure (FIM), and Modified Aschworth score (MAS). Results. Out of totally 441 patients with spinal cord injury, 279 were traumatic patients (TSCI) and 162 nontraumatic patients (NTSCI); 322 men and 119 women. The mean age of the patients was 46.1 ± 19.9 years. Traumatic and nontraumatic populations showed several significant differences with regard to age, level and severity of lesion. When adjusted for these factors patients with traumatic injuries showed a significantly lower FIM score at admission and significantly better improvement in the FIM score at discharge. The two populations were discharged with similar functional outcome. Conclusions. The NTSCI patients in our study were younger, more frequently female, with less complications before rehabilitation and less frequently treated operatively than the TSCI patients. Hospital rehabilitation of the TSCI patients was longer than that of the NTSCI patients, but their functional gain from admission was also higher, so at discharge. Traumatic and nontraumatic spinal cord lesion patients achieved similar results in regard to neurological and functional status.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501212061M.pdfspinal cord, injuriesdiagnosisdemographyradiographytreatment outcomerehabilitation |
| spellingShingle | Milićević Saša Bukumirić Zoran Karadžov-Nikolić Aleksandra Babović Rade Janković Slobodan Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries Vojnosanitetski Pregled spinal cord, injuries diagnosis demography radiography treatment outcome rehabilitation |
| title | Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries |
| title_full | Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries |
| title_fullStr | Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries |
| title_full_unstemmed | Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries |
| title_short | Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries |
| title_sort | demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries |
| topic | spinal cord, injuries diagnosis demography radiography treatment outcome rehabilitation |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501212061M.pdf |
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