Abstract
Study design
Retrospective cross-sectional study.
Objective
To describe the epidemiological profile of individuals with spinal cord injury (SCI), who visited the Sarah Network in 2014.
Setting
Brazil, Brasília-Federal District.
Methods
A review of the electronic medical records of persons with SCI, aged over 15 years, was carried out.
Results
The medical records of 2076 persons were evaluated: 83% were male, the mean age was 31 years, 40% did not complete elementary school, 67.7% had paraplegia, and 74.4% had complete SCI. The primary etiologies were gunshot wounds (28.4%), motorcycle accidents (24.6%), and motor vehicle accidents (19.1%). In the comparative analysis between genders, differences were observed regarding the level of education and completeness of injury.
Conclusion
Gunshot wounds were the main cause of SCI in our population, comprising mostly male individuals with thoracic injury, resulting in complete SCI. Data show a high incidence of SCI in young adults owing to violence in Brazil.
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References
Wyndaele M, Wyndaele J-J. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord. 2006;44:523–9.
Fitzharris M, Cripps RA, Lee BB. Estimating the global incidence of traumatic spinal cord injury. Spinal Cord. 2013;52:1–6.
Cripps RA, Lee BB, Wing P, Weerts E, Mackay J, Brown D. A global map for traumatic spinal cord injury epidemiology: towards a living data repository for injury prevention. Spinal Cord. 2011;49:493–501.
Rahimi-Movaghar V, Sayyah MK, Akbari H, Khorramirouz R, Rasouli MR, Moradi-Lakeh M, et al. Epidemiology of traumatic spinal Cord Injury in developing countries: a systematic review. Neuroepidemiology. 2013;41:65–85.
Sekhon LHS, Fehlings MG. Epidemiology, demographics, and pathophysiology of acute spinal cord injury. Spine (Phila Pa 1976). 2001;26:S2–S12.
Botelho R, Albuquerque L, Bastianello Junior R, Júnior A, Augusto A. Epidemiology of traumatic spinal injuries in Brazil: systematic review/Epidemiologia do trauma raquimedular no Brasil: revisão sistemática. Arq Bras Neurocir. 2014;33:100–6. jun
da Paz AC, Beraldo PS, Almeida MC, Neves EG, Alves CM, Khan P. Traumatic injury to the spinal cord. Prevalence in Brazilian hospitals. Paraplegia. 1992;30:636–40.
Bellucci CHS, De Castro Filho JE, Gomes CM, De Bessa J, Battistella LR, Rubio De Souza D, et al. Contemporary trends in the epidemiology of traumatic spinal cord injury: changes in age and etiology. Neuroepidemiology. 2015;44:85–90.
Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (Revised 2011). J Spinal Cord Med. 2011;34:535–46.
Devivo MJ. Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord. 2012;50:365–72.
Singh A, Tetreault L, Kalsi-Ryan S, Nouri A, Fehlings MG. Global prevalence and incidence of traumatic SCI. Clin Epidemiol. 2014;6:309–31.
IBGE. Censo Demográfico 2010: Características gerais da população, religião e pessoas com deficiência. Tabela 1.3.1-População residente, por tipo de deficiência, segundo a situação do domicílio e os grupos de idade- Brasil-2010. 2010. https://ww2.ibge.gov.br/home/estatistica/populacao/censo2010/caracteristicas_religiao_deficiencia/caracteristicas_religiao_deficiencia_tab_pdf.sht (accessed 11 Oct 2016).
Koch A, Graells XS, Zaninelli EM. Epidemiologia de fraturas da coluna de acordo com o mecanismo de trauma: análise de 502 casos. [Epidemiologic study on vertebral fractures: analysis of 502 cases in accordance with the trauma mechanism]. Coluna/Column. 2007;6:18–23.
De Araújo FA, Heinrich CB, Cunha MLV, Veríssimo DCA, Rehder R, Pinto CAS, et al. Traumatismo raquimedular por ferimento de projétil de arma de fogo: avaliação epidemiológica. [Spinal Cord trauma by a firearm projectile:epidemiological assessment]. Coluna/Column. 2011;10:290–2.
Duarte L PLANO DE PREVENÇÃO. Internações por acidentes de motos mais que dobram em cinco anos. 2015. http://portalsaude.saude.gov.br/index.php/cidadao/principal/agencia-saude/18901-internacoes-por-acidentes-de-motos-mais-que-dobram-em-cinco-anos (accessed 11 Oct 2016).
Santos EAS, Filho WJS, Possatti LL, Bittencourt LRA, Fontoura EAF, Botelho RV. Epidemiology of severe cervical spinal trauma in the north area of São Paulo City: a 10-year prospective study. Clinical article. J Neurosurg Spine. 2009;11:34–41.
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Barbetta, D., Smanioto, T., Poletto, M. et al. Spinal cord injury epidemiological profile in the Sarah Network of Rehabilitation Hospitals—a Brazilian population sample. Spinal Cord Ser Cases 4, 32 (2018). https://doi.org/10.1038/s41394-018-0049-8
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DOI: https://doi.org/10.1038/s41394-018-0049-8
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