create the summary of the findings " Methods & Materials/ Patients
In this cross-sectional study, we used data SCI registry of
Poursina Hospital. All the patients with spine trauma due to
motor MVA, confirmed by CT scan or MRI, who had been
hospitalized in the trauma center of Poursina Hospital,
Rasht, Guilan, Iran between March 2015 and March 2018,
were studied. Data regarding demographic information,
type of vehicle in accident, anatomical location of SCI, accident location, the type of the injured person in the accident,
accident type, use of safety devices, Glasgow Comma Scale
Andalib S, et al. Traumatic Spinal Cord Injuries Due to Accidents. Iran J Neurosurg. 2018; 4(4):213-218.
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(GCS) level, associated cardiac and respiratory diseases,
complications during hospitalization, pain, duration of ICU
stay, comorbid injuries and Glasgow Outcome Scale (GOS)
during discharge were extracted. Descriptive statistics were
calculated.
3. Results
A total of 127 patients with TSCI injuries due to MVA were
reviewed. The Mean±SD age of patients was 38.27±16.22
years. Seventy-eight percent of the patients were male
(n=99) and 22% were female (n=28). Male/female ratio
was 3.54: 1. Ninety-one patients (71.7 %) and 36 (28.3%)
patients had collision and overturn accidents, respectively.
The patients had accident with car/pickup truck (76.9%),
objects (15.4%), truck (4.4%), motorcycle (2.2%), and transient object/animal (1.1%). Sixty-two (48.8%) patients were
car passengers; 41 (32.3%) patients were motorcyclists; 16
(12.6%) patients were pedestrians; 4 (3.1%) patients were
cyclist; one (0.8%) patient was bus passenger, two patients
(1.6%) were pickup truck passenger; and one (0.8%) patient
was truck passenger. Drivers and passengers accounted for
72.1% (n=80) and 27.9% (n=31) of the patients, respectively.
There were 107 accidents (84.3%) in cities, 13 accidents
(10.2%) in rural places, and 7 accidents (5.5%) in highways.
SCIs were found several anatomical regions including cervical (n=54, 42.5%), lumbar (n=39, 30.7%), thoracic (n=23,
18.1%), thoracic and lumbar (n=7, 5.5%), thoracic and cervical (n=3, 2.4%), and lumbar and cervical (n=1, 0.8%) regions.
Ninety-three patients (83.8%) used no safety device; 17
patients (15.3%) used safety belt; and only 1 patient (0.8%)
used crash helmet. GCS≥13 was scored in 93.7% of patients;
4.7% of the patients had GCS <9, and 1.6% experienced
9≤GCS≤12 (Figure 1). One hundred patients (94.5%) showed
no cardiovascular disease; five patients (3.9%) experienced
high blood pressure; one patient (0.8%) had stroke; and one
patient (0.8%) had palpitation. One hundred twenty-six patients (99.2 %) showed no respiratory disease; even so, only
one patient (0.8 %) had asthma. Most of the patients (124
patients) showed no complications after hospitalization;
two patients had fever; and one patient suffered from CSF
leakage (97.6%, 1.6%, 0.8% respectively).
According to VAS, Mean±SD pain score of the patients was
5.39±1.14. Mean±SD duration of hospitalization in ICU was
6.40±10 days (Median=2, Range=35). Evaluated by GOS,
good recovery, moderate disability, severe disability, vegetative state, and death were seen in 114 (91.2%), 4 (3.1%), 4
(3.1%), 1 (0.8%), 2 (1.6%) patients, respectively (Figure 2).
Two patients were discharged by their personal Consent.
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