Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi

Burhan Koçyiğit; Mazlum Akaltun; Özlem Altındağ; Ali Aydeniz; Savaş Gürsoy; Ali Gür

doi:10.5799/ahinjs.01.2015.02.0505

-

Year 2015, Volume: 6 Issue: 2, 140 - 143, 10.07.2015

Burhan Koçyiğit , Mazlum Akaltun Özlem Altındağ Ali Aydeniz Savaş Gürsoy Ali Gür

https://doi.org/10.5799/ahinjs.01.2015.02.0505

Abstract

Objective: We aimed to present epidemiological and clinical data on spinal cord injury (SCI) patients who were rehabilitated at our hospital to define etiological factors and high risk groups.Methods: Data on 174 SCI patients rehabilitated between January 2009 and October 2014 in our hospital were retrospectively evaluated. Patient age, sex, etiology of injury, injury level (cervical, thoracic, lumbar), total number of rehabilitation sessions, spinal operation status, functional groups according to the American Spinal Injury Association (ASIA) Scale were recorded.Results: In total, 105 of the patients were male and 69 were female. The mean age of patients was 36.61 ± 16.16 years. Traffic accidents were the most common cause of injury (n=45, 25.9%), followed by falls from height (n=39, 22.4%). The most common injury was thoracic spine injury (n=95, 54.6%), followed by lumbar spine injuries (n=48, 27.6%). Traffic accidents were significant mechanism for thoracic spine injuries (p=0.007). Ineffective neurosurgery had a significant relation with lumbar spine injuries (p<0.001).Conclusion: The most of the SCIs we observed were preventable. Comprehensive identification of the epidemiologic, clinic and demographic features of SCIs contributes to define most common etiological factors, high risk groups, thereby making it possible to pay personal and communal attention to precautions for SCIs. J Clin Exp Invest 2015; 6 (2): 140-143

Keywords

Spinal cord injury, epidemiology, etiology

References

1. Pickelsimer E, Shiroma EJ, Wilson DA. Statewide investigation of medically attended adverse health conditions of persons with spinal cord injury. J Spinal Cord Med 2010;33:221–231.
2. Devivo MJ. Epidemiology of traumatic spinal cord injury. In: Kirshblum SC, Campagnolo D, DeLisa JE, editors. Spinal cord medicine. Phidelphia: Lippincott Williams and Wilkins;2002. P. 69-81.
3. Krueger H, Noonan VK, Trenaman LM, et al. The economic burden of traumatic spinal cord injury in Canada. Chronic Dis Inj Can 2013;33:113-122.
4. Wyndaele M, Wyndaele JJ. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord 2006;44:523–529.
5. Karacan I, Koyuncu H, Pekel O, et al. Traumatic spinal cord injuries in Turkey: a nation-wide epidemiological study. Spinal Cord 2000;38:697-701.
6. Jackson AB, Dijkers M, DeVivo MJ, Paczatek RB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004;85:1740-1748.
7. Rouleau P, Ayoub E, Guertin PA. Traumatic and non-traumatic spinal cord-injured patients in quebec, canada: 1. epidemiological, clinical and functional characteristics. The Open Epidemiology Journal 2011;4:133-139.
8. Feng HY, Ning GZ, Feng SQ, et al. Epidemiological profile of 239 traumatic spinal cord injury cases over a period of 12 years in Tianjin, China. J Spinal Cord Med 2011;34:388-394.
9. Karamehmetoğlu SS, Nas K, Karacan I, et al. Traumatic spinal cord injuries in southeast Turkey: an epidemiological study. Spinal Cord 1997;35:531-533.
10. vanAsbeck FW, Post MW, Pangalila RF. An epidemiological description of spinal cord injuries in The Netherlands in 1994. Spinal Cord 2000;38:420-424.
11. Burke DA, Linden RD, Zhang YP, et al. Incidence rates and populations at risk for spinal cord injury: A regional study. Spinal Cord 2001;39:274-278.
12. Ho CH, Wuermser LA, Priebe MM, et al. Spinal cord injury medicine. 1. Epidemiology and classification. Arch Phys Med Rehabil 2007;88:49-54.
13. Connor RJ, Murray PC. Review of spinal cord injuries in Ireland. Spinal Cord 2006;44:445-448.
14. Gur A, Kemaloglu MS, Cevik R, et al. Characteristics of traumatic spinal cord injuries in south-eastern Anatolia, Turkey: a comparative approach to 10 years’ experience. Int J Rehabil Res 2005;28:57-62.
15. Akdemir HU, Aygün D, Katı C, et al. Three-year experience in the Emergency Department: the approach to patients with spinal trauma and their prognosis. Ulus Travma Acil Cerrahi Derg 2013;19:441-448.

Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi

Year 2015, Volume: 6 Issue: 2, 140 - 143, 10.07.2015

Burhan Koçyiğit , Mazlum Akaltun Özlem Altındağ Ali Aydeniz Savaş Gürsoy Ali Gür

https://doi.org/10.5799/ahinjs.01.2015.02.0505

Abstract

Amaç: Bu çalışmada, hastanemizde rehabilite edilmiş spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verilerinin sunulması, etiyolojik faktörlerin ve yüksek riskli grupların tanımlanması amaçlandı.

Yöntemler: Ocak 2009 ile Ekim 2014 arasında hastanemizde rehabilitasyon hizmeti almış olan 174 hastanın verileri retrospektif olarak incelendi. Yaş, cinsiyet, yaralanma etiyolojisi, yaralanma seviyesi (servikal, torakal, lomber), toplam uygulanan rehabilitasyon seans sayısı, spinal cerrahi alıp almadığı, American Spinal Injury Association (ASIA) evrelemesine göre fonksiyonel grubu kaydedildi.

Bulgular: Hastaların 105’i erkek, 69’u kadındı. Hastaların ortalama yaşı 36,61 ± 16,16 yıl olarak bulundu. Trafik kazaları en sık yaralanma nedeniydi (n=45, %25,9), bunu yüksekten düşmeler takip ediyordu ( n=39, % 22,4). En sık torakal spinal yaralanmalar gözlendi (n=95, % 54,6). Lomber bölge ikinci sık yaralanma seviyesiydi (n=48, % 27,6). Trafik kazalarına bağlı yaralanmalarda torakal seviye daha sıktı (p=0,007). Başarısız sinir cerrahisi lomber spinal yaralanmalar ile anlamlı derecede ilişkiliydi (p<0,001).

Sonuç: Spinal kord yaralanmalarının büyük çoğunluğu önlenebilir nedenlerden kaynaklanmıştı. Spinal kord yaralanmalarının epidemiyolojik, klinik ve demografik özelliklerinin anlaşılması en sık etiyolojik faktörlerin ve yüksek risk gruplarının belirlenmesi, yaralanmayı önleyici bireysel ve toplumsal önlemlerin alınmasına katkı sağlayacaktır.

Anahtar kelimeler: Spinal kord yaralanması, epidemiyoloji, etiyoloji

Keywords

Spinal kord yaralanması, epidemiyoloji, etiyoloji

References

1. Pickelsimer E, Shiroma EJ, Wilson DA. Statewide investigation of medically attended adverse health conditions of persons with spinal cord injury. J Spinal Cord Med 2010;33:221–231.
2. Devivo MJ. Epidemiology of traumatic spinal cord injury. In: Kirshblum SC, Campagnolo D, DeLisa JE, editors. Spinal cord medicine. Phidelphia: Lippincott Williams and Wilkins;2002. P. 69-81.
3. Krueger H, Noonan VK, Trenaman LM, et al. The economic burden of traumatic spinal cord injury in Canada. Chronic Dis Inj Can 2013;33:113-122.
4. Wyndaele M, Wyndaele JJ. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord 2006;44:523–529.
5. Karacan I, Koyuncu H, Pekel O, et al. Traumatic spinal cord injuries in Turkey: a nation-wide epidemiological study. Spinal Cord 2000;38:697-701.
6. Jackson AB, Dijkers M, DeVivo MJ, Paczatek RB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004;85:1740-1748.
7. Rouleau P, Ayoub E, Guertin PA. Traumatic and non-traumatic spinal cord-injured patients in quebec, canada: 1. epidemiological, clinical and functional characteristics. The Open Epidemiology Journal 2011;4:133-139.
8. Feng HY, Ning GZ, Feng SQ, et al. Epidemiological profile of 239 traumatic spinal cord injury cases over a period of 12 years in Tianjin, China. J Spinal Cord Med 2011;34:388-394.
9. Karamehmetoğlu SS, Nas K, Karacan I, et al. Traumatic spinal cord injuries in southeast Turkey: an epidemiological study. Spinal Cord 1997;35:531-533.
10. vanAsbeck FW, Post MW, Pangalila RF. An epidemiological description of spinal cord injuries in The Netherlands in 1994. Spinal Cord 2000;38:420-424.
11. Burke DA, Linden RD, Zhang YP, et al. Incidence rates and populations at risk for spinal cord injury: A regional study. Spinal Cord 2001;39:274-278.
12. Ho CH, Wuermser LA, Priebe MM, et al. Spinal cord injury medicine. 1. Epidemiology and classification. Arch Phys Med Rehabil 2007;88:49-54.
13. Connor RJ, Murray PC. Review of spinal cord injuries in Ireland. Spinal Cord 2006;44:445-448.
14. Gur A, Kemaloglu MS, Cevik R, et al. Characteristics of traumatic spinal cord injuries in south-eastern Anatolia, Turkey: a comparative approach to 10 years’ experience. Int J Rehabil Res 2005;28:57-62.
15. Akdemir HU, Aygün D, Katı C, et al. Three-year experience in the Emergency Department: the approach to patients with spinal trauma and their prognosis. Ulus Travma Acil Cerrahi Derg 2013;19:441-448.

There are 15 citations in total.

Details

Primary Language	Turkish
Journal Section	Research Article
Authors	Burhan Koçyiğit Mazlum Akaltun This is me Özlem Altındağ This is me Ali Aydeniz This is me Savaş Gürsoy This is me Ali Gür This is me
Publication Date	July 10, 2015
Published in Issue	Year 2015 Volume: 6 Issue: 2

Cite

APA	Koçyiğit, B., Akaltun, M., Altındağ, Ö., Aydeniz, A., et al. (2015). Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi. Journal of Clinical and Experimental Investigations, 6(2), 140-143. https://doi.org/10.5799/ahinjs.01.2015.02.0505
AMA	Koçyiğit B, Akaltun M, Altındağ Ö, Aydeniz A, Gürsoy S, Gür A. Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi. J Clin Exp Invest. July 2015;6(2):140-143. doi:10.5799/ahinjs.01.2015.02.0505
Chicago	Koçyiğit, Burhan, Mazlum Akaltun, Özlem Altındağ, Ali Aydeniz, Savaş Gürsoy, and Ali Gür. “Spinal Kord Yaralanmalı hastaların Epidemiyolojik Ve Klinik Verileri: Merkezimizin Beş yıllık Deneyimi”. Journal of Clinical and Experimental Investigations 6, no. 2 (July 2015): 140-43. https://doi.org/10.5799/ahinjs.01.2015.02.0505.
EndNote	Koçyiğit B, Akaltun M, Altındağ Ö, Aydeniz A, Gürsoy S, Gür A (July 1, 2015) Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi. Journal of Clinical and Experimental Investigations 6 2 140–143.
IEEE	B. Koçyiğit, M. Akaltun, Ö. Altındağ, A. Aydeniz, S. Gürsoy, and A. Gür, “Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi”, J Clin Exp Invest, vol. 6, no. 2, pp. 140–143, 2015, doi: 10.5799/ahinjs.01.2015.02.0505.
ISNAD	Koçyiğit, Burhan et al. “Spinal Kord Yaralanmalı hastaların Epidemiyolojik Ve Klinik Verileri: Merkezimizin Beş yıllık Deneyimi”. Journal of Clinical and Experimental Investigations 6/2 (July 2015), 140-143. https://doi.org/10.5799/ahinjs.01.2015.02.0505.
JAMA	Koçyiğit B, Akaltun M, Altındağ Ö, Aydeniz A, Gürsoy S, Gür A. Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi. J Clin Exp Invest. 2015;6:140–143.
MLA	Koçyiğit, Burhan et al. “Spinal Kord Yaralanmalı hastaların Epidemiyolojik Ve Klinik Verileri: Merkezimizin Beş yıllık Deneyimi”. Journal of Clinical and Experimental Investigations, vol. 6, no. 2, 2015, pp. 140-3, doi:10.5799/ahinjs.01.2015.02.0505.
Vancouver	Koçyiğit B, Akaltun M, Altındağ Ö, Aydeniz A, Gürsoy S, Gür A. Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi. J Clin Exp Invest. 2015;6(2):140-3.