Epidemiology of traumatic spinal cord injuries in Colombia
Study design Retrospective cohort study. Objectives To determine the incidence and characteristics of newly injured individuals admitted to a traumatic spinal cord injury (TSCI) referral center during a 4-year period. Setting University Hospital of Valle, Cali, Colombia. Methods Individuals were ide...
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| Veröffentlicht in: | Spinal cord series and cases 2021-05, Vol.7 (1), p.42-42, Article 42 |
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| creator | Giraldo, Yalisma Andrea Castro, José Luis Tovar-Sánchez, Maria A. Kumar, Annora A. Pacichana-Quinayáz, Sara G. Bonilla-Escobar, Francisco J. |
| description | Study design
Retrospective cohort study.
Objectives
To determine the incidence and characteristics of newly injured individuals admitted to a traumatic spinal cord injury (TSCI) referral center during a 4-year period.
Setting
University Hospital of Valle, Cali, Colombia.
Methods
Individuals were identified, and their data was recorded based on the International Spinal Cord Injury Core Data Set. The outcome of interest was the American Spinal Injury Association Impairment Scale (AIS) grade at the last follow-up.
Results
There were 491 individuals admitted in the 4-year period. The mean annual incidence of TSCI was 56.27 per million inhabitants. Considering TSCI in individuals exclusively from Cali, the mean annual incidence was 27.78 per million. The leading cause of TSCI was interpersonal violence (47.25%) and falls (33.60%). There was a strong correlation between AIS grade at admission and last follow-up. The most common AIS grade at the last follow-up was E (34.01%) caused mostly by falls (57.48%), followed by A (31.16%) caused mostly by interpersonal violence (76.27%). The reported employment rate dropped from 75.56% to 18.94% before and after TSCI (
p
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| doi_str_mv | 10.1038/s41394-021-00408-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8149404</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2531842626</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-7c6d5d87ab863b71c8130bd720e1e6a7383b335d12104833ee449a4162a4fa133</originalsourceid><addsrcrecordid>eNp9kU1Lw0AQhhdRtFT_gAcJePES3dmZJFsPghS_oOBFz8sm2dYtSbbuNoL_3q3VWj14moF55p2Pl7Fj4OfAUV4EAhxRygWknBOXKe6wgeCZTHMQtLuVH7CjEOacc8gLGBXZPjtA4pgJQQN2ebOwtWmta9zsPXHTZOl13-qlrZKwsJ1uksr5OrHdvPfWhJgk48i2pdWHbG-qm2COvuKQPd_ePI3v08nj3cP4epJWVNAyLaq8zmpZ6FLmWBZQSUBe1oXgBkyuC5RYImY1COAkEY0hGmmCXGiaakAcsqu17qIvW1NXpos7Nmrhbav9u3Laqt-Vzr6omXtTEmhEnKLA2ZeAd6-9CUvV2lCZptGdcX1QIkMhMlpNH7LTP-jc9T6-4ZMCSSIXeaTEmqq8C8Gb6WYZ4Grljlq7o6I76tMdtTrjZPuMTcu3FxHANRBiqZsZ_zP7H9kPtuCZBw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2531842626</pqid></control><display><type>article</type><title>Epidemiology of traumatic spinal cord injuries in Colombia</title><source>MEDLINE</source><source>PubMed Central</source><creator>Giraldo, Yalisma Andrea ; Castro, José Luis ; Tovar-Sánchez, Maria A. ; Kumar, Annora A. ; Pacichana-Quinayáz, Sara G. ; Bonilla-Escobar, Francisco J.</creator><creatorcontrib>Giraldo, Yalisma Andrea ; Castro, José Luis ; Tovar-Sánchez, Maria A. ; Kumar, Annora A. ; Pacichana-Quinayáz, Sara G. ; Bonilla-Escobar, Francisco J.</creatorcontrib><description>Study design
Retrospective cohort study.
Objectives
To determine the incidence and characteristics of newly injured individuals admitted to a traumatic spinal cord injury (TSCI) referral center during a 4-year period.
Setting
University Hospital of Valle, Cali, Colombia.
Methods
Individuals were identified, and their data was recorded based on the International Spinal Cord Injury Core Data Set. The outcome of interest was the American Spinal Injury Association Impairment Scale (AIS) grade at the last follow-up.
Results
There were 491 individuals admitted in the 4-year period. The mean annual incidence of TSCI was 56.27 per million inhabitants. Considering TSCI in individuals exclusively from Cali, the mean annual incidence was 27.78 per million. The leading cause of TSCI was interpersonal violence (47.25%) and falls (33.60%). There was a strong correlation between AIS grade at admission and last follow-up. The most common AIS grade at the last follow-up was E (34.01%) caused mostly by falls (57.48%), followed by A (31.16%) caused mostly by interpersonal violence (76.27%). The reported employment rate dropped from 75.56% to 18.94% before and after TSCI (
p
< 0.05). AIS grade A was associated with more post-injury complications (
p
< 0.05).
Conclusions
This is the first cohort study in Colombia describing the incidence and AIS grades of individuals with TSCI from a trauma referral center. Interpersonal violence was overrepresented in this population. Future research should include the evaluation of prevention strategies, as well as research on interventions towards quality improvement in patient care and post-discharge services especially for individuals with AIS grade A.</description><identifier>ISSN: 2058-6124</identifier><identifier>EISSN: 2058-6124</identifier><identifier>DOI: 10.1038/s41394-021-00408-3</identifier><identifier>PMID: 34035224</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 692/308/409 ; Aftercare ; Anatomy ; Biomedical and Life Sciences ; Biomedicine ; Cohort Studies ; Colombia - epidemiology ; Data collection ; Epidemiology ; Hospitals ; Human Physiology ; Humans ; Medical records ; Mortality ; Neurochemistry ; Neuropsychology ; Neurosciences ; Patient Discharge ; Population ; Retrospective Studies ; Sociodemographics ; Spinal cord injuries ; Spinal Cord Injuries - epidemiology ; Spinal Cord Injuries - etiology ; Trauma ; Variables ; Violence</subject><ispartof>Spinal cord series and cases, 2021-05, Vol.7 (1), p.42-42, Article 42</ispartof><rights>The Author(s), under exclusive licence to International Spinal Cord Society 2021</rights><rights>The Author(s), under exclusive licence to International Spinal Cord Society 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-7c6d5d87ab863b71c8130bd720e1e6a7383b335d12104833ee449a4162a4fa133</citedby><cites>FETCH-LOGICAL-c474t-7c6d5d87ab863b71c8130bd720e1e6a7383b335d12104833ee449a4162a4fa133</cites><orcidid>0000-0003-4895-3954 ; 0000-0002-0224-3482</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149404/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149404/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34035224$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giraldo, Yalisma Andrea</creatorcontrib><creatorcontrib>Castro, José Luis</creatorcontrib><creatorcontrib>Tovar-Sánchez, Maria A.</creatorcontrib><creatorcontrib>Kumar, Annora A.</creatorcontrib><creatorcontrib>Pacichana-Quinayáz, Sara G.</creatorcontrib><creatorcontrib>Bonilla-Escobar, Francisco J.</creatorcontrib><title>Epidemiology of traumatic spinal cord injuries in Colombia</title><title>Spinal cord series and cases</title><addtitle>Spinal Cord Ser Cases</addtitle><addtitle>Spinal Cord Ser Cases</addtitle><description>Study design
Retrospective cohort study.
Objectives
To determine the incidence and characteristics of newly injured individuals admitted to a traumatic spinal cord injury (TSCI) referral center during a 4-year period.
Setting
University Hospital of Valle, Cali, Colombia.
Methods
Individuals were identified, and their data was recorded based on the International Spinal Cord Injury Core Data Set. The outcome of interest was the American Spinal Injury Association Impairment Scale (AIS) grade at the last follow-up.
Results
There were 491 individuals admitted in the 4-year period. The mean annual incidence of TSCI was 56.27 per million inhabitants. Considering TSCI in individuals exclusively from Cali, the mean annual incidence was 27.78 per million. The leading cause of TSCI was interpersonal violence (47.25%) and falls (33.60%). There was a strong correlation between AIS grade at admission and last follow-up. The most common AIS grade at the last follow-up was E (34.01%) caused mostly by falls (57.48%), followed by A (31.16%) caused mostly by interpersonal violence (76.27%). The reported employment rate dropped from 75.56% to 18.94% before and after TSCI (
p
< 0.05). AIS grade A was associated with more post-injury complications (
p
< 0.05).
Conclusions
This is the first cohort study in Colombia describing the incidence and AIS grades of individuals with TSCI from a trauma referral center. Interpersonal violence was overrepresented in this population. Future research should include the evaluation of prevention strategies, as well as research on interventions towards quality improvement in patient care and post-discharge services especially for individuals with AIS grade A.</description><subject>692/308/174</subject><subject>692/308/409</subject><subject>Aftercare</subject><subject>Anatomy</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cohort Studies</subject><subject>Colombia - epidemiology</subject><subject>Data collection</subject><subject>Epidemiology</subject><subject>Hospitals</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Medical records</subject><subject>Mortality</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Patient Discharge</subject><subject>Population</subject><subject>Retrospective Studies</subject><subject>Sociodemographics</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - epidemiology</subject><subject>Spinal Cord Injuries - etiology</subject><subject>Trauma</subject><subject>Variables</subject><subject>Violence</subject><issn>2058-6124</issn><issn>2058-6124</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1Lw0AQhhdRtFT_gAcJePES3dmZJFsPghS_oOBFz8sm2dYtSbbuNoL_3q3VWj14moF55p2Pl7Fj4OfAUV4EAhxRygWknBOXKe6wgeCZTHMQtLuVH7CjEOacc8gLGBXZPjtA4pgJQQN2ebOwtWmta9zsPXHTZOl13-qlrZKwsJ1uksr5OrHdvPfWhJgk48i2pdWHbG-qm2COvuKQPd_ePI3v08nj3cP4epJWVNAyLaq8zmpZ6FLmWBZQSUBe1oXgBkyuC5RYImY1COAkEY0hGmmCXGiaakAcsqu17qIvW1NXpos7Nmrhbav9u3Laqt-Vzr6omXtTEmhEnKLA2ZeAd6-9CUvV2lCZptGdcX1QIkMhMlpNH7LTP-jc9T6-4ZMCSSIXeaTEmqq8C8Gb6WYZ4Grljlq7o6I76tMdtTrjZPuMTcu3FxHANRBiqZsZ_zP7H9kPtuCZBw</recordid><startdate>20210525</startdate><enddate>20210525</enddate><creator>Giraldo, Yalisma Andrea</creator><creator>Castro, José Luis</creator><creator>Tovar-Sánchez, Maria A.</creator><creator>Kumar, Annora A.</creator><creator>Pacichana-Quinayáz, Sara G.</creator><creator>Bonilla-Escobar, Francisco J.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4895-3954</orcidid><orcidid>https://orcid.org/0000-0002-0224-3482</orcidid></search><sort><creationdate>20210525</creationdate><title>Epidemiology of traumatic spinal cord injuries in Colombia</title><author>Giraldo, Yalisma Andrea ; Castro, José Luis ; Tovar-Sánchez, Maria A. ; Kumar, Annora A. ; Pacichana-Quinayáz, Sara G. ; Bonilla-Escobar, Francisco J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-7c6d5d87ab863b71c8130bd720e1e6a7383b335d12104833ee449a4162a4fa133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/308/174</topic><topic>692/308/409</topic><topic>Aftercare</topic><topic>Anatomy</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cohort Studies</topic><topic>Colombia - epidemiology</topic><topic>Data collection</topic><topic>Epidemiology</topic><topic>Hospitals</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Medical records</topic><topic>Mortality</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Patient Discharge</topic><topic>Population</topic><topic>Retrospective Studies</topic><topic>Sociodemographics</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - epidemiology</topic><topic>Spinal Cord Injuries - etiology</topic><topic>Trauma</topic><topic>Variables</topic><topic>Violence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Giraldo, Yalisma Andrea</creatorcontrib><creatorcontrib>Castro, José Luis</creatorcontrib><creatorcontrib>Tovar-Sánchez, Maria A.</creatorcontrib><creatorcontrib>Kumar, Annora A.</creatorcontrib><creatorcontrib>Pacichana-Quinayáz, Sara G.</creatorcontrib><creatorcontrib>Bonilla-Escobar, Francisco J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Proquest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Spinal cord series and cases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giraldo, Yalisma Andrea</au><au>Castro, José Luis</au><au>Tovar-Sánchez, Maria A.</au><au>Kumar, Annora A.</au><au>Pacichana-Quinayáz, Sara G.</au><au>Bonilla-Escobar, Francisco J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of traumatic spinal cord injuries in Colombia</atitle><jtitle>Spinal cord series and cases</jtitle><stitle>Spinal Cord Ser Cases</stitle><addtitle>Spinal Cord Ser Cases</addtitle><date>2021-05-25</date><risdate>2021</risdate><volume>7</volume><issue>1</issue><spage>42</spage><epage>42</epage><pages>42-42</pages><artnum>42</artnum><issn>2058-6124</issn><eissn>2058-6124</eissn><abstract>Study design
Retrospective cohort study.
Objectives
To determine the incidence and characteristics of newly injured individuals admitted to a traumatic spinal cord injury (TSCI) referral center during a 4-year period.
Setting
University Hospital of Valle, Cali, Colombia.
Methods
Individuals were identified, and their data was recorded based on the International Spinal Cord Injury Core Data Set. The outcome of interest was the American Spinal Injury Association Impairment Scale (AIS) grade at the last follow-up.
Results
There were 491 individuals admitted in the 4-year period. The mean annual incidence of TSCI was 56.27 per million inhabitants. Considering TSCI in individuals exclusively from Cali, the mean annual incidence was 27.78 per million. The leading cause of TSCI was interpersonal violence (47.25%) and falls (33.60%). There was a strong correlation between AIS grade at admission and last follow-up. The most common AIS grade at the last follow-up was E (34.01%) caused mostly by falls (57.48%), followed by A (31.16%) caused mostly by interpersonal violence (76.27%). The reported employment rate dropped from 75.56% to 18.94% before and after TSCI (
p
< 0.05). AIS grade A was associated with more post-injury complications (
p
< 0.05).
Conclusions
This is the first cohort study in Colombia describing the incidence and AIS grades of individuals with TSCI from a trauma referral center. Interpersonal violence was overrepresented in this population. Future research should include the evaluation of prevention strategies, as well as research on interventions towards quality improvement in patient care and post-discharge services especially for individuals with AIS grade A.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34035224</pmid><doi>10.1038/s41394-021-00408-3</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-4895-3954</orcidid><orcidid>https://orcid.org/0000-0002-0224-3482</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2058-6124 |
| ispartof | Spinal cord series and cases, 2021-05, Vol.7 (1), p.42-42, Article 42 |
| issn | 2058-6124 2058-6124 |
| language | eng |
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| source | MEDLINE; PubMed Central |
| subjects | 692/308/174 692/308/409 Aftercare Anatomy Biomedical and Life Sciences Biomedicine Cohort Studies Colombia - epidemiology Data collection Epidemiology Hospitals Human Physiology Humans Medical records Mortality Neurochemistry Neuropsychology Neurosciences Patient Discharge Population Retrospective Studies Sociodemographics Spinal cord injuries Spinal Cord Injuries - epidemiology Spinal Cord Injuries - etiology Trauma Variables Violence |
| title | Epidemiology of traumatic spinal cord injuries in Colombia |
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