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Outcome of Cervical Spine Trauma Patients Admitted to the Intensive Care Unit at a Tertiary Government Referral Trauma Center in Nepal.
Shah, Gyanendra; Dhakal, Gaurav Raj; Gupta, Anil; Hamal, Pawan Kumar; Dhungana, Siddhartha; Poudel, Santosh.
Afiliación
  • Shah G; National Trauma Center, Kathmandu, Nepal.
  • Dhakal GR; National Trauma Center, Kathmandu, Nepal.
  • Gupta A; National Trauma Center, Kathmandu, Nepal.
  • Hamal PK; National Trauma Center, Kathmandu, Nepal.
  • Dhungana S; National Trauma Center, Kathmandu, Nepal.
  • Poudel S; Department of Orthopaedics, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal.
Global Spine J ; 12(7): 1388-1391, 2022 Sep.
Article en En | MEDLINE | ID: mdl-33455459
ABSTRACT
STUDY

DESIGN:

Retrospective study.

OBJECTIVES:

Cervical spinal cord injury (SCI) is a devastating event for patient and family. It has a huge impact on society because of intensive resources required to manage the patient in both acute and rehabilitation phases. With the limited resource setting in underdeveloped countries like Nepal, questions are often raised regarding whether the outcome justifies the expenses of their care. The objective was to assess the outcomes of cervical SCI patients admitted to intensive care unit (ICU).

METHODS:

All cervical SCI admitted in ICU during May 2017 to August 2018 were included in this study. Demographic details, mode, morphology, and neurological level of injury, intervention performed and outcomes of ICU stay were analyzed.

RESULTS:

Out of 48 patients, 36 (75%) were male and 12 female with mean age 43.9 ± 15.9 years. Fall injury was the commonest mode of injury (83.3%). Most patients presented within 1 to 3 days of injury and C5-C6 (33.3%) was the most common involved level and 75% presented with ASIA A neurology. Mechanical ventilation was required in 95.8% of the patients and 22 patients were operated upon. The average stay in ICU was 15 days and 13 patients died in the ICU.

CONCLUSIONS:

Majority of cervical SCI with complete motor paraplegia required ICU care. Inspite of the intensive care, a subset of these patients succumbed to the complications of the injury. Therefore, it is essential to establish trauma ICU care with specific protocols on managing cervical spine injuries.
Palabras clave

Texto completo: 1 Bases de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Global Spine J Año: 2022 Tipo del documento: Article País de afiliación: Nepal

Texto completo: 1 Bases de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Global Spine J Año: 2022 Tipo del documento: Article País de afiliación: Nepal