Outcomes 10-years after traumatic spinal cord injury in Botswana - a long-term follow-up study.
Spinal Cord Ser Cases
; 10(1): 57, 2024 Aug 07.
Article
em En
| MEDLINE
| ID: mdl-39112469
ABSTRACT
STUDY DESIGN:
Prospective follow-up study.OBJECTIVES:
To describe outcomes, survival, and attendance to routine follow-up visits 10 years post-SCI.SETTING:
The national SCI-rehabilitation center in Botswana.METHODS:
All persons who were admitted with traumatic SCI during a 2-year period, 2011-2013, and survived up to 2 years post-injury were included. Data were collected from the medical records from the follow-up assessment closest to 10 years post-SCI and included demographic and clinical characteristics, functional outcomes, and secondary complications. Data regarding mortalities were received from relatives. Statistical comparisons were made, when possible, between those who attend follow-up assessment and those who did not, and between those who survived up to 10 years post-SCI and those who died.RESULTS:
The follow-up rate was 76% (19/25) of known survivors. No statistically significant factors were found to affect the follow-up rate. Secondary complications rates were for pressure ulcers and urinary tract infections 21%. Self-catheterisation and suprapubic catheter were the preferred methods to manage neurogenic bladder dysfunction. Ten persons (26%) had deceased since 2nd follow-up assessment. The causes of death were probably SCI-related in more than half of the cases.CONCLUSIONS:
This was a follow-up study at year 10 after acute TSCI in Botswana conducted at the national SCI-rehabilitation center. The study supports previous reports regarding the importance of that having specialized SCI units and the need of structured follow-ups, a responsible person in charge of scheduling, and updated patient registers. We found high follow-up rate, low rates of complications and of patients being lost to follow-up.
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Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article