Evidence map›Paper›PMID 33443597›Full record

Observational studyInternational orthopaedics2021

Epidemiology and clinical outcomes of spinal cord injuries at a level II trauma centre in Nigeria: a longitudinal five year study.

Adetunji M Toluse, Taofeek O Adeyemi

Abstract readObservational Study
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In one paragraph

Observational study in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Adetunji M ToluseDepartment of Orthopaedic and Trauma Surgery, National Orthopaedic Hospital, PMB 2009, Igbobi, Yaba, Lagos, Nigeria. tunjijedidiah@gmail.com.ORCID 0000-0002-9250-0453
Taofeek O AdeyemiDepartment of Orthopaedic and Trauma Surgery, National Orthopaedic Hospital, PMB 2009, Igbobi, Yaba, Lagos, Nigeria.ORCID 0000-0002-6146-8550

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal cord injuries (SCIs) are devastating consequences of traumatic injuries with far-reaching health and socioeconomic implications. The objectives of this study were to describe the epidemiological characteristics of traumatic SCI and to analyse these epidemiological and clinical characteristics.

methodsThis study was a retrospective observational study. We extracted data from the medical records of all cases of acute traumatic SCI that presented at the hospital between January 2013 and December 2017.

resultsWe recorded 99 cases of traumatic SCI over the study period. The patients' mean age was 37.15 ± 13.5 years with a male predominance (68.7%). Working age group accounted for 83.9% of cases. Motor vehicular accident (MVA) and falls accounted for 62.6% and 22.2% respectively. About a third of the cases (32.3%) presented within 24 hours of injury. The most frequently affected level was the cervical spine (63.6%), and complete tetraplegia was the most prevalent clinical pattern (31.3%). American Spinal Injury Association impairment scale (AIS) improved in 31.3% of cases. Twenty-nine patients (30.2%) had morbidity, with 21.2% developing pressure sores. Mortality accounted for 3%.

conclusionsMotor vehicular crash and fall-related traumatic SCI affected mostly males and the working age group with complete tetraplegia as the predominating clinical pattern. There is a need for strategic interventions to reduce MVA and improve pre-hospital care and health policies to ensure early definitive care.

Indexed as

Spinal Cord InjuriesTrauma CentersAdultCervical VertebraeHumansLongitudinal StudiesMaleMiddle AgedNigeriaRetrospective StudiesYoung AdultAmerican Spinal Injury Association impairment scaleFallsMotor vehicular accidentSpinal cord injuryTetraplegia

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