Relationship Between demographic characteristics, spinal impairment, and interventional strategies in the clinicaloutcome of spinal cord injury patients

Background and aims: The aim of the present study was to investigate the main causes of traumatic spinal cord injury (TSCI), along withthe relationship between SCI patients’ demographic characteristics and related treatments.Methods: In general, ۶۰۸ patients suffering from TSCI and referring to Ayatollah Kashani hospital, Shahrekord in ۲۰۱۶-۲۰۱۷ were enrolledin this cross-sectional study. Patients’ demographic characteristics, level of injury, the severity of the injury, injury cause, and durationof hospitalization (DOH) were obtained according to their files and medical records. Several months after discharge, the patients wereexamined by a neurosurgeon, and the treatment outcome was recorded in specific checklists.Results: The mean age of the injured individuals was ۳۴.۲ ± ۱۶.۹ years and the majority of the injured (۷۰.۲%) were males. ASIA grades Eand D were also reported in ۵۰.۳% and ۲۵% of the injured at admission, respectively. Further, grade E injury was observed in ۷۷.۱% of theinjured at discharge. Medicinal, non-surgical, and surgical treatments were used for ۵۳.۸%, ۲۵.۸%, and ۲۰.۴% of patients, respectively.The levels of injury, treatment strategy, and clinical outcomes were significantly different based on the ASIA grades at admission (P < ۰.۰۰۱,for all items). There was a significant difference among DOH (day) in terms of the level of injury, ASIA grades during admission, treatmentstrategy, and treatment outcomes in different individuals (P < ۰.۰۰۱, for all items).Conclusion: Regarding the relationship between the treatment strategy, the ASIA grade, and the outcome of the treatment, it seemsnecessary to perform surgical or rehabilitative interventions for each person in accordance with demographic characteristics.

Keywords:

Injuries , Spinal cord injuries , Rehabilitation , ASIA scale