TY - JOUR PY - 2017// TI - The characteristics of traumatic spinal cord injuries at a referral hospital in Northern Tanzania JO - Spinal cord series and cases A1 - Rashid, Sakina Mehboob A1 - Jusabani, Mubashir Alavi A1 - Mandari, Faiton Ndesanjo A1 - Dekker, Marieke Cornelia Johanna SP - 17021 EP - 17021 VL - 3 IS - N2 - STUDY DESIGN: Retrospective study.

OBJECTIVES: To describe the epidemiology of traumatic spinal cord injury (TSCI) in Northern Tanzania. SETTING: Main referral hospital for Northern Tanzania.

METHODS: A retrospective review of 125 TSCI cases admitted to Kilimanjaro Christian Medical Centre (KCMC) over a period of 5 years.

RESULTS: We included 125 patients in the sample size, with a male majority of 107 (85.6%), giving a male-to-female ratio of 5.9:1. The mean age at injury was 39.9 (±16.0) years. Overall, 66 (52.8%) were farmers and an overwhelming majority (109 (87.2%)) were referrals from peripheral medical centres. Fall injuries accounted for 65 (52.0%) of the admissions and 49 (39.2%) were injured due to a Road Traffic Accident (RTA). Severity of injury was classified according to the American Spinal Injury Association Impairment Scale (AIS) and 57 (45.6%) injuries were categorised as AIS A and 68 (54.4%) as AIS BCD. Cervical level injuries (59 (47.2%)) were the most frequent among the cohort. The in-hospital mortality rate was 24.1%.

CONCLUSION: The majority of patients affected by TSCIs were young males and the most common cause was fall injuries. Cervical level injuries were the most common and in-hospital mortality was high.

Language: en

LA - en SN - 2058-6124 UR - http://dx.doi.org/10.1038/scsandc.2017.21 ID - ref1 ER -