Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma

Detalhes bibliográficos
Autor(a) principal: Leal-Filho,Manoel Baldoino
Data de Publicação: 2008
Outros Autores: Borges,Guilherme, Almeida,Bruno Ribeiro de, Aguiar,Aline de Almeida Xavier, Vieira,Marcelo Adriano da Cunha e Silva, Dantas,Karoline da Silva, Morais,Ricardo Keyson Paiva de, Santos,Carlos Rogério Nogueira dos, Mendes,Sumihara de Sousa, Pinheiro,Luciana Maria
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000300016
Resumo: We studied 386 cases of spinal cord injury to analyze the follow up of the patients admitted most of the time more than four hours, the majority of the injuries happening far from the attending health service and first specialized care received long after the accident. This is a clinical study based on data collected during hospitalization of the patients, operated or not, in a Brazilian public health service. The lesion mainly seen was fracture and dislocation, isolated or on multiple levels, and the most important clinical complications were due to respiratory failure and hypotension, especially because 73.8% were from outside and they were admitted more then four hours after the trauma. The mortality rate was 11.9%, but just 2.1% had undergone a surgery. The complications resulted in major risk of death when the trauma was at the cervical level and the patients were over 50 years old, especially when admitted more than four hours after the trauma. We emphasize the importance of the first health care concerning the clinical treatment, aiming to reduce the mortality rate.
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spelling Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the traumaspinal cord injurytraumaspineWe studied 386 cases of spinal cord injury to analyze the follow up of the patients admitted most of the time more than four hours, the majority of the injuries happening far from the attending health service and first specialized care received long after the accident. This is a clinical study based on data collected during hospitalization of the patients, operated or not, in a Brazilian public health service. The lesion mainly seen was fracture and dislocation, isolated or on multiple levels, and the most important clinical complications were due to respiratory failure and hypotension, especially because 73.8% were from outside and they were admitted more then four hours after the trauma. The mortality rate was 11.9%, but just 2.1% had undergone a surgery. The complications resulted in major risk of death when the trauma was at the cervical level and the patients were over 50 years old, especially when admitted more than four hours after the trauma. We emphasize the importance of the first health care concerning the clinical treatment, aiming to reduce the mortality rate.Academia Brasileira de Neurologia - ABNEURO2008-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000300016Arquivos de Neuro-Psiquiatria v.66 n.2b 2008reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2008000300016info:eu-repo/semantics/openAccessLeal-Filho,Manoel BaldoinoBorges,GuilhermeAlmeida,Bruno Ribeiro deAguiar,Aline de Almeida XavierVieira,Marcelo Adriano da Cunha e SilvaDantas,Karoline da SilvaMorais,Ricardo Keyson Paiva deSantos,Carlos Rogério Nogueira dosMendes,Sumihara de SousaPinheiro,Luciana Mariaeng2008-09-29T00:00:00Zoai:scielo:S0004-282X2008000300016Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2008-09-29T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
title Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
spellingShingle Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
Leal-Filho,Manoel Baldoino
spinal cord injury
trauma
spine
title_short Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
title_full Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
title_fullStr Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
title_full_unstemmed Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
title_sort Spinal cord injury: epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
author Leal-Filho,Manoel Baldoino
author_facet Leal-Filho,Manoel Baldoino
Borges,Guilherme
Almeida,Bruno Ribeiro de
Aguiar,Aline de Almeida Xavier
Vieira,Marcelo Adriano da Cunha e Silva
Dantas,Karoline da Silva
Morais,Ricardo Keyson Paiva de
Santos,Carlos Rogério Nogueira dos
Mendes,Sumihara de Sousa
Pinheiro,Luciana Maria
author_role author
author2 Borges,Guilherme
Almeida,Bruno Ribeiro de
Aguiar,Aline de Almeida Xavier
Vieira,Marcelo Adriano da Cunha e Silva
Dantas,Karoline da Silva
Morais,Ricardo Keyson Paiva de
Santos,Carlos Rogério Nogueira dos
Mendes,Sumihara de Sousa
Pinheiro,Luciana Maria
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Leal-Filho,Manoel Baldoino
Borges,Guilherme
Almeida,Bruno Ribeiro de
Aguiar,Aline de Almeida Xavier
Vieira,Marcelo Adriano da Cunha e Silva
Dantas,Karoline da Silva
Morais,Ricardo Keyson Paiva de
Santos,Carlos Rogério Nogueira dos
Mendes,Sumihara de Sousa
Pinheiro,Luciana Maria
dc.subject.por.fl_str_mv spinal cord injury
trauma
spine
topic spinal cord injury
trauma
spine
description We studied 386 cases of spinal cord injury to analyze the follow up of the patients admitted most of the time more than four hours, the majority of the injuries happening far from the attending health service and first specialized care received long after the accident. This is a clinical study based on data collected during hospitalization of the patients, operated or not, in a Brazilian public health service. The lesion mainly seen was fracture and dislocation, isolated or on multiple levels, and the most important clinical complications were due to respiratory failure and hypotension, especially because 73.8% were from outside and they were admitted more then four hours after the trauma. The mortality rate was 11.9%, but just 2.1% had undergone a surgery. The complications resulted in major risk of death when the trauma was at the cervical level and the patients were over 50 years old, especially when admitted more than four hours after the trauma. We emphasize the importance of the first health care concerning the clinical treatment, aiming to reduce the mortality rate.
publishDate 2008
dc.date.none.fl_str_mv 2008-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000300016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000300016
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2008000300016
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.66 n.2b 2008
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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