Epidemiological profile of patients with a spinal cord injury
Dr Asma NOUIRAa, Dr Sonia JEMNIa, Dr Rihab MONCERa, Dr Samia FRIOUIa, Dr Rami CHOUKETa, Prof Afif ZAOUIa, Prof Fayçal KHACHNAOUIa
a chu sahloul sousse
Objective: Describe the epidemiological profile of patients hospitalized for spinal cord injury sequelae
Material and methods: Our study is quantitative descriptive that evaluates 50 patient with spinal cord injury. The trauma dates back at least two year. Our assessment included demographic characteristics of patients, type of Disabilities Reviewed by American Society Injury Association (ASIA), the degree of disability assessed by measurement of functional independence (MFI), Psychological profile is evaluated by Hospital Anxiety and Depression Scale (HAD), and the Nottingham Health Profile (NHP) was used to evaluate the quality of life.
Results: 50 patients with a mean age of 30 years and a sex ratio of 0.33. More than half of the patients were manual workers. A favorable socioeconomic level was present in 60% of cases with support by the CNAM (national health insurance fund) in 60% of them. The nature of the injury was a fall in 30% of cases, 30% in a traffic accident and in a work accident in 30% of cases. Clinically, 55% of patients were paraplegics and quadriplegics with a 45% MIF score of 55.2 ± 18.38 for admission. The duration of hospitalization was 0.8 ± 1.7 months. The age, the socio-economic level, the abscence of support by social security, the age of onset of trauma, significantly influence the psychology and the level of physical independence of the patients
Discussion: For ten years, the referring centers care for spinal cord injuries are seeing epidemiological evolution of both the causes of injury, age of spinal cord injured subjects and finally the neurological level of these patients. Psychological profile and quality of life of patients with spinal cord injury can be deeply disturbed. It is important to know the factors having impact, to ensure a better quality of life.
Keywords : spinal cord injury, epidemiology, MIF, trauma