Incidence and etiology of traumatic spinal cord injury in Rwanda: a prospective population-based study

Frontiers in Neurology, 2024 · DOI: 10.3389/fneur.2024.1373893 · Published: August 21, 2024

Spinal Cord Injury Neurology Public Health

Simple Explanation

Traumatic spinal cord injury (TSCI) is a sudden, life-threatening event with impacts extending to the survivor's family. This study aimed to determine the incidence rate, etiology, and injury characteristics of TSCI in Rwanda, where such data was previously lacking. The study found that the incidence and etiology of TSCI in Rwanda are comparable to worldwide estimates. The major causes are preventable, such as falls and road traffic accidents.

Study Duration

1 year

Participants

122 adult individuals with TSCI

Evidence Level

Prospective, open-ended, cohort study

Key Findings

1
The crude incidence rate of TSCI in Rwanda was 22.2 per million people.
2
Falls were the leading cause of TSCI (73.8%), followed by road traffic accidents (18.9%).
3
Cervical region injuries were the most common (n = 69), and 41.8% of participants had complete injuries (AIS A).

Research Summary

This prospective study determined the incidence, etiology, and characteristics of TSCI in Rwanda, where such data was previously unavailable. The incidence rate of TSCI in Rwanda is comparable to other African and global settings, with falls being the leading cause of injury, predominantly affecting males. The study highlights the need for primary preventive interventions targeting falls and road traffic accidents to reduce the occurrence of TSCI in Rwanda.

Practical Implications

Preventive Strategies

Implement policies and interventions to reduce falls, especially in occupational settings.

Road Safety Measures

Enforce and strengthen road safety regulations to minimize road traffic accidents.

Healthcare Investment

Develop specialized services for TSCI patients to improve rehabilitation and care.

Study Limitations

1
Some mildly affected TSCI patients may not have reached national referral hospitals.
2
The COVID-19 pandemic limited the study due to travel restrictions and mobility regulations.
3
The study was conducted for only 1 year, not accounting for annual fluctuations.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury