The clinical proﬁle and acute care of patients with traumatic spinal cord injury at a tertiary care emergency centre in Addis Ababa, Ethiopia

African Journal of Emergency Medicine, 2016 · DOI: http://dx.doi.org/10.1016/j.afjem.2016.06.001 · Published: July 22, 2016

Spinal Cord Injury Trauma Public Health

Simple Explanation

Traumatic spinal cord injuries can lead to severe physical, psychological, and social problems, especially in places with limited resources. Because these injuries often cause permanent damage, understanding the risk factors and focusing on prevention is crucial. This study aims to describe the characteristics of people with traumatic spinal cord injuries who visit the emergency center at Tikur Anbessa Specialised Hospital in Addis Ababa, Ethiopia. The study found that most patients were young men, and many had serious injuries. Motor vehicle collisions and falls were the most common causes. The study highlights the need for better road safety, workplace safety, and pre-hospital care.

Study Duration

5.5 months

Participants

84 patients with traumatic spinal cord injuries

Evidence Level

Cross-sectional study

Key Findings

1
The mean age of patients was 33 years, and 86% were male.
2
The most common causes of injury were motor vehicle collisions (37%), falls (31%), and farming injuries (11%).
3
A significant number of patients (77%) did not receive any prehospital care before arriving at the Emergency Centre.

Research Summary

This study describes the demographics, injury characteristics, and management of traumatic spinal cord injury (TSCI) victims at a tertiary referral center in Addis Ababa, Ethiopia. The study found that TSCIs predominantly affect young men, often resulting in severe injuries with limited recovery potential. Motor vehicle collisions and falls were the leading causes. The authors conclude that focusing on occupational and road traffic safety, improving prehospital care, and enhancing rehabilitation services are essential to reduce the burden of TSCIs.

Practical Implications

Prevention Strategies

Implementing road traffic safety measures and improving workplace safety standards can reduce the incidence of TSCIs.

Improved Prehospital Care

Enhancing prehospital care systems can lead to earlier evaluation, treatment, and potentially better outcomes for TSCI patients.

Resource Allocation

Increased investment in emergency medicine, neurosurgical, and rehabilitation capacity is needed to effectively care for TSCI patients.

Study Limitations

1
Conducted over a short period at a single institution.
2
Likely selected for patients with more serious injuries and neurologic deficits due to being conducted at a neurosurgical referral center.
3
Did not include patients who did not seek medical care or died at the scene, potentially underestimating the burden of TSCI.

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