Naslov
Traffic accident spinal cord injury, distribution and outcomes: Croatian experience

Autori
Moslavac, Saša ; Džidić, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstracts, 44th ISCoS Annual Scientific Meeting / - München, 2005, 25-25

Skup
44th ISCoS Annual Scientific Meeting, Munich 2005

Mjesto i datum
München, Njemačka, 04.10.2005. - 08.10.2005

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
traffic spinal cord injury ; rehabilitation ; neurological outcome

Sažetak
The aim of the study was to investigate neurological outcome of traffic accident spinal cord injury (SCI) patients. We monitored level of injury in this study since it defines neurological prognosis and implicates functional improvement in course of rehabilitation. Hospital records of 154 traffic accident SCI patients rehabilitated in Spinal Unit of Rehabilitation Hospital in Varazdinske Toplice, Croatia in years 1991 – 2001 were reviewed. Following 6 groups of patients were formed: car drivers, co-drivers, back seat passengers, motorcycle drivers, bicycle drivers and pedestrians. Overall, 93% of initially complete SCI patients remained complete at discharge, while 72% previously non-ambulatory incomplete patients (ASIA B and ASIA C) achieved ambulatory status (ASIA D and ASIA E) in course of rehabilitation. Motorcycle drivers had complete injury at admission in 67% of patients, followed by 54% of car drivers, and both groups had the lowest percentage of conversion to incomplete injury (0% and 3%, respectively), indicating vulnerable position in traffic. Ambulatory status at admission was found most frequently in bicycle group (40%) and co-driver group (35%), but with samples too small to be indicative. Similarly, it is difficult to compare group patterns in achieving ambulation ; however it is important that incomplete non-ambulatory patients from all groups improved to ambulatory status in range of 57% (pedestrian group) to 100% (bicycle group), with average of 72%. It would be of further interest to monitor outcomes of injury in these groups in traffic accidents, especially with respect to preventive measures taken on them.

Izvorni jezik
Engleski

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