Publication: Characteristics of Spinal Cord Injury Presenting to Tertiary Care Center in Gandaki province of Nepal: A Descriptive Cross-sectional Study
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Spinal cord injury is one of the common injury which causes damage to the spinal cord due to trauma, diseases or degenerations leading to disability and decreasing life expectancy. The study aims to find the characteristics of spinal cord injury presenting at a tertiary care centre.
Methods: A Descriptive hospital based cross-sectional study was conducted at Pokhara, Gandaki Province, from 28th March to 25th September, 2023. 139 participants were interviewed for the study. Structured interview schedule and validated questionnaires were used for data collection. Ethical approval was taken for the study (Reference number: 151/079).
Results: A total of 139 cases were observed; most common affected age group was between 25-55 years with a mean age of 48.68 years. Most (66.9%) of the spinal cord injury patients were not enrolled in health insurance program. Most 107 (77.0%) common cause for spinal cord injury was falls from height. Age, gender, occupation and duration of stay in the hospital were statistically significant with mode of treatment.
Conclusions: Spinal cord injury mostly traumatic commonly due to fall from height affecting mainly male population residing in rural areas at their fourth decade of life who are mainly involve in manual work and agriculture. Spinal cord injury is a major health problem at global and local level causing major morbidity.
Description
Yadu Nath Baral
Department of Orthopaedics, Pokhara Academy of Medical Sciences, Western Regional Hospital, Gandaki province, Kaski, Nepal
Rajesh Kumar Yadav
Department of Global Fund, Save The Children International, Kathmandu, Nepal
Sushila Baral
Department of Public Health, School of Health and Allied Sciences, Pokhara University, Pokhara, Kaski, Nepal
Srijana Paudel
Department of Medicine, Pokhara Academy of Medical Sciences, Western Regional Hospital, Gandaki province, Kaski, Nepal
Yoveen Yadav
Department of Public Health, Hope international college and Kantipur college, Kathmandu, Nepal
Subash Gurung
Department of Orthopaedics, Pokhara Academy of Medical Sciences, Western Regional Hospital, Gandaki province, Kaski, Nepal
Kathit Raj Ghimire
Department of Orthopaedics, Pokhara Academy of Medical Sciences, Western Regional Hospital, Gandaki province, Kaski, Nepal
Jhapindra Pokharel
Department of Orthopaedics, Pokhara Academy of Medical Sciences, Western Regional Hospital, Gandaki province, Kaski, Nepal
Ashim Gurung
Department of Surgery, Pokhara Academy of Medical Sciences, Western Regional Hospital, Gandaki province, Kaski, Nepal