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  1. Spinal cord injury : A preventable public burden.

    Article - En anglais

    Background 

    Spinal cord injury (SCI) is a devastating occurrence with important consequences for the individual and society.

    Previous studies have documented the epidemiology and costs of SCI and the rehabilitation needs after SCI ; however, data about the preventability of SCI are lacking.

    Objective 

    To test the hypotheses that most SCls are preventable and that much of the cost of SCI is borne by the public.

    Design 

    Retrospective review of medical records and trauma registry data.

    Setting 

    A 417-bed county hospital with a level trauma center.

    Methods 

    To evaluate the preventability of SCI, the records of trauma patients sustaining SCI from July 1,1990, through June 30,1995, were reviewed.

    The criteria for preventability of blunt injuries included the following :

    • failure to use restraint devices ;

    • intoxication of drivers, motorcyclists, or pedestrians ;

    • and falls or diving accidents involving the use of drugs or alcohol.

    The criteria for preventability of penetrating injuries included the following : illegal possession of a firearm, accidental discharge of a weapon, and suicide attempts.

    Statistics were performed with the paired Student t test and X2 with significance attributed to a P value less than. 05.

    Results 

    Spinal cord injury occurred in 150 patients ; 71% of the injuries were the result of blunt trauma.

    Injury was potentially preventable in 74% of the blunt injuries and 66% of the penetrating injuries (P=15). (...)

    Mots-clés Pascal : Traumatisme, Moelle épinière, Coût, Soin, Prévention, Homme, Système nerveux pathologie, Système nerveux central pathologie, Moelle épinière pathologie

    Mots-clés Pascal anglais : Trauma, Spinal cord, Costs, Care, Prevention, Human, Nervous system diseases, Central nervous system disease, Spinal cord disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0416777

    Code Inist : 002B30A04B. Création : 19/12/1997.