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Type: Artigo de periódico
Title: Spinal cord injury: Epidemiologycal study of 386 cases with emphasis on those patients admitted more than four hours after the trauma
Author: Leal, MB
Borges, G
de Almeida, BR
Aguiar, ADX
Vieira, MADES
Dantas, KD
de Morais, RKP
dos Santos, CRN
Mendes, SD
Pinheiro, LM
Abstract: We studied 386 cases of spinal cord injury to analyze the follow up of the patients admitted most of the time more than four hours, the majority of the injuries happening far from the attending health service and first specialized care received long after the accident. This is a clinical study based on data collected during hospitalization of the patients, operated or not, in a Brazilian public health service. The lesion mainly seen was fracture and dislocation, isolated or on multiple levels, and the most important clinical complications were due to respiratory failure and hypotension, especially because 73.8% were from outside and they were admitted more then four hours after the trauma. The mortality rate was 11.9%, but just 2.1% had undergone a surgery. The complications resulted in major risk of death when the trauma was at the cervical level and the patients were over 50 years old, especially when admitted more than four hours after the trauma. We emphasize the importance of the first health care concerning the clinical treatment, aiming to reduce the mortality rate.
Subject: spinal cord injury
Country: Brasil
Editor: Assoc Arquivos Neuro- Psiquiatria
Citation: Arquivos De Neuro-psiquiatria. Assoc Arquivos Neuro- Psiquiatria, v. 66, n. 2B, n. 365, n. 368, 2008.
Rights: aberto
Identifier DOI: 10.1590/S0004-282X2008000300016
Date Issue: 2008
Appears in Collections:Unicamp - Artigos e Outros Documentos

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