Epidemiologic Study of Complications in Spinal Cord Injury Patients.
- Author:
Chang Il PARK
1
;
Ji Cheol SHIN
;
Deog Young KIM
;
Ji Woong PARK
;
Woong Tae CHUNG
;
Suk Hoon OHN
;
Seon Hee IM
Author Information
1. Department of Rehabilitation Medicine, Yonsei University College of Medicine.
- Publication Type:Original Article
- Keywords:
Spinal cord injury;
Epidemiology;
Complication
- MeSH:
Academic Medical Centers;
Autonomic Dysreflexia;
Contracture;
Epidemiologic Studies*;
Epidemiology;
Hemorrhoids;
Humans;
Incidence;
Pneumonia;
Pressure Ulcer;
Quality of Life;
Retrospective Studies;
Spinal Cord Injuries*;
Spinal Cord*;
Urinary Tract Infections
- From:Journal of the Korean Academy of Rehabilitation Medicine
2000;24(6):1086-1095
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The patients with spinal cord injury (SCI) suffered by a lot of complications that influence the quality of life both physically and mentally. The purpose of this study was to evaluate the epidemiology of patients with spinal cord injury in incidence of the complication according to the injury level and period. METHOD: Retrospective study was done in 554 patients with SCI who discharged from Yonsei University Medical Center from January, 1987 to December, 1996. We investigated the incidence of each complication such as respiratory, cardiovascular, genitourinary, musculoskeletal, and dermatologic complications according to the neurologic level and each period (1987~1991, 1992~1996). RESULTS: Among the 554 cases, urologic complication (40.3%) was the most common complication followed by dermatologic (39.0%), musculoskeletal (33.6%), cardiovascular (27.1%) and so on. The most common complications of each system were autonomic dysreflexia (13.2%) in cardiovascular, pneumonia (9.6%) in respiratory, contracture (27.8%) in musculoskeletal, urinary tract infection (34.3%) in urologic, hemorrhoid in gastrointestinal, and central pain (24.0%) in neurogenic complications. The most common site of pressure sore was sacral area (58.9%). There was no significant difference in each complication according to the injury period. CONCLUSION: Urologic complication was the most prevalent in patients with SCI followed by dermatologic, musculoskeletal and so on. These basic results would be helpful for prevention and management of the complication of SCI.
