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Spinal injuries admitted to a specialist centre over a 5-year period : a study to evaluate delayed admission
H
AMIN A; BERNARD J; NADARAJAH R; DAVIES N; GOW F; TUCKER S
SPINAL CORD , 2005, vol. 43, n° 7, p. 434-437 Doc n°: 121143 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AE21 - ORIGINE TRAUMATIQUE Url : http://www.nature.com/sc/archive/index.html Retrospective study of 432 patients admitted to our institution with a spinal injury over a 5-year period. Objectives: To present epidemiological data relating to this spinal population, reporting specifically on delayed admission and length of hospitalisation. Setting: Royal National Orthopaedic Hospital, Stanmore, UK. Methods: A total of 432 traumatic spinal injuries admitted between March 1998 and March 2003 were analysed with respect to age, gender, mechanism of injury, level of bony injury, neurological level (complete, incomplete and intact), Injury Severity Score (ISS), date of injury, referral and admission independently and length of hospitalisation. The delays between injury and referral (43 days) and between referral and admission (47 days) were correlated to the length of hospitalisation. A detailed analysis of the cause of delay at both junctures was undertaken. Results: There were 322 males (average age, 38.6 years) and 110 females (average age, 41.8 years) in our study. Classification of neurological severity disclosed 108 complete injuries, 115 incomplete and 209 intact. The average time between injury and referral was 5.5 days (range 0-94), and between referral and admission was 10.7 days (range 0-130). A total of 161 patients (37%) experienced a delay between injury and referral, of whom 59 (37%) were subsequently also delayed to admission. The principal reason for delay between injury and referral was the treatment of concurrent injuries. Even patients with complete injuries (15/43) experienced delayed referral. Langue : ANGLAIS |
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