The demographics and traumatic causes of spinal cord injury in Nepal: An observational study
Willott, Arran; Dhakal, Raju; Groves, Christine; Mytton, Julie; Ellis, Matthew
Professor Julie Mytton Julie.Mytton@uwe.ac.uk
Professor in Child Health
Introduction: There has been little systematic study of the epidemiology of traumatic spinal cord injury (TSCI) in
Nepal, South-East Asia, and low- and middle-income countries (LMICs) in general. One third of the global morbidity and
mortality due to injuries is concentrated in South-East Asia. We need to better understand the circumstances leading to
TSCI if we are to make progress with prevention.
Method: The Spinal Injury Rehabilitation Centre (SIRC) in Nepal systemically collected prospective data describing
people with TSCI admitted between September 2015 and August 2016. Descriptive analyses of variables yielded demographic,
aetiological and clinical descriptors of this cohort. Cross-tabulations were used to explore the associations
Results: Of 184 admissions over one year, males were admitted to SIRC almost 2.3 times more often than females.
Young adults (21–30 years) were the largest age group (34%). The majority of TSCI resulted in paraplegia (67%) and was
complete in nearly half (49%). Falls caused the majority of TSCI (69%), and falls from trees were the most common. Road
traffic injuries (RTIs) were the second leading cause (29%); the majority involved two- or three-wheeled motorised
vehicles and patients were most commonly driving.
Conclusion: Falls were the leading cause of TSCI across both genders and all age groups, followed by RTIs, which
occurred most often in young adults and men. Injury surveillance and further research would provide a greater understanding
of the pattern of TSCI and enable progress in TSCI prevention and rehabilitation.
|Journal Article Type||Article|
|Peer Reviewed||Peer Reviewed|
|APA6 Citation||Willott, A., Dhakal, R., Groves, C., Mytton, J., & Ellis, M. (in press). The demographics and traumatic causes of spinal cord injury in Nepal: An observational study. Trauma, https://doi.org/10.1177/1460408620941342|
|Keywords||Traumatic spinal cord injury, injury, falls, road traffic injury, Nepal, LMIC|
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