دورية أكاديمية
When walking is bad for your back: a cohort study of risk factors for traumatic spinal injury in Abuja
| العنوان: | When walking is bad for your back: a cohort study of risk factors for traumatic spinal injury in Abuja |
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| المؤلفون: | Benjamin Dean Holmes, Ruta Brazauskas, Emmanuel Adoyi Ameh, Oluwole Olayemi Olaomi, Laura Dawn Cassidy |
| المصدر: | The Pan African Medical Journal, Vol 33, Iss 60 (2019) |
| بيانات النشر: | The Pan African Medical Journal, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | road traffic injury, traumatic spinal injury, trauma registry, pedestrian, nigeria, global health, Medicine |
| الوصف: | INTRODUCTION: This study evaluates characteristics and risk factors of traumatic spinal injuries (TSIs) treated at a trauma center in Abuja, Nigeria. TSIs are a global concern. They are frequently disabling, leading to economic workforce, and quality of life strain. Little is known of the epidemiology of TSIs in Nigeria. METHODS: data were collected from National Hospital Abuja's trauma registry on 3025 patients treated at the hospital between 2014 and 2017. Patient characteristics were compared between spinal and nonspinal injury groups. Multiple logistic regression was used to identify risk factors of TSIs. RESULTS: 15% (452) of all injuries were spinal. Road traffic crashes were a significantly greater cause of spinal (77.4%) than nonspinal (59.4%) injuries (p=0.0001). Pedestrians were involved in 19% (356) of total crashes, occupying a significantly larger proportion of spinal (18.6%) than nonspinal (10.6%) injuries (p=0.0001). Three variables were modeled as risk factors of crash-related TSIs: mode of transportation, age, and gender. Only mode of transportation demonstrated statistical significance, with involvement as a pedestrian showing an adjusted odds ratio of 1.38 (95% confidence interval: 1.03-1.85, p=0.0329). CONCLUSION: determining characteristics and risk factors of TSIs is an essential step in addressing this health concern in Nigeria. Crashes are a significant cause of TSIs, and a quarter of TSI patients involved in a crash are pedestrians. Involvement in a crash as a pedestrian is associated with high risk of TSI. These results can help guide both the development of spinal injury prevention policies and the allocation of resources. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English French |
| تدمد: | 1937-8688 |
| العلاقة: | https://www.panafrican-med-journal.com/content/article/33/60/pdf/60.pdfTest; https://doaj.org/toc/1937-8688Test |
| DOI: | 10.11604/pamj.2019.33.60.17565 |
| الوصول الحر: | https://doaj.org/article/9a83e9c318574880aa073d17e6335b73Test |
| رقم الانضمام: | edsdoj.9a83e9c318574880aa073d17e6335b73 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19378688 |
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| DOI: | 10.11604/pamj.2019.33.60.17565 |