Characterizing Spinal Cord Injuries in Jahrom, Iran: A Registry Study from 2021 to 2023

Esmail Rayatdoost; Vahid Rahmanian; Mitra Sadeghi; Maryam Adnani; samaneh abiri; Ali Kazeminezhad

Characterizing Spinal Cord Injuries in Jahrom, Iran: A Registry Study from 2021 to 2023

Authors

Esmail Rayatdoost
Vahid Rahmanian
Mitra Sadeghi
Maryam Adnani
samaneh abiri Jahrom university of medical sciences
Ali Kazeminezhad

Keywords:

Spinal Cord Injuries, Jahrom, Iran, Disease Registry

Abstract

Objective: To investigate spinal cord injury (SCI) characteristics in Jahrom, Iran, using registry data

Methods: This registry study, conducted in Jahrom City, Iran, aimed to analyze SCI characteristics from March 2021 to the end of 2023, utilizing a registry-based approach. Data were gathered from Peymanieh Hospital through surveys and medical records. Demographic variables, Road traffic injury variables, Scene and triage clinical variables were entered. Clinical characteristics and spinal injury variables analyzed the extent and types of spinal trauma, surgical interventions, and outcomes.

Results: This registry, covering 75 cases with a mean age of 40.89 ± 15.85 years, predominantly male (78.7%), showed that main injury causes include traffic accidents (58.70%) and falls (33.30%). GCS averages are 13.64 ± 3.42 (scene), 13.66 ± 3.31 (ambulation), and 13.7 ± 3.19 (admission). Physiological parameters show mean heart rate (PR) 85.08 ± 14.14, systolic blood pressure (SBP) 115.12 ± 17.24, diastolic blood pressure (DBP) 72.77 ± 9.93, and respiratory rate (RR) 18.93 ± 2.36. Spinal cord injuries involve an average of 1.43 vertebrae, with L1 most affected. Surgical interventions are common (28%), and 84% of patients are discharged, with 8% facing unfortunate outcomes of death. Mechanical ventilation lasts an average of 8.33 days (6 patients). The average durations for various time intervals were as follows: injury to EMS call (12.61 minutes), EMS call to EMS arrival (13.80 minutes), EMS arrival to hospital ambulation (9.26 minutes), total time from injury to EMS arrival at the hospital (31.97 minutes), hospitalization length (7.52 days), and admission to surgery time (9.81 hours).

Conclusion: Findings highlight key information about the pattern of SCI in Jahrom.

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Characterizing Spinal Cord Injuries in Jahrom, Iran: A Registry Study from 2021 to 2023