Surgically managed traumatic spinal cord injury in Singapore: a descriptive study across two level one trauma centres

Spinal Cord Series and Cases, 2024 · DOI: 10.1038/s41394-024-00686-7 · Published: November 1, 2024

Spinal Cord Injury Trauma Rehabilitation

Simple Explanation

This study examines traumatic spinal cord injuries (TSCI) in Singapore, specifically those requiring surgery, across two major trauma centers. The research aims to understand the causes and frequency of these injuries, as well as factors influencing where patients go after their hospital stay. The findings suggest the need for better fall prevention programs, specialized rehabilitation for older adults with spinal injuries, and a national database to track these injuries for improved care.

Study Duration

January 2020 to December 2021

Participants

44 patients who underwent surgical management for acute TSCI

Evidence Level

Case Series

Key Findings

1
Falls from standing height or less were the most common cause of TSCI (54.6%).
2
Most injuries involved the cervical region (88.6%).
3
A lower FIM score at discharge was an independent predictor of discharge to a community hospital or nursing home.

Research Summary

This study provides an updated understanding of surgically managed TSCI in Singapore, highlighting the changing demographics and etiology of these injuries. The research identifies falls as the primary cause of TSCI and emphasizes the importance of addressing fall prevention, particularly among the elderly. The study also advocates for the establishment of a national registry to improve the comprehensive management of TSCI in Singapore.

Practical Implications

Public Health Initiatives

Prioritize public health programs focusing on falls prevention, especially among the elderly, to reduce the incidence of TSCI.

Geriatric Spinal Rehabilitation Programs

Develop specialized rehabilitation programs tailored to the needs of elderly patients with SCI to improve their recovery and functional outcomes.

National Registry for TSCI

Establish a national registry to systematically collect data on TSCI patients, enabling better monitoring, research, and improvement of patient care.

Study Limitations

1
The study only captured surgically managed TSCI cases, potentially leading to a biased cohort.
2
The retrospective design and the study period (during the COVID-19 pandemic) may have influenced the incidence and demographics of TSCI.
3
Lack of a systematic surveillance of TSCI

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