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Abstract
Aim. To evaluate Lithuanian patients who have suffered spinal cord injury, characteristics and to compare it with the rest of the world data. Methods. In retrospect were analysed data of 665 patients with spinal cord injury who underwent rehabilitation in Vilnius University Hospital Santariški? Klinikos, Rehabilitation, Physical and Sports Medicine Center (VUL SK RFSMC) from 1994 to 2008. During this period, three times changed the order of the minister of LRS Security Decree for the “Rehabilitation for patients, health and convalescent refund of treatment” (1999, 2003, 2008). Therefore, the data were divided into three date period groups. Evaluated patient groups according to gender, age, nature of spinal cord injury and other data. Patients were divided into groups: younger group – up to 30 years old, middle-age group – from 30 to 60 years and older group – 60 years of age and older, by gender, spinal cord injury in the nature and causes: traumatic spinal cord injury (TSCI) and other reason’s spinal cord injury (OSCI). Groups were compared with each other. Results. analysis of the VUL SK RFSMC rehabilitation of individuals shown, that the average age of patients in all the groups remained similar. In patients with KNSP population is aging, the age of 43.95 ± 16.68 ± 48.69 to 21 : 31 age. Meanwhile, patients with traumatic spinal cord injury the average age that remains roughly the same age 34.18 ± 14:19. Nevertheless, traumatic spinal cord injury often face a younger (up to 30 age group, 40.4%, females – 38.9%, men – 40.7%) and middle-aged persons (30 to 60 age group, 54.8%, females – 61.1%, men – 53.5%). A spinal cord injury due to other reasons, the distribution of age groups is similar: up to 30 age. The age group 31%, 30–60 age – 38%, 60 age and among older people – 31% up to 30 age. The age group of women and men, the ratio of 4.9 : 1; 30–60 years age group 1 : 1.4; 60 years and older people including 4.96 : 1. Women and men experienced TNSP ratio at the yeargroups increased: 1994–1999: 1 : 2.2; 2000–2003: 1 : 1.75; 2004–2008: 1 : 3, 4. The analysis of traumatic spinal cord injury causes, found that depression increased incidence of middle and old age in humans (53.5% and 100%, respectively), motorized vehicle events – the younger and middle age group (34.9% and 33.4% respectively), diving injuries get most young people (up to 30 age 32.6%). Own traumatic spinal cord injury often happens in summer and autumn. Comparing data by year group, trauma growth observed during the summer season (29.9% to 35.3%). Compared to the periods of rehabilitation, developed, and persons who have traumatic spinal cord injury ratio of social groups 1994–1999. TNSP mainly among workers (55.3%), from 2000 to 2003 students (42.7%), 2004–2008 TNSP students experienced an increase (46.3%), while also holding a rose and disability injuries (29.7%). Conclusions. The average annual Lithuania traumatic spinal cord injury rate of less than 23.16 new cases per million population per year. These figures are similar to most economically developed European countries (Netherlands, Italy), and Russia. The assessment in 1994–2008 center’s data, found that traumatic spinal cord injury often suffer middle- aged (30–60 m.), While spinal cord injury due to other reasons, suffer a relatively older patients. Male / female ratio significantly are not different from other European countries (1 : 3.4). According to the social situation is mainly traumatic spinal cord injury rehabilitation at different periods recorded (1994–1999.) Persons employed (55.3%), (2000–2008), student (from 42.7% to 46.3%) people. The most common causes of TNSP, as in most European countries are three: falling (27–29.6%), motor vehicle events (28–26.3%) and diving trauma (10.9–15%). Causes of patient injuries by age group, men’s and women’s ratio, social status, place of residence and seasons, significantly are not different from other European countries.
Key words
spinal cord injury, rehabilitation
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