Evaluation of Pre-Hospital Emergency Services, Non-Surgical Interventions, and Clinical Outcomes in Patients With Traumatic Spine

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ANDALIB SASAN; MOHTASHAM AMIRI ZAHRA; YOUSEFZADEH CHABOK SHAHROKH; SABERI ALIA; Kakovan Maryam; KOUCHAKINEJAD ERAMSADATI LEILA; Sayad Fathi sara; Shokatjalil Hadiseh; Ghorbani Shirkouhi Samaneh

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Journal: IRANIAN JOURNAL OF NEUROSURGERY Year:2019 | Volume:5 | Issue:1 (16) Page(s): 31-36

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Title

Evaluation of Pre-Hospital Emergency Services, Non-Surgical Interventions, and Clinical Outcomes in Patients With Traumatic Spine

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Keywords

Spine trauma

Spinal cord injury

Glasgow Comma Scale

Emergency medical services

Abstract

Background and Aim: The aim of this study was to assess the pre-hospital emergency services, non-surgical interventions, and clinical outcomes in patients with traumatic spine referred to Poursina hospital in Guilan. Methods and Materials/Patients: Spine trauma registry of Poursina hospital of Rasht were used. Records of patients with traumatic spine were reviewed for pre-hospital emergency services, nonsurgical interventions, and clinical outcomes during 2015 to 2019. Results: 197 patients with traumatic spine were reviewed. 80. 2% of the patients were transferred by ambulance. Pre-hospital fixation was performed in 59. 4% of the patients (n=117). Pre-hospital intubation was required in 1% of patients (n=2). 4. 6% of the patients had Glasgow Comma Scale (GCS) <9; 3% of them (n=6) had 9< GCS<12; and 92. 4% had GCS≥ 13. 11. 7% of the patients experienced SCI. 6. 1%, 1%, 3%, 0. 5%, and 1% of the patients suffered from paraplegia, paraparesis, quadriplegia, quadriparesis, hemiparesis, respectively. Surgery was performed in 89. 8% of the patients. Traction was performed for 3. 6% of the patients. Good recovery, moderate disabilities, severe disabilities, persistent vegetative state, and death were found in 85. 8%, 2%, 5. 1%, 1. 5%, and 2. 5% of the patients, respectively, according to Glasgow Outcome Scale. Conclusion: Most of the patients were transferred to the hospital by ambulance. Pre-hospital fixation was required in more than half of the patients. Most of the patients showed GCS≥ 13 and a good recovery outcome, according to GCS.

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APA: Copy

MOHTASHAM AMIRI, ZAHRA, SABERI, ALIA, Kakovan, Maryam, KOUCHAKINEJAD ERAMSADATI, LEILA, Sayad Fathi, sara, Shokatjalil, Hadiseh, & Ghorbani Shirkouhi, Samaneh. (2019). Evaluation of Pre-Hospital Emergency Services, Non-Surgical Interventions, and Clinical Outcomes in Patients With Traumatic Spine. IRANIAN JOURNAL OF NEUROSURGERY, 5(1 (16)), 31-36. SID. https://sid.ir/paper/752730/en

Vancouver: Copy

MOHTASHAM AMIRI ZAHRA, SABERI ALIA, Kakovan Maryam, KOUCHAKINEJAD ERAMSADATI LEILA, Sayad Fathi sara, Shokatjalil Hadiseh, Ghorbani Shirkouhi Samaneh. Evaluation of Pre-Hospital Emergency Services, Non-Surgical Interventions, and Clinical Outcomes in Patients With Traumatic Spine. IRANIAN JOURNAL OF NEUROSURGERY[Internet]. 2019;5(1 (16)):31-36. Available from: https://sid.ir/paper/752730/en

IEEE: Copy

ZAHRA MOHTASHAM AMIRI, ALIA SABERI, Maryam Kakovan, LEILA KOUCHAKINEJAD ERAMSADATI, sara Sayad Fathi, Hadiseh Shokatjalil, and Samaneh Ghorbani Shirkouhi, “Evaluation of Pre-Hospital Emergency Services, Non-Surgical Interventions, and Clinical Outcomes in Patients With Traumatic Spine,” IRANIAN JOURNAL OF NEUROSURGERY, vol. 5, no. 1 (16), pp. 31–36, 2019, [Online]. Available: https://sid.ir/paper/752730/en

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