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KMID : 0378019860290010051
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New Medical Journal
1986 Volume.29 No. 1 p.51 ~ p.60
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A Clinical Study of Patients with Spinal Cord Injury
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Abstract
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The subjects of this study are 169 cases with spinal cord injury who were discharged from Yonsei University Medical Center during the period January 1, 1979 to December 31, 1984.
The purpose of this study was to evaluate patients with spinal cord injury and to identify the situation and extent of the spinal cord injury rehabilitation at the present time-in order to develope a better rehabilitation program in the future.
Among the 169 cases, 135 cases were male and 34 were female with a male: female ratio of 4 : 1.
The average age at onset for all cases was 38.1 years. Falling down injury was the most common etiology over all with 75 cases (44.4%), and the second most frequent etiology was traffic accident with 70 cases (41.4%).
There was no significantly different neurological outcome between patients who received surgery and treated conservatively. Out of the 37 cases who were completely paralysed prior to surgery, 36(97%) remained in the complete paralytic status. Out of 5lcompletely paralysed patients who were treased conservatively, 49(96%) remained unchanged. Among the 28 originally incomplete paralytic cases who received surgery, 10(35.7%) improved following surgery and of the 34 originally incomplete cases treated conservatively, 9(26.5%) improved with that treatment.
The most common complication was urinary tract infection for paraplegics with .6C cases. of 84(71.5%), and pressure sore for quadriplegics with 55 cases of 85(64.7%).
Over the past 6 years from 1979 through 1984, the method of urinary management in Yonsei University Medical Center reveals a pronounced shift from the utilization of an indwelling catheter to Crede or Tapping method with a decline in the number of cases discharged with indwelling urethral catheter and a rise in the use of Crede or Tapping method.
The time interval between onset of injury and the beginning of physical therapy declined from 61.8 days during the years 1979 to 5.1 days during the years 1984.
There was negative relationship between the activity of daily living score and the time interval between onset of injury and beginning of occupational therapy. The sooner the beggining of occupational therapy, the higher the score of the activity of daily living.
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