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There are no available published data concerning TSCI in Latvia.The study design was retrospective and included data from the medical records of all patients with TSCI who were admitted for the first time to the National Rehabilitation Centre ‘Vaivari’ between January 2011 and December 2014.Medical complications have an adverse impact not only on the patient’s health, but also on social integration, employment probability, and quality of life.Complications may result in death for some groups of patients .Following TSCI, 75 patients (56%) used intermittent catheterisation for bladder management, 5 patients (4%) used suprapubic indwelling catheterisation, and the remaining 54 patients (40%) had spontaneous voiding.
Patients with SCI usually have permanent neurologic deficits and disability.A histogram of the age of the patients is depicted in Fig. With respect to sex, 122 (84%) of the 134 patients with TSCI were male, and 22 (16%) were female. According to the recommendations of the Executive Committee for the Development of the International Spinal Cord Injury Data Sets , patients were subdivided into the following age groups: 16–30 years, 31–45 years, 46–60 years and 61 years.The highest proportion of injuries (48; 36%) occurred in the group of patients aged 31–45. The causes of TSCI were divided into six groups as suggested by the Executive Committee for the International Spinal Cord Injury Data Sets Committee . The other causes represented 10 cases, in which the patients were injured by a falling tree (n = 4), a falling concrete wall (n = 1), snow (n = 1), a plug (n = 1), an explosion (n = 1), a suicide attempt (n = 1), and an accident involving farming equipment (n = 1).The following data were retrieved from the medical history: age, sex, date of trauma, date of admission to the rehabilitation centre, date of discharge, cause of the spinal cord damage and injury level, ASIA classification of the SCI, bladder management on discharge, and medical complications during the rehabilitation course from medical history epicrisis.Statistical analyses were performed using the IBM SPSS software v. P values of less than 0.05 were regarded as statistically significant.
The study was approved by the Ethical Committee of Riga Stradins University. Among these cases, 42 were registered the year 2011, 31 in 2012, 21 in 2013 and 40 in 2014.