Spinal cord injury in the Republic of Tatarstan in 2017–2018 (main epidemiological indicators)

Abstract

THE PURPOSE OF STUDY is to analyze the main epidemiological indicators of spinal cord injury in the Republic of Tatarstan for 2017–2018.

MATERIALS AND METHODS: a continuous cohort retrospective study of completed cases of inpatient treatment of patients with acute spinal cord injury in hospitals of the Republic was carried out according to the data of the territorial fund of compulsory medical insurance.

RESULTS: The incidence of spinal cord injury in the Republic in 2017 was 76.65 patients per 100000 of the population, in 2018–74.95 patients per 100000 of the population. The highest incidence was observed in the group of 0–15 years, the second place in terms of incidence was in the age group of 60 years and older. In the most economically active population group (16–59 years old), the incidence was the lowest. The first place in terms of the number of cases was occupied by a group of injuries of the cervical spine, the second — by a group of injuries of the thoracic spine, the third place belonged to injuries of the lumbar spine. The distribution of spinal injury levels related to each age group were revealed.

CONCLUSION: Acute Spinal cord injury in the Republic of Tatarstan has a high morbidity rate, which leads to significant economic costs for providing care to this group of patients. The incidence of spinal cord injury exceeds the average for Russia and the world. The obtained data motivate to take measures for further optimization of medical and social care for this group of patients in complience with modern clinical guidelines.