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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(6):1086-1095.
Epidemiologic Study of Complications in Spinal Cord Injury Patients.
Park, Chang Il , Shin, Ji Cheol , Kim, Deog Young , Park, Ji Woong , Chung, Woong Tae , Ohn, Suk Hoon , Im, Seon Hee
1Department of Rehabilitation Medicine, Yonsei University College of Medicine.
2Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine.
3Department of Physical Medicine and Rehabilitation, Ajou University Medicine School.
척수손상 환자의 합병증에 대한 역학적 연구
박창일, 신지철, 김덕용, 박지웅, 정웅태, 온석훈, 임선희1
연세대학교 의과대학 재활의학교실 및 재활의학 연구소, 1아주대학교 의과대학 재활의학교실
Abstract

Objective
The patients with spinal cord injury (SCI) suffered by a lot of complications that influence the quality of life both physically and mentally. The purpose of this study was to evaluate the epidemiology of patients with spinal cord injury in incidence of the complication according to the injury level and period.


Method
Retrospective study was done in 554 patients with SCI who discharged from Yonsei University Medical Center from January, 1987 to December, 1996. We investigated the incidence of each complication such as respiratory, cardiovascular, genitourinary, musculoskeletal, and dermatologic complications according to the neurologic level and each period (1987∼1991, 1992∼1996).


Results
Among the 554 cases, urologic complication (40.3%) was the most common complication followed by dermatologic (39.0%), musculoskeletal (33.6%), cardiovascular (27.1%) and so on. The most common complications of each system were autonomic dysreflexia (13.2%) in cardiovascular, pneumonia (9.6%) in respiratory, contracture (27.8%) in musculoskeletal, urinary tract infection (34.3%) in urologic, hemorrhoid in gastrointestinal, and central pain (24.0%) in neurogenic complications. The most common site of pressure sore was sacral area (58.9%). There was no significant difference in each complication according to the injury period.


Conclusion
Urologic complication was the most prevalent in patients with SCI followed by dermatologic, musculoskeletal and so on. These basic results would be helpful for prevention and management of the complication of SCI.

Key Words: Spinal cord injury, Epidemiology, Complication


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