Acute care management of spinal cord injury: Patient perspective.

Abstract

Purpose: To find out immediate acute care management after spinal cord injury patients at CRP. Objectives: The aim of this study was to find out care pathway of Bangladesh, causes, transport system use & living area of Spinal Cord Injury patients. Methodology: The study design was cross sectional. The sample size was 150 and purposive sampling technique was used for sample selection who was admitted in Centre for the Rehabilitation of the Paralyzed (CRP) in Bangladesh which is the largest spinal cord injury rehabilitation center in South Asia. Data was collected by a standard questionnaire and it was analyzed by SPSS software version 16.0. Results: Among 150 spinal cord injury patients, most of the patients were complete spinal cord injury patients. The complete-A patients are 66.7% (n=100). Majority of the participants were came from rural area (82.7%) and they were farmer 25.3% (n=38). Complete-A patients ware (66.7%), incomplete-B was (15.3%), Incomplete-C was (12.7%) and incomplete-D was (5.3%). The skeletal and neurological level of thoracic was most common and then cervical then lumber level. The skeletal and neurological level of cervical were 34.7% and 48.6% (n=52 and n= 73), thoracic were 44.15% and 49.2% (n=66 and n=74), lumber 20.7% and 2.2% (n=32 and n=3). Most of the patients were from low socio economic condition and low educational level. Conclusion: From the study it can be concluded that most of the participants were village people. So they cannot understand the preventative measure of Spinal Cord Injury. The study may help to provide awareness among the people of Bangladesh. And also express the vulnerable cause, occupation which is responsible for the spinal cord injury. So Spinal Cord Injury can be reduced through taking preventative measure. Key Words: Acute care management, Spinal cord injury.