Keywords
Spinal cord injuries
Epidemiology
Health profile
Physical therapy services
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Abstract
Objective: To characterize the clinical-epidemiological profile of patients hospitalized for Spinal Cord Injury (SCI) in a reference hospital in Piauí and to specify the main demands for physiotherapy in the face of associated complications. Methods: Cross-sectional and retrospective study carried out at a university hospital in Teresina-PI. Medical records of patients ≥18 years old diagnosed with SCI admitted between 2021 and 2022 were included. Results: A total of 211 medical records were analyzed, with a mean age of 44.6 years and a predominance of males (81.8%). The main cause was traffic accident (50.7%), with a higher frequency of cervical injuries (35.1%) and need for surgical treatment (84.8%). Complications associated with SCI occurred in 48.3% of cases, with emphasis on pressure injury (28.0%), surgical wound infection (11.8%) and respiratory complications (11.4%). Injuries at high levels of the spine were associated with both the occurrence of complications and the outcome of death. The average length of hospital stay was 22.18 days. Conclusion: The profile of hospitalized patients with spinal cord injury (SCI) was predominantly male, with traffic accidents as the main cause and cervical injuries as the most common topography. The presence of complications and injuries at higher neurological levels was associated with worse outcomes. Pressure injuries and respiratory complications, both preventable conditions, represent important demands for physiotherapy.
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