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Original ArticleOpen Access
Epidemiology of Spinal Cord Injuries : A Study in the Spinal Unit, Siriraj Hospital, Thailand, 1997-2000
Kuptniratsaikul V 
A prospective study of 83 patients with spinal cord injuries admitted to the Spinal Unit, Siriraj
Hospital, Bangkok, Thailand from January 1997 to December 2000 was conducted. The average age was
33.2
เธ‘
11.7 years (range from 10 to 68 years) with a male: female ratio of 4: 1. Most subjects (83.2%)
were aged between 16-45 years. About half of them had no associated injuries and no financial pro-
blems. Three-fourths of the spinal injuries were caused by traffic accidents (49.4 and 25.3% car and
motorcycle respectively). The other two causes were falls (16.9%) and gunshot wounds (8.4%). The
neurological classification was as follows: 34 (41.0%) patients had ASIA D grade of injury, 28 (33.7%)
were paraplegic with ASIA A, B or C grade and 21 (25.3%) were tetraplegic with ASIA A, B, or C
grade. Traffic accidents most frequently resulted in an incomplete ASIA D grade (40.3%). Males were
more predominant for all causes of injury especially motorcycle accidents. The average Barthel Index
score was 24.3
เธ‘
24.7 and 51.9
เธ‘
31.8 at admission and discharge respectively. The prevalence of
depression was 24.1 per cent. The average length of stay for the depressed and non-depressed groups
was 117.4
เธ‘
59.1 and 73.4
เธ‘
54.4 days respectively.
Key word : Spinal Cord Injury, Thailand, Depression, Length of Stay, Barthel Index Score
Hospital, Bangkok, Thailand from January 1997 to December 2000 was conducted. The average age was
33.2
เธ‘
11.7 years (range from 10 to 68 years) with a male: female ratio of 4: 1. Most subjects (83.2%)
were aged between 16-45 years. About half of them had no associated injuries and no financial pro-
blems. Three-fourths of the spinal injuries were caused by traffic accidents (49.4 and 25.3% car and
motorcycle respectively). The other two causes were falls (16.9%) and gunshot wounds (8.4%). The
neurological classification was as follows: 34 (41.0%) patients had ASIA D grade of injury, 28 (33.7%)
were paraplegic with ASIA A, B or C grade and 21 (25.3%) were tetraplegic with ASIA A, B, or C
grade. Traffic accidents most frequently resulted in an incomplete ASIA D grade (40.3%). Males were
more predominant for all causes of injury especially motorcycle accidents. The average Barthel Index
score was 24.3
เธ‘
24.7 and 51.9
เธ‘
31.8 at admission and discharge respectively. The prevalence of
depression was 24.1 per cent. The average length of stay for the depressed and non-depressed groups
was 117.4
เธ‘
59.1 and 73.4
เธ‘
54.4 days respectively.
Key word : Spinal Cord Injury, Thailand, Depression, Length of Stay, Barthel Index Score
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