PMID- 2037466
OWN - NLM
STAT- MEDLINE
DCOM- 19910703
LR  - 20061115
IS  - 0017-8594 (Print)
IS  - 0017-8594 (Linking)
VI  - 50
IP  - 2
DP  - 1991 Feb
TI  - Traumatic spinal cord injury in Hawaii.
PG  - 44, 47-8, 50
AB  - As a prelude to continuing surveillance in Hawaii, a 2-year retrospective study 
      (1987-1989) was conducted by the Pacific Basin Rehabilitation Research & Training 
      Center (PBRRTC) and the Rehabilitation Hospital of the Pacific (REHAB) in order 
      to examine the frequency and causes of traumatic spinal cord injury (SCI) at 
      REHAB; determine similarities and differences when compared to national 
      statistics and make recommendations for future study. Data were abstracted from 
      patient records at REHAB. During the period of study, 59 persons were treated for 
      SCI. Similar to the national database, 85% were males and 70% were teenagers and 
      young adults. Motor Vehicle Accidents (MVAs) contributed to 38% of the injuries 
      followed by falls (28%), sports (19%) and violence (16%); however, etiology 
      differed according to age. Sixty-two percent of the lesions were cervical. Almost 
      50% were neurologically complete. Sixty-six percent were in wheelchairs. Over 50% 
      were independent in mobility and feeding and nearly 40% were independent in 
      bathing and dressing. Eighty-eight percent returned to their homes. In general, 
      the case at REHAB did not differ from the national database. Because reporting 
      has not been mandatory, actual SCI incidence in Hawaii is most likely higher. 
      Information derived from a mandatory reporting system would lead to 
      identification of high risk groups, development and evaluation of prevention 
      programs, identification of patients requiring early intervention and 
      rehabilitation, and better planning of health care services.
FAU - Goebert, D A
AU  - Goebert DA
AD  - Pacific Basin Rehabilitation Research & Training Center, University of Hawaii, 
      John A. Burns School of Medicine, Honolulu 96817.
FAU - Ng, M Y
AU  - Ng MY
FAU - Varney, J M
AU  - Varney JM
FAU - Sheetz, D A
AU  - Sheetz DA
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Hawaii Med J
JT  - Hawaii medical journal
JID - 2984209R
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - Databases, Factual
MH  - Female
MH  - Hawaii/epidemiology
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Middle Aged
MH  - Population Surveillance
MH  - Retrospective Studies
MH  - Sex Factors
MH  - Spinal Cord Injuries/*epidemiology/etiology/rehabilitation
EDAT- 1991/02/01 00:00
MHDA- 1991/02/01 00:01
CRDT- 1991/02/01 00:00
PHST- 1991/02/01 00:00 [pubmed]
PHST- 1991/02/01 00:01 [medline]
PHST- 1991/02/01 00:00 [entrez]
PST - ppublish
SO  - Hawaii Med J. 1991 Feb;50(2):44, 47-8, 50.