Medico-legality of Acute Spinal Cord Injuries

NCT06717503 | Not Yet Recruiting

• 1 other identifier: Acute spinal cord injuries
• Study Type: observational
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

1. 1.Describe different medico-legal aspects of TSI (mode of trauma, cause and Pattern of spinal injuries).
2. 2.Assess the outcome of TSI in studied cases.
3. 3.Associate type of trauma with the different patterns of acute spinal injuries.

Conditions

Spinal Cord Injury

Outcome Measures

Primary Outcomes (1)

• Evaluation of medico-legal aspects of traumatic spinal injury cases includind 1 mode of trauma: suicidal, homicidal or accidental 2 causes :road traffic injuries, fall from height, assault from other...etc 3 Pattern: type and level of the injury.

  A structured data sheet is prepared and included the following: (A)Patients' demographic and epidemiological data such as age, sex, residence, education and marital state. (B)Mode of trauma (accidental, homicidal, suicidal). (C)Cause of injury like motor car, motor cycle accident, fall from height, blunt trauma, sports, occupation….etc. (G)Examination findings, including careful documentation of the neurological status. (H)Imaging findings, including plain X-rays, MSCT, and MRI. (I)Type and level of the injury (fracture, dislocation, ligament tear, associated bone injuries…etc). (J)Sequels (deformity, disability, permanent infirmity and death). this data will be collected from the patients and analysis to data

  baseline

Secondary Outcomes (1)

• Determine the association between causes of trauma( motor car, motor cycle accident, fall from height, blunt trauma, sports, occupation….etc) with the different patterns of acute spinal injuries including type and level from imaging investigation.

  baseline

Interventions

data collection OTHER

data will be collected from data sheets of acute spinal cord injury patients (Patients' demographic and epidemiological ,Mode of trauma, Cause of injury, Method of arrival to hospital, Time passed between trauma and arrival at hospital,How to deal with the TSI patients from the time of the injury until arrival at hospital, Examination findings, Imaging findings, Type and level of the injury, Sequels, Hospital stay period and operations)

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

A structured data sheet is prepared and included the following: (A)Patients' demographic and epidemiological data such as age, sex, residence, education and marital state. (B)Mode of trauma (accidental, homicidal, suicidal). (C)Cause of injury like motor car, motor cycle accident, fall from height, blunt trauma, sports, occupation….etc. (D)Method of arrival to hospital. (E)Time passed between trauma and arrival at hospital. (F)How to deal with the TSI patients from the time of the injury until arrival at hospital. (G)Examination findings, including careful documentation of the neurological status. (H)Imaging findings, including plain X-rays, MSCT, and MRI. (I)Type and level of the injury (fracture, dislocation, ligament tear, associated bone injuries…etc). (J)Sequels (deformity, disability, permanent infirmity and death). (K)Hospital stay period and operations

You may qualify if:

• All patients presenting with acute TSI regardless level of injury, or neurological status.

You may not qualify if:

• Patients have congenital anomalies, neurological defects or disability before trauma.
• Patients with pathological spinal cord diseases were excluded.

Sponsors & Collaborators

• Assiut University: lead

Related Publications (7)

• Wilson JR, Cadotte DW, Fehlings MG. Clinical predictors of neurological outcome, functional status, and survival after traumatic spinal cord injury: a systematic review. J Neurosurg Spine. 2012 Sep;17(1 Suppl):11-26. doi: 10.3171/2012.4.AOSPINE1245.

  PMID: 22985366 BACKGROUND

• Vazquez XM, Rodriguez MS, Penaranda JM, Concheiro L, Barus JI. Determining prognosis after spinal cord injury. J Forensic Leg Med. 2008 Jan;15(1):20-3. doi: 10.1016/j.jflm.2007.06.003. Epub 2007 Sep 25.

  PMID: 18096510 BACKGROUND

• Singh A, Tetreault L, Kalsi-Ryan S, Nouri A, Fehlings MG. Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol. 2014 Sep 23;6:309-31. doi: 10.2147/CLEP.S68889. eCollection 2014.

  PMID: 25278785 BACKGROUND

• Soreide K. Epidemiology of major trauma. Br J Surg. 2009 Jul;96(7):697-8. doi: 10.1002/bjs.6643. No abstract available.

  PMID: 19526611 BACKGROUND

• Kumar R, Lim J, Mekary RA, Rattani A, Dewan MC, Sharif SY, Osorio-Fonseca E, Park KB. Traumatic Spinal Injury: Global Epidemiology and Worldwide Volume. World Neurosurg. 2018 May;113:e345-e363. doi: 10.1016/j.wneu.2018.02.033. Epub 2018 Feb 14.

  PMID: 29454115 BACKGROUND

• Blackmore CC, Emerson SS, Mann FA, Koepsell TD. Cervical spine imaging in patients with trauma: determination of fracture risk to optimize use. Radiology. 1999 Jun;211(3):759-65. doi: 10.1148/radiology.211.3.r99jn22759.

  PMID: 10352603 BACKGROUND

• Aktas N, Gulacti U, Lok U, Aydin I, Borta T, Celik M. Characteristics of the Traumatic Forensic Cases Admitted To Emergency Department and Errors in the Forensic Report Writing. Bull Emerg Trauma. 2018 Jan;6(1):64-70. doi: 10.29252/beat-060110.

  PMID: 29379812 BACKGROUND

MeSH Terms

Conditions

Spinal Cord Injuries

Interventions

Data Collection

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Trauma, Nervous System; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Doaa Mohamed Abd El Rahman, Assistant Professor

  Doaa Mohamed Abd El Rahman

  STUDY DIRECTOR

• Ali Mohamedein Mohamed, professor

  Ali Mohamedein Mohamed

  STUDY DIRECTOR

Central Study Contacts

Marwa Khalid Mohamed Ismail, demonstrator

CONTACT

+201007097882; marwakhalid@aun.edu.eg

Zaghloul Thabet Mohamed, professor

CONTACT

+201066192155; Zaghloul_63@aun.edu.eg

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Demonstrator at forensic medicine and clinical toxicology

Study Record Dates

• First Submitted: November 27, 2024
• First Posted: December 5, 2024
• Study Start: January 1, 2025
• Primary Completion: December 31, 2025
• Study Completion: January 31, 2026
• Last Updated: December 6, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share