Epidemiology of spinal cord injury in the Federal District: time series analysis (2008-2024)
DOI:
https://doi.org/10.55892/jrg.v9i20.2938Keywords:
Time Series Studies, Epidemiology, Spinal Cord InjuriesAbstract
The objective of this study was to analyze the epidemiological profile and temporal trends of hospitalizations for spinal cord injury in the Federal District, Brazil, between 2008 and 2024. This ecological time-series study used data from the Hospital Information System of the Unified Health System, including hospitalizations identified by ICD-10 codes. Descriptive analyses of sociodemographic and clinical characteristics were performed, along with temporal trend analysis using simple linear regression and the Mann–Kendall test. The chi-square test was used to assess changes in overall hospital complication rates. A total of 390 hospitalizations were identified, predominantly among males (85.9%) and young individuals of working age. Most hospitalizations occurred due to urgent or emergency admissions, with variable length of stay and frequent need for Intensive Care Unit support. Temporal analysis demonstrated a significant downward trend in hospitalizations over the study period, while overall hospital complication rates showed no statistically significant variation.
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BRASIL. Ministério da Saúde. Departamento de Informática do Sistema Único de Saúde (DATASUS). TabWin: aplicativo para tabulação de dados. Brasília: Ministério da Saúde, 2024. Disponível em: https://datasus.saude.gov.br/.
CHEN, W. Epidemiological characteristics of traumatic spinal cord injuries in the intensive care unit from 2018 to 2023: a retrospective hospital-based study. World Journal of Emergency Medicine, Hangzhou, v. 15, n. 6, p. 455–464, nov./dez. 2024.
DENG, Y. Global, regional, and national burden of spinal injuries attributable to road injuries: a systematic analysis of incidence, prevalence, and YLDs with projections to 2046. Frontiers in Public Health, Lausanne, v. 13, p. 1628455, jan./dez. 2025.
FALEIROS, F. Epidemiological profile of spinal cord injury in Brazil. Journal of Spinal Cord Medicine, London, v. 46, n. 1, p. 75–82, jan./mar. 2023.
FLANAGAN, C. D. Early tracheostomy in patients with traumatic cervical spinal cord injury appears safe and may improve outcomes. Spine, Philadelphia, v. 43, n. 16, p. 1110–1116, ago. 2018.
GUAN, B. Global, regional and national burden of traumatic brain injury and spinal cord injury, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. BMJ Open, London, v. 13, n. 10, p. e077258, out. 2023.
GÜNDOĞDU, I. Implementation of a respiratory rehabilitation protocol: weaning from the ventilator and tracheostomy in difficult-to-wean patients with spinal cord injury. Disability and Rehabilitation, London, v. 39, n. 12, p. 1162–1170, jun. 2017.
HASLER, R. M. Epidemiology and predictors of spinal injury in adult major trauma patients: European cohort study. European Spine Journal, Berlin, v. 20, n. 12, p. 2174–2180, dez. 2011.
JANG, H. J. Length of hospital stay in patients with spinal cord injury. Annals of Rehabilitation Medicine, Seoul, v. 35, n. 6, p. 798–806, dez. 2011.
MALEKZADEH, H. Direct cost of illness for spinal cord injury: a systematic review. Global Spine Journal, Thousand Oaks, v. 12, n. 6, p. 1267–1281, set. 2022.
MORAIS, D. F. Perfil epidemiológico de pacientes com traumatismo raquimedular atendidos em hospital terciário. Coluna/Columna, São Paulo, v. 12, n. 2, p. 149–152, abr./jun. 2013.
NEW, P. W.; JACKSON, T. The costs and adverse events associated with hospitalization of patients with spinal cord injury in Victoria, Australia. Spine, Philadelphia, v. 35, n. 7, p. 796–802, abr. 2010.
PEREIRA, T. G. G.; CASTRO, S. L. S.; BARBOSA, M. O. Perfil epidemiológico do traumatismo raquimedular em um hospital de referência do Distrito Federal: um estudo retrospectivo. Brazilian Journal of Development, Curitiba, v. 8, n. 2, p. 8708–8729, fev. 2022.
RIBERTO, M. Estudo dos determinantes dos custos no atendimento dos pacientes com lesão medular decorrente de trauma raquimedular. Acta Fisiátrica, São Paulo, v. 30, n. 1, p. 7–12, jan./mar. 2023.
ROMERO-GANUZA, J. An intermediate respiratory care unit for spinal cord-injured patients: a retrospective study. Spinal Cord, London, v. 53, n. 7, p. 552–556, jul. 2015.
SANGUINETTI, R. D. National survey of mental health and suicidal thoughts in people with spinal cord injury. Spinal Cord, London, v. 60, n. 5, p. 444–450, maio 2022.
SCHREIBER, A. F. Separation from mechanical ventilation and survival after spinal cord injury: a systematic review and meta-analysis. Annals of Intensive Care, London, v. 11, n. 1, p. 144, set. 2021.
SIDDIQUI, A. M.; KHAZAEI, M.; FEHLINGS, M. G. Translating mechanisms of neuroprotection, regeneration, and repair to treatment of spinal cord injury. Amsterdam: Elsevier, 2015.
WORLD HEALTH ORGANIZATION. International perspectives on spinal cord injury. Geneva: WHO, 2013.
WU, F. Current epidemiological profile and characteristics of traumatic cervical spinal cord injury in Nanchang, China. Journal of Spinal Cord Medicine, London, v. 45, n. 4, p. 556–563, jul./ago. 2022.
ZAKRASEK, E. C.; CREASEY, G.; CREW, J. D. Pressure ulcers in people with spinal cord injury in developing nations. Spinal Cord, London, v. 53, n. 1, p. 7–13, jan. 2015.





































