The incidence and outcomes of traumatic cauda equina syndrome in Victoria, Australia
ABSTRACT: Background: Little is known about the incidence, management or long-term outcomes of traumatic cauda equina syndrome (CES), with few cohort studies. The purpose of this study is to establish the incidence and long-term outcomes of traumatic CES in Victoria, Australia. This study is a regi...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | North American Spine Society Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666548424002518 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850065467882864640 |
|---|---|
| author | Xenia Zubenko, BMedSc(Hons) Susan Liew, MBBS, FRACS Sandra Reeder, PhD Yi Yang, MBBS, FRACS Ali Humadi, MSurg, FRACS Belinda Gabbe, PhD |
| author_facet | Xenia Zubenko, BMedSc(Hons) Susan Liew, MBBS, FRACS Sandra Reeder, PhD Yi Yang, MBBS, FRACS Ali Humadi, MSurg, FRACS Belinda Gabbe, PhD |
| author_sort | Xenia Zubenko, BMedSc(Hons) |
| collection | DOAJ |
| description | ABSTRACT: Background: Little is known about the incidence, management or long-term outcomes of traumatic cauda equina syndrome (CES), with few cohort studies. The purpose of this study is to establish the incidence and long-term outcomes of traumatic CES in Victoria, Australia. This study is a registry-based cohort study, and people with a diagnosis of traumatic CES from 2010 to 2022 were recruited from the Victorian State Trauma Registry. Methods: An incidence rate was calculated by dividing the amount of new cases each year by the estimated population in Victoria. Demographic, injury and hospital admission details were extracted from the Victorian State Trauma Registry. Routine follow-up occurred at 6, 12- and 24- months postinjury, with a focus on health-related quality of life outcomes using the EuroQol EQ-5D scale, level of disability using the World Health Organization Disability Assessment Schedule (WHODAS) score and return to work outcomes. An additional telephone interview undertaken at a median 6.8 years postinjury collected the EQ-5D, bowel and bladder outcomes. Descriptive statistics were used to analyse data. Mixed effects regression modelling was used to model change in EQ-5D outcomes over time. Results: Of the 94 participants, most were men (67%), the median age at injury was 41 years, and the most common cause was road trauma (35%). The incidence rate ranged from 0.56 to 2.51 per million per year. Most people reported problems on the EQ-5D at all 4 follow-up time points, with no clear improvement over time. 47% of people had not returned to work 24 months after injury. Of the survivors who completed the additional follow-up, 41% of people experienced constipation and 51% reported almost losing bladder continence at least once per week. Conclusions: While the incidence rate of traumatic CES was low, most people experienced long-term sequelae, highlighting the impact of this injury on peoples’ lives. Multijurisdictional studies may be needed to comprehensively measure the impacts of this injury. |
| format | Article |
| id | doaj-art-747a2d67962c4b879c4d4c232a3eb0f8 |
| institution | DOAJ |
| issn | 2666-5484 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | North American Spine Society Journal |
| spelling | doaj-art-747a2d67962c4b879c4d4c232a3eb0f82025-08-20T02:49:00ZengElsevierNorth American Spine Society Journal2666-54842024-12-012010055810.1016/j.xnsj.2024.100558The incidence and outcomes of traumatic cauda equina syndrome in Victoria, AustraliaXenia Zubenko, BMedSc(Hons)0Susan Liew, MBBS, FRACS1Sandra Reeder, PhD2Yi Yang, MBBS, FRACS3Ali Humadi, MSurg, FRACS4Belinda Gabbe, PhD5School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaMonash Department of Surgery, The Alfred, Melbourne, Victoria, Australia; Department of Orthopaedic Surgery, The Alfred, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Monash Department of Surgery, The Alfred, Melbourne, Victoria, Australia; Department of Orthopaedic Surgery, The Alfred, Melbourne, Victoria, Australia; Monash Centre for Health Research and Implementation, Monash University, Melbourne, Victoria, Australia; Department of Orthopaedics, Royal Melbourne Hospital, Parkville, Victoria, Australia; Population Data Science, Swansea University Medical School, Swansea University, Swansea, Wales, United KingdomDepartment of Orthopaedics, Royal Melbourne Hospital, Parkville, Victoria, AustraliaDepartment of Orthopaedic Surgery, The Alfred, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Population Data Science, Swansea University Medical School, Swansea University, Swansea, Wales, United Kingdom; Corresponding author at: School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria 3004 Australia.ABSTRACT: Background: Little is known about the incidence, management or long-term outcomes of traumatic cauda equina syndrome (CES), with few cohort studies. The purpose of this study is to establish the incidence and long-term outcomes of traumatic CES in Victoria, Australia. This study is a registry-based cohort study, and people with a diagnosis of traumatic CES from 2010 to 2022 were recruited from the Victorian State Trauma Registry. Methods: An incidence rate was calculated by dividing the amount of new cases each year by the estimated population in Victoria. Demographic, injury and hospital admission details were extracted from the Victorian State Trauma Registry. Routine follow-up occurred at 6, 12- and 24- months postinjury, with a focus on health-related quality of life outcomes using the EuroQol EQ-5D scale, level of disability using the World Health Organization Disability Assessment Schedule (WHODAS) score and return to work outcomes. An additional telephone interview undertaken at a median 6.8 years postinjury collected the EQ-5D, bowel and bladder outcomes. Descriptive statistics were used to analyse data. Mixed effects regression modelling was used to model change in EQ-5D outcomes over time. Results: Of the 94 participants, most were men (67%), the median age at injury was 41 years, and the most common cause was road trauma (35%). The incidence rate ranged from 0.56 to 2.51 per million per year. Most people reported problems on the EQ-5D at all 4 follow-up time points, with no clear improvement over time. 47% of people had not returned to work 24 months after injury. Of the survivors who completed the additional follow-up, 41% of people experienced constipation and 51% reported almost losing bladder continence at least once per week. Conclusions: While the incidence rate of traumatic CES was low, most people experienced long-term sequelae, highlighting the impact of this injury on peoples’ lives. Multijurisdictional studies may be needed to comprehensively measure the impacts of this injury.http://www.sciencedirect.com/science/article/pii/S2666548424002518Cauda equina syndromeInjuryTraumaSpineFractureOutcomes |
| spellingShingle | Xenia Zubenko, BMedSc(Hons) Susan Liew, MBBS, FRACS Sandra Reeder, PhD Yi Yang, MBBS, FRACS Ali Humadi, MSurg, FRACS Belinda Gabbe, PhD The incidence and outcomes of traumatic cauda equina syndrome in Victoria, Australia North American Spine Society Journal Cauda equina syndrome Injury Trauma Spine Fracture Outcomes |
| title | The incidence and outcomes of traumatic cauda equina syndrome in Victoria, Australia |
| title_full | The incidence and outcomes of traumatic cauda equina syndrome in Victoria, Australia |
| title_fullStr | The incidence and outcomes of traumatic cauda equina syndrome in Victoria, Australia |
| title_full_unstemmed | The incidence and outcomes of traumatic cauda equina syndrome in Victoria, Australia |
| title_short | The incidence and outcomes of traumatic cauda equina syndrome in Victoria, Australia |
| title_sort | incidence and outcomes of traumatic cauda equina syndrome in victoria australia |
| topic | Cauda equina syndrome Injury Trauma Spine Fracture Outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S2666548424002518 |
| work_keys_str_mv | AT xeniazubenkobmedschons theincidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT susanliewmbbsfracs theincidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT sandrareederphd theincidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT yiyangmbbsfracs theincidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT alihumadimsurgfracs theincidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT belindagabbephd theincidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT xeniazubenkobmedschons incidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT susanliewmbbsfracs incidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT sandrareederphd incidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT yiyangmbbsfracs incidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT alihumadimsurgfracs incidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia AT belindagabbephd incidenceandoutcomesoftraumaticcaudaequinasyndromeinvictoriaaustralia |