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Uddin T, Islam MT, Hossain M, Hossain MS, Salek A, Islam MJ, Haque S, Rahim HR, Hossain MS, Hassanuzzaman M, Islam M, Khan MUH, Ahmed S, Mahmud K, Hasan MR, Tasnim A, Haque MA. Demographic and Clinical Characteristics of Persons With Spinal Cord Injury in Bangladesh: Database for the International Spinal Cord Injury Community Survey 2023. Neurotrauma Rep 2023; 4:598-604. [PMID: 37731648 PMCID: PMC10507932 DOI: 10.1089/neur.2023.0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2023] Open
Abstract
The study aims to explore the demographic and clinical characteristics of persons with spinal cord injury (SCI) in Bangladesh. A total of 3035 persons with SCI spanning from 2018 to 2022 were included in this cross-sectional study. Information about demographic and clinical variables was obtained from the medical records and verified through telephone calls to ensure accuracy and consistency. Approximately half (48.30%) of the study participants were located in Dhaka Division. The average age of persons with SCI was 38.3 years, with a standard deviation of 15.9 years, and the largest proportion (33.4%) fell within the age range of 18-30 years. Males outnumbered females by nearly 2.5 times. In the study, 59.6% had suffered traumatic injuries, whereas 40.4% had SCI attributable to disease-related causes; 58.1% were diagnosed with tetraplegia and 40.1% with paraplegia. Fall from height (42.1%) and road traffic trauma (27%) were the most common causes of traumatic injuries. Degenerative myelopathy (41.1%) was the most frequent cause of non-traumatic SCI, followed by tumors (27.7%) and tuberculosis (TB; 14.8%). Both traumatic (58.3%) and degenerative (56.7%) causes of SCI commonly affected the cervical spine, whereas TB (24.4%) and tumors (47.5%) had a higher incidence of affecting the dorsal spine. In the absence of a registry or national database for patients with SCI in Bangladesh, this study would serve as representative data for future studies.
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Affiliation(s)
- Taslim Uddin
- Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Mohammad Tariqul Islam
- Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Mohammad Hossain
- Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | | | - A.K.M. Salek
- Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - M. Jahidul Islam
- Department of Physical Medicine and Rehabilitation, Dhaka Medical College, Dhaka, Bangladesh
| | - Shahidul Haque
- Department of Physical Medicine and Rehabilitation, Combined Military Hospital, Dhaka, Bangladesh
| | - Hasna Raihan Rahim
- Department of Physical Medicine and Rehabilitation, Combined Military Hospital, Dhaka, Bangladesh
| | - Md. Shahadat Hossain
- Department of Physical Medicine and Rehabilitation, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh
| | - Md. Hassanuzzaman
- Department of Neurology, Chittagong Medical College Hospital, Chattogram, Bangladesh
| | - Monirul Islam
- Department of Physical Medicine and Rehabilitation, National Institute of Traumatology and Orthopedic Rehabilitation, Dhaka, Bangladesh
| | - Moin Uddin Hossain Khan
- Department of Physical Medicine and Rehabilitation, National Institute of Traumatology and Orthopedic Rehabilitation, Dhaka, Bangladesh
| | - Sharif Ahmed
- Department of Physical Medicine and Rehabilitation, National Institute of Traumatology and Orthopedic Rehabilitation, Dhaka, Bangladesh
| | - Khurshid Mahmud
- Department of Physical Medicine and Rehabilitation, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
| | - Md. Rakibul Hasan
- Department of Physical Medicine and Rehabilitation, Dhaka Medical College, Dhaka, Bangladesh
| | - Anika Tasnim
- Department of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - M. Atiqul Haque
- Department of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
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Uddin T, Rahim HR, Khandaker MN. The Impact of COVID-19 and the Challenges of Post-COVID Rehabilitation in a Developing Country. Front Rehabilit Sci 2022; 2:746061. [PMID: 36188760 PMCID: PMC9397726 DOI: 10.3389/fresc.2021.746061] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Accepted: 12/14/2021] [Indexed: 11/18/2022]
Abstract
The coronavirus disease 2019 (COVID-19) and its impact on human functioning are gaining increased interest. Like many other lower-income countries, the Bangladesh health and rehabilitation sector was adversely affected by COVID-19. Multiple challenges were identified for preparedness and medical rehabilitation during COVID-19 surges. Appropriate supervision of multispecialty long COVID clinics and attention to rehabilitation teamwork are important. Rehabilitation plays a key role in the management of patients with COVID-19 and can reduce the length of hospital stay and improve health outcomes. While waiting for people to be fully vaccinated; ensuring equitable access to COVID-19 vaccination, health care, and rehabilitation services among people with disabilities should be a part of the core mission during the pandemic. All levels of care including, critical, post-acute, or long covid clinic scale-up of rehabilitation services are needed. A physiatrist-led rehabilitation team approach is vital for the adaptation of rehabilitation interventions to improve the functional outcomes of persons with impairment and disability affected by COVID-19.
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Affiliation(s)
- Taslim Uddin
- Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
- *Correspondence: Taslim Uddin
| | - Hasna Raihan Rahim
- Department of Physical Medicine and Rehabilitation, Combined Military Hospital, Dhaka, Bangladesh
| | - Md Nuruzzaman Khandaker
- Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
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Uddin T, Siddiquee N, Khandaker MN, Bashar MS, Rahim HR, Islam S, Rahman MA, Amatya B. Efficacy and Safety of the Awake Prone Positioning in Patients with COVID-19 Related Respiratory Distress: A Scoping Review. Mymensingh Med J 2022; 31:272-279. [PMID: 34999715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Prone positioning (PP) is becoming an important treatment modality for the management of COVID-19 related respiratory distress syndrome. The aim of this scoping review was to evaluate effectiveness and safety of awake PP in non-intubated patients with COVID-19 related acute respiratory distress at different care settings. The study was conducted during December 1, 2019 to August 30, 2020 using health science electronic databases and grey literature. A PRISMA flow diagram was used and finally 06 studies with 187 patients were included for review. Male patients were predominating with the mean age of approximately 55 years. Oxygenation was improved in 79.14% patients. One hundred fifty seven (83.95%) patients with COVID-19-related hypoxemic respiratory distress tolerated the procedure. Intubations required 25.41% of the patients or mechanical ventilation and 6(3.2%) patients expired. Number of patients in the reported studies could tolerate more than 3 hours of PP without a major side effect. Awake proning improved oxygenation of the patients suffering from COVID-19 related respiratory hypoxia in different care settings. Early instituted prone positioning may be an effective alternative method of treating COVID-19 related respiratory distress. Patient compliance and small size cohort studies are the limitations of this review. Multicenter controlled studies are warranted before conclusions are made about safety and the settings.
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Affiliation(s)
- T Uddin
- Professor Dr Taslim Uddin, Chairman, Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka-1000, Bangladesh; E-mail:
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