Article

A comment on management of spinal injuries in the october 2005 Pakistan earthquake.

Disaster Medicine and Public Health Preparedness (impact factor: 1.53). 10/2011; 5(3):174-5. DOI:10.1001/dmp.2011.66 pp.174-5
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  • Article: Experience of makeshift spinal cord injury rehabilitation center established after the 2005 earthquake in Pakistan.
    Bilal Arshed Butt, Junaid Ahmad Bhatti, Muhammad Shahzad Manzoor, Khurram Saleem Malik, Muhammad Shoaib Shafi
    Disaster Medicine and Public Health Preparedness 03/2010; 4(1):8-9. · 1.53 Impact Factor
  • Article: Epidemiology of spinal cord injuries in the 2005 Pakistan earthquake.
    M F A Rathore, P Rashid, A W Butt, A A Malik, Z A Gill, A J Haig
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    ABSTRACT: Prospective observational study. To identify the epidemiological features specific to spinal injuries as a result of an earthquake. Rawalpindi, Pakistan in the months after the 8 October 2005 earthquake. In the month after the earthquake, the one established rehabilitation center was augmented with two makeshift spinal cord centers. Information on mechanism of injury, mode of evacuation, associated injuries was gathered, and a detailed clinical and radiological assessment was performed. Neurological status and functional outcome was determined after 10 weeks. Of an estimated 650-750 spinal cord injuries, 187 were admitted to these centers, including 80 men and 107 women with a mean age of 28.3+/-12.4 years. Injuries occurred while standing in 57.8% of patients. Most (83.4%) who reached the spinal cord center were airlifted. A urinary catheter had been placed before admission in 91.5%. Most of the patients were paraplegic 89.3, with 50.8% incomplete injuries. Fracture or fracture dislocation was present in 70, and 75% underwent spinal fixation. Although pressure ulcers (28.9%) and urinary tract infections (39%) were common, deep venous thromboses (4.8%) and depression (5.8%) were seldom detected. At 10 weeks, 75% were continent or performing intermittent catheterization. There were no deaths and two births. After a disaster, evacuation of persons with a spinal cord injury to a specialized center results in low mortality. Response planning for disasters should include early aggressive medical rehabilitation.
    Spinal Cord 11/2007; 45(10):658-63. · 1.80 Impact Factor
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    Article: The prevalence of deep vein thrombosis in a cohort of patients with spinal cord injury following the Pakistan earthquake of October 2005.
    M F A Rathore, S Hanif, P W New, A W Butt, M H Aasi, S-U Khan
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    ABSTRACT: Prospective observational study. To assess the prevalence of symptomatic deep vein thrombosis (DVT) in earthquake survivors with spinal cord injury (SCI). Rawalpindi, Pakistan, in the months after the October 2005 earthquake. Earthquake survivors (n=187) with acute SCI were enrolled after verbal informed consent. Information on mechanism of injury, mode of evacuation, associated injuries was gathered, and a detailed clinical and radiological assessment was performed. They were followed for 10 weeks for clinical signs and symptoms suggestive of DVT. Case with clinical suspicion of a DVT underwent a duplex scan of both legs to confirm the diagnosis. The influence of age, gender, American Spinal Injury Association (ASIA) grade and lower limb fractures on occurrence of DVT was determined. There were 80 men and 107 women with a mean age of 28.3+/-12.4 years. Seventeen patients were clinically suspected to have a DVT and ultrasound was positive in nine (4.8%). There was no influence of age (P=0.4), gender (P=0.4), ASIA grade (P=0.1) or presence of a lower limb fracture (P=0.6) on the occurrence of a DVT. This study adds further evidence to support the belief that the incidence of DVT in Southeast Asian patients with an SCI is lower than the reported incidence in the West. It may not be necessary to apply the recommendations for DVT prophylaxis in Caucasians with SCI to other groups, including Southeast Asians.
    Spinal Cord 08/2008; 46(7):523-6. · 1.80 Impact Factor

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