Spinal cord · 2026
The Epidemiology of Traumatic Spinal Cord Injury among Adults on the African Continent, 2010-2024: A Scoping Review.
СтатьяScoping ReviewНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Balogun Olaitan Johnson, Nkhata Loveness A, Louw Quinette A, Joseph Conran
Аннотация
STUDY DESIGN: Scoping Review OBJECTIVES: This scoping review aimed to synthesise existing literature on the epidemiology of traumatic spinal cord injury (TSCI) in adult populations in African low- and middle-income countries (LMICs) between 2010 and 2024, focusing on incidence, prevalence, causes, mortality, and associated demographic determinants.
SETTING: Hospitals and community settings across African LMICs, including South Africa, Tanzania, Nigeria, Rwanda, Botswana, and Ethiopia.
METHODS: Following the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines, a systematic search was conducted across six databases and grey literature sources. The Population-Concept-Context (PCC) framework guided study selection. Eligible studies included all epidemiological designs focused on adults (≥18 years) with TSCI in African LMICs.
RESULTS: Fifteen studies met the inclusion criteria. South Africa and Tanzania contributed most of the evidence. Most studies employed hospital-based retrospective or cohort designs. TSCI predominantly affected males (71-89%) aged 30-45 years. Road traffic accidents (RTAs) were the leading cause of injury in most countries (up to 77.6%), followed by falls. South Africa was an outlier, where violence-related TSCI was most prevalent (up to 62%). Incidence ranged from 13 to 76 per million per year, with very limited prevalence data. Mortality ranged widely, from 1.2% to 93.8%, depending on the setting and timing of assessment.
CONCLUSIONS: This review highlights the urgent need for improved surveillance and context-specific interventions for TSCI in Africa. The demographic and aetiological consistency across studies underscores shared risk factors, while the geographic and methodological gaps point to the need for broader, population-level research and inclusive health system responses.
SETTING: Hospitals and community settings across African LMICs, including South Africa, Tanzania, Nigeria, Rwanda, Botswana, and Ethiopia.
METHODS: Following the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines, a systematic search was conducted across six databases and grey literature sources. The Population-Concept-Context (PCC) framework guided study selection. Eligible studies included all epidemiological designs focused on adults (≥18 years) with TSCI in African LMICs.
RESULTS: Fifteen studies met the inclusion criteria. South Africa and Tanzania contributed most of the evidence. Most studies employed hospital-based retrospective or cohort designs. TSCI predominantly affected males (71-89%) aged 30-45 years. Road traffic accidents (RTAs) were the leading cause of injury in most countries (up to 77.6%), followed by falls. South Africa was an outlier, where violence-related TSCI was most prevalent (up to 62%). Incidence ranged from 13 to 76 per million per year, with very limited prevalence data. Mortality ranged widely, from 1.2% to 93.8%, depending on the setting and timing of assessment.
CONCLUSIONS: This review highlights the urgent need for improved surveillance and context-specific interventions for TSCI in Africa. The demographic and aetiological consistency across studies underscores shared risk factors, while the geographic and methodological gaps point to the need for broader, population-level research and inclusive health system responses.