Current epidemiological profile and characteristics of traumatic cervical spinal cord injury in Nanchang, China
Current epidemiological profile and characteristics of traumatic cervical spinal cord injury in Nanchang, China
复制标题
南昌市创伤性颈脊髓损伤现况及特点
DOI：
10.1080/10790268.2021.1949188
复制
发表时间：
2022-06
影响因子：
1.7
通讯作者：
Yang Dong
中科院分区：
文献类型：
--
作者：
Wu Fanhui;Zheng Yibin;Ren Bingkai;Huang Leiwen;Yang Dong
研究设计：一项以医院为基础的回顾性流行病学研究。目的了解南昌地区创伤性颈脊髓损伤（TCSCI）的流行病学特征。单位：南昌大学第一附属医院、南昌大学第二附属医院、南昌大学第三附属医院。方法检索2012年1月至2018年12月南昌大学第一附属医院、南昌大学第二附属医院和南昌大学第三附属医院收治的1290例TCSCI患者的病历资料。记录的特征包括年龄、性别、损伤病因、神经水平、美国脊髓损伤协会（ASIA）损伤量表、患者来源和相关创伤。分类数据报告为频率和比例，并使用Fisher精确或卡方检验进行比较。P < 0.05为有统计学意义。结果共纳入1290例TCSCI患者。最大年龄组为46-60岁，占患者的31.6%;平均年龄为53.1 ± 16.2岁，男女比例为7.06：1。超过87.4%的人是从一级或二级医院转来的。受伤的主要原因是机动车碰撞（41.3%），其次是低坠（26.5%）。最常见的颈椎损伤节段是C5节段，占病例的24.3%。至于严重程度，ASIA D级最常见，共有518人（40.2%）。在所有参与者中，56.8%有相关创伤，最常见的是头部损伤（18.2%）。手术是主要的治疗选择（51.2%），从2012年到2018年，接受手术的患者数量正在增加，P = 0.02。结论南昌市TCSCI患者有其独特的流行病学特征，预防措施应以中老年人群为重点。此外，应更加注意城乡之间医疗资源和技术的平衡发展。
Study design A hospital-based retrospective epidemiological study. Objective To describe the recent epidemiological profile and characteristics of traumatic cervical spinal cord injury (TCSCI) in Nanchang, Jiangxi Province, China. Setting The First Affiliated Hospital of Nanchang University, The Second Affiliated Hospital of Nanchang University and The Third Affiliated Hospital of Nanchang University. Methods We retrieved the medical records of 1290 persons with TCSCI admitted to The First Affiliated Hospital of Nanchang University, The Second Affiliated Hospital of Nanchang University and The Third Affiliated Hospital of Nanchang University between January 2012 and December 2018. The characteristics recorded were age, sex, aetiology of the injury, neurological level, American Spinal Injury Association (ASIA) impairment scale, patient source, and associated trauma. Categorical data were reported as frequency and proportions and compared using the Fisher’s exact or Chi-square test. P < 0.05 was considered to be statistically significant. Results A total of 1290 persons with TCSCI were included in the present study. The largest age group was 46–60 years, accounting for 31.6% of the patients; the mean age was 53.1 ± 16.2 years, and the male/female ratio was 7.06:1. More than 87.4% of persons were transferred from a primary or secondary hospital. The leading cause of injury was motor vehicle collision (41.3%), followed by low fall (26.5%). The most common cervical spine injury level was the C5 segment, accounting for 24.3% of cases. As for severity, ASIA grade D was encountered most frequently, with a total of 518 persons (40.2%). Among all participants, 56.8% had associated trauma, the most common being head injuries (18.2%). Surgery was the major treatment choice (51.2%), and the number of patients undergoing surgery is increasing from 2012 to 2018, P = 0.02. Conclusion Persons with TCSCI in Nanchang had specific epidemiological characteristics, and preventive measures should focus on middle-aged and older adults. In addition, more attention should be paid to balancing development of medical resources and technology between urban and rural areas.
登录
查看更多内容
DOI：
10.1080/10790268.2005.11753812
发表时间：
2005-01
期刊：
The Journal of Spinal Cord Medicine
影响因子：
--
作者：
J. Delisa
通讯作者：
J. Delisa
影响因子：
2.2
作者：
Chen, R.;Liu, X.;Yao, M.
通讯作者：
Yao, M.
影响因子：
1.2
作者：
Bellet, Fanuel Damian;Rashid, Sakina Mehboob;Temu, Rogers Joackim
通讯作者：
Temu, Rogers Joackim
影响因子：
1.7
作者：
Ning, Guang-Zhi;Mu, Zhi-Ping;Zhou, Yue
通讯作者：
Zhou, Yue
影响因子：
3
作者：
Yang, Rui;Guo, Lan;Shen, Huiyong
通讯作者：
Shen, Huiyong