A 10-Year Population Survey of Spinal Trauma and Spinal Cord Injuries after Road Accidents in the Rhone Area
A 10-Year Population Survey of Spinal Trauma and Spinal Cord Injuries after Road Accidents in the Rhone Area
复制标题
DOI：
10.1089/neu.2009.1197
复制
发表时间：
2010-06-01
影响因子：
4.2
通讯作者：
Chiron, Mireille
中科院分区：
文献类型：
--
作者：
Lieutaud, Thomas;Ndiaye, Amina;Chiron, Mireille
机动车和非机动车事故（MNMVA）造成的伤亡由警察或医疗保健系统报告。然而，脊柱损伤的数据有限。使用一个特定地理区域内发生的道路交通事故的流行病学数据库，我们测量了10年期间（1997-2006年）严重脊柱创伤（MST，简明损伤量表[AIS]评分2分或以上）、脊髓损伤（SCI，AIS评分4分或以上）和相关病变的发生率。在纳入的97，341名受害者中，21，623人（22.2%）遭受脊柱创伤，但分别只有1523人（1.6%）和144人（0.2%）遭受MST或SCI，其中10%和43%分别在到达医院之前死亡。男性更容易患脊髓损伤并死亡。脊髓损伤（58%）的颈椎损伤率高于脊髓损伤（39%; p < 0.001）。与MST（21%; p < 0.001）相比，摩托车手在SCI（33%）中的比例过高，并且具有显著的死亡风险。不受约束的汽车乘员有MST和SCI的风险，而戴头盔的摩托车手则没有。胸部是最容易受伤的部位。近一半的MNMVA受害者在坠机后很快死亡。年轻、男性、骑摩托车者和无约束的汽车乘员是严重损伤的危险因素。这些群体应该在特定的项目中成为目标，以减少MNMVA后的死亡率、脊柱创伤和SCI。
Fatalities or injuries following motorized and non-motorized vehicle accidents (MNMVA) are reported by police or health care systems. However, limited data exist for spinal injuries. Using an epidemiological database of road accidents occurring in a defined geographic area, we measured the incidence of major spinal trauma (MST, Abbreviated Injury Scale [AIS] score 2 or more), spinal cord injury (SCI, AIS score 4 or more), and associated lesions over a 10-year period (1997-2006). Among the 97,341 victims included, 21,623 (22.2%) suffered spinal trauma, but only 1523 (1.6%) and 144 (0.2%) sustained an MST or SCI, respectively, and among those 10% and 43% died, respectively, before reaching hospital facilities. Men were more likely to have SCI and die. Cervical injuries were more frequently observed for SCI (58%) than for MST (39%; p < 0.001). Motorcyclists were overrepresented in SCI (33%) compared to MST (21%; p < 0.001), and were at significant risk for fatality. Non-restrained car occupants were at risk of MST and SCI, whereas motorcyclists wearing helmets were not. The chest was the most frequently-injured body region. Nearly half of MNMVA victims suffering SCI die quickly after the crash. Young age, male gender, a motorcyclist, and non-restrained car occupant were risk factors for serious injury. These groups should be targeted in specific programs to decrease fatalities, spinal trauma, and SCI after MNMVA.