Epidemiology of incident spinal fracture in a complete population
Epidemiology of incident spinal fracture in a complete population
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DOI：
10.1097/00007632-199602150-00016
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发表时间：
1996-02-15
期刊：
影响因子：
3
通讯作者：
Burns, C
中科院分区：
文献类型：
--
作者：
Hu, R;Mustard, CA;Burns, C
研究设计。使用管理数据库对偶发性脊柱骨折进行横断面观察研究。在一个完整的人群中识别和定义所有脊柱骨折的患者。背景资料摘要。脊柱和脊髓损伤的真实发生率尚不清楚。以前的研究是基于制度或实践的。准确掌握脊髓损伤人群的规模及其特征，可为公共卫生决策和资源配置提供更合理的依据。研究时间为1981年4月1日至1984年3月31日。使用马尼托巴健康服务保险计划数据库，所有ICD-9-CM编码为805的患者。X和806。X（脊柱骨折伴和不伴脊髓损伤）被确定。确定了发病率、年龄和性别分布以及门诊和医院接触者。出院摘要用于对损伤机制、相关损伤和住院时间进行分类。脊柱骨折的年发病率为64 / 10万。263名患者被确认患有。944被送进医院发病高峰出现在年轻男性和老年女性。住院患者中，182例为颈椎损伤，286例为胸椎骨折，403例为腰骶椎损伤。38%的住院患者发生了相关损伤。住院时间平均为38.5天。总死亡率为4.1%。122例患者发生神经损伤。脊柱损伤的门诊治疗比住院治疗更常见。发病率有两个高峰——年轻男性和老年女性。未来的研究决策、公共卫生政策和资源分配可以基于这些数据。
Study Design. Cross-sectional observational study of incident spinal fractures using an administrative database.Objectives. To identify and define all patients who have spinal fractures within a complete population.Summary of Background Data. The true incidence of spinal column and cord injury is not known. Previous studies have been institutional or practice based. Accurate information concerning the magnitude of the spinal injury population and their characteristics may provide a more rational basis for public health decision making and resource allocation.Methods. The study dates were April 1, 1981 to March 31, 1984. Using the Manitoba Health Services Insurance Plan database, all patients with ICD-9-CM coding of 805.x and 806.x (spinal column fracture with and without spinal cord injury) were identified. Incidence rates, age and gender distribution, and ambulatory and hospital contacts were identified. Hospital discharge abstracts were used to classify mechanisms of injury, associated injuries, and length of stay.Results. The annual incidence rate of spinal fracture was 64 per 100,000. Two thousand sixty-three patients were identified, with .944 being admitted to the hospital. There were two peaks of incidence occurring in young men and elderly women. Of the hospitalized patients, 182 had cervical injury, 286 had thoracic fracture, and 403 had injury in the lumbosacral spine. Associated injuries occurred in 38% of hospitalized patients. Length of stay was an average of 38.5 days. Overall mortality was 4.1%. Neurologic injury occurred in 122 patients.Conclusions. Ambulatory care of spine injuries is more common than hospital care. Two peaks of incidence occur-in young men and elderly women. Future decisions for research, public health policy, and resource allocation can be based on these data.