The changing demographics of traumatic spinal cord injury: An 11-year study of 831 patients
The changing demographics of traumatic spinal cord injury: An 11-year study of 831 patients
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DOI：
10.1179/2045772314y.0000000233
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发表时间：
2015-03-01
影响因子：
1.7
通讯作者：
Mac-Thiong, Jean-Marc
中科院分区：
文献类型：
--
作者：
Thompson, Cynthia;Mutch, Jennifer;Mac-Thiong, Jean-Marc
背景/目的：创伤性脊髓损伤（T-SCI）具有毁灭性的影响，给医疗保健系统带来了巨大的经济负担。T-SCI的发病率从每百万人10.4例到83例不等，随年龄、性别或地理区域的不同而不同。本研究描述了我们地区11年来治疗T-SCI患者的流行病学和人口学特征。设计：回顾性队列研究。地点：加拿大魁北克省单一一级创伤中心。参与者：2000年4月1日至2011年3月31日期间遭受T-SCI的患者。干预措施:没有。结果测量：有关T-SCI患者的数据从魁北克创伤登记处检索。提取年龄、性别、创伤、损伤程度、神经功能缺损类型和严重程度（ASIA量表）以及治疗等信息。计算T-SCI的年度、年龄标准化率，并检查其随时间的趋势。结果：共发现831例T-SCI患者。T-SCI的发病率没有随时间变化，但在2002年至2010年期间，年龄增加了13年。超过60%的55岁或以上的患者在跌倒后受伤，80%的患者四肢瘫痪。与年轻患者相比，这些患者更有可能患有中枢脊髓综合征（CCS）和不完全性神经损伤。11年间，CCS的发病率从25%上升到37%。结论：T-SCI人群正在老龄化，并且更频繁地持续与CCS、不完全神经功能缺损和四肢瘫痪相关的损伤。
Context/objective: Traumatic spinal cord injuries (T-SCI) have a devastating impact and place a significant financial burden on the healthcare system. The incidence of T-SCI ranges from 10.4 to 83 cases per million and varies with age, sex, or geographical region. This study describes the epidemiology and demographic characteristics of patients treated for T-SCI in our region over 11 years.Design: Retrospective cohort study.Setting: Single Level-I trauma center in Quebec, Canada.Participants: Patients who sustained T-SCI between 1 April 2000 and 31 March 2011.Interventions: None.Outcome measures: Data concerning T-SCI patients was retrieved from the Quebec Trauma Registry. Information on age, sex, trauma, level of injury, type and severity of neurological deficit (ASIA scale), and treatment was extracted. Annual, age-standardized rates of T-SCI were calculated and trends over time were examined.Results: Eight hundred and thirty-one patients with T-SCI were identified. The incidence of T-SCI did not change over time but there was a 13-year increase in age between 2002 and 2010. More than 60% of patients aged 55 years or more were injured following a fall and 80% became tetraplegic. These patients were more likely to have central cord syndrome (CCS) and incomplete neurological injury, compared to younger patients. The incidence of CCS increased from 25 to 37% over 11 years.Conclusions: The T-SCI population is aging and is more frequently sustaining injuries associated with CCS, incomplete neurological deficits and tetraplegia.