Epidemiological Characteristics of Traumatic Spinal Cord Injury in Guangdong, China
Epidemiological Characteristics of Traumatic Spinal Cord Injury in Guangdong, China
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DOI：
10.1097/brs.0000000000001896
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发表时间：
2017-05-01
期刊：
影响因子：
3
通讯作者：
Shen, Huiyong
中科院分区：
文献类型：
--
作者：
Yang, Rui;Guo, Lan;Shen, Huiyong
研究设计.一项以医院为基础的回顾性流行病学研究。本研究的目的是了解广东省创伤性脊髓损伤（TSCI）患者的人口学和流行病学特征，以帮助卫生相关机构制定措施，确定医疗资源的最佳配置。TSCI是一种高度致残和致命的伤害。目前，关于广东省创伤性脊髓损伤的流行病学特征资料较少。按照国际疾病分类第10版（ICD-10）和TSCI诊断代码，对广东省部分二级甲等医院（主要是综合性市县医院和部分大型附属医院）的病历资料进行回顾性分析。该研究包括了1340名TSCI患者的医疗记录，2003年至2011年期间，TSCI的年入院人数有所增加。男女比例约为3.5：1。脊髓损伤的主要原因是高瀑布（41.0%）和交通事故（37.8%）。TSCI患者中最常见的损伤是颈部损伤（818例）。此外，62.9%的患者有脊柱骨折，24.0%有其他骨折，13.7%有脑损伤。此外，25.1%（337/1340）的患者发生了临床并发症。有无完全损伤患者接受手术和高压氧治疗的例数差异有统计学意义（P
Study Design. A hospital-based retrospective epidemiological study.Objective. The aim of this study was to examine the demographic and epidemiological characteristics of patients with traumatic spinal cord injury (TSCI) in Guangdong to help healthrelated institutions develop measures to determine the best allocation of medical resources.Summary of Background Data. TSCI is a highly disabling and deadly injury. Currently, there is little information regarding the epidemiological characteristics for TSCI in Guangdong.Methods. We retrospectively reviewed the medical records of partial second-grade class-A hospitals (mainly capturing general city and county hospitals and some large-scale affiliated hospitals) in Guangdong province according to the International Classification of Disease Version 10 (ICD-10) and diagnostic code of TSCI.Results. The study included the medical records of 1340 patients with TSCI, and the annual number of TSCI admissions increased during the 2003 to 2011 period. The male-to-female ratio was approximately 3.5: 1. The major causes of spinal cord injuries were high falls (41.0%) and traffic accidents (37.8%). The most common injury among patients with TSCI was cervical injury (818 cases). In addition, 62.9% of the patients had spinal fractures, 24.0% had other fractures, and 13.7% had brain injuries. Furthermore, 25.1% (337/1340) of the patients experienced clinical complications. The differences in the number of patients with and without complete injury who accepted surgery and hyperbaric oxygen therapy were statistically significant (P