Descriptive epidemiology of traumatic spinal injury in Japan
Descriptive epidemiology of traumatic spinal injury in Japan
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DOI：
10.1016/j.jos.2017.10.013
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发表时间：
2018-03-01
影响因子：
1.7
通讯作者：
Abe, Toshikazu
中科院分区：
文献类型：
--
作者：
Tafida, Mahammad Abbas;Wagatsuma, Yukiko;Abe, Toshikazu
背景：自20世纪90年代以来，日本一直没有对脊柱损伤的流行病学进行研究，当时其发病率为39.4e40.2‰，损伤的主要原因是机动车碰撞。为临床医生和公共卫生预防规划提供参考，阐明日本脊柱损伤和脊柱损伤患者的流行病学现状。方法：从日本创伤数据库(JTDB)中回顾选择2004年至2013年所有年龄段和所有脊柱损伤的脊柱损伤患者。将缩写的伤害等级代码(AIS98)转换为伤害。该数据集由全国241家医院提供。结果：2004年至2013年共收治脊柱损伤患者25792例(男70.1%，女29.9%，平均年龄53.4岁)，其中多发伤增至33892例(男70.4%，女29.6%)。从2004年(15.4%)到2013年(17.6%)，观察到脊柱损伤患者在JTDB中占所有创伤患者的百分比。致伤原因以坠落(52.4%)和机动车碰撞(39.8%)为主。损伤部位以颈椎水平最多(49.7%)。有心血管疾病病史，主要由高血压引起(19.6%)。总体而言，大多数损伤与骨折(64.8%)有关，其他(30.7%)累及脊髓。自杀(12.0%)和工伤事故(9.0%)在人群中独占鳌头。结论：2004-2013年间JTDB脊柱损伤人数呈上升趋势。由于各种原因，机动车撞车已被跌倒取代，成为脊柱损伤的主要原因。自杀和工业事故正在成为一种负担。需要更多的研究来证实实际的发病率。(C)2017年日本整形外科协会。爱思唯尔出版，版权所有。
Background: Spine injury epidemiology in Japan has not been studied since the 1990s when its incidence was 39.4e40.2 per million and the major cause of injury was motor vehicle crashes. We elucidate the current epidemiological state of spinal injury and spinal injury patients in Japan for the clinicians and public health prevention programs.Methods: Spine injury patients were retrospectively selected from the Japan Trauma Data Bank (JTDB) from 2004 to 2013 for all ages and all spinal injuries. The Abbreviated Injury Scale codes (AIS98) were translated into injuries. The dataset was contributed by 241 hospitals nationwide. The data was analysed for the causes of spinal injury, injury severity, age, gender differences, injury types, survival, anatomic location, circumstances of injury and medical history.Results: A total of 25,792 (M, 70.1%, F, 29.9%, mean age: 53.4 years) spinal injury patients were recorded in the JTDB from 2004 to 2013, when multiple injuries were included the number of cases swelled to 33,892 (M, 70.4%, F, 29.6%). The number of patients with spinal injuries as a percentage of all traumatic patients in the JTDB was observed to increase from 2004 (15.4%) to 2013 (17.6%). The aetiology of the injuries was mostly falls (52.4%) and motor vehicle crashes (39.8%). Most injuries occurred at the cervical spine level (49.7%). Medical histories of cardiovascular diseases were found, due mostly to hypertension (19.6%). In total, most of the injuries were associated with fractures (64.8%) and others (30.7%) involved the spinal cord. Suicides (12.0%) and industrial accidents (9.0%) caused spine injury were uniquely prevalent in the population.Conclusion: The number of spine injuries has increased in the JTDB between 2004 and 2013. Motor vehicle crashes have been replaced by falls due to various causes as the leading cause of spine injury. Suicides and industrial accidents are becoming a burden. More studies are needed to verify the actual incidence. (C) 2017 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.