The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate
The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate
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DOI：
10.1038/sc.2012.158
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发表时间：
2014-02-01
期刊：
影响因子：
2.2
通讯作者：
Wing, P. C.
中科院分区：
文献类型：
--
作者：
Lee, B. B.;Cripps, R. A.;Wing, P. C.
研究设计：文献综述。目的：更新创伤性脊髓损伤(TSCI)的全球地图，并纳入外推发病率数据的方法。地点：国际脊髓协会(ISCoS)预防委员会的倡议。方法：检索Medline/Embase(1959-Jun/30/2011)。增强数据质量“区域”，包括个别数据排名，以及整合回归技术，为区域和全球持续估计提供平台。结果：2007年全球发病率估计为每百万人23例(每年179 312例)。区域数据来自北美(百万分之40)、西欧(百万分之16)和澳大利亚(百万分之15)。亚洲--中部(百万分之25)、亚洲--南美洲(百万分之21)、加勒比(百万分之19)、拉丁美洲、安第斯山脉(百万分之19)、拉丁美洲--中部(百万分之24)、拉丁美洲--南部(百万分之25)、撒哈拉以南非洲--中部(百万分之29)、撒哈拉以南非洲--东部(百万分之21)。讨论：据估计，2007年全球将有13.3万至22.6万起因事故和暴力而导致的TSCI事件。由于运输方式的趋势(向机动化运输的过渡)、基础设施差和监管挑战，在发达国家，来自陆路运输的TSCI比例正在下降/稳定，但在发展中国家，这一比例正在上升。在人口老龄化的发达国家，老年人低跌倒引起的TSCI正在增加。在一些发展中国家，当年轻人头部负重时，会发生低空坠落，导致TSCI。在发展中国家，高空坠落是主要特征，通常来自树木、阳台、平顶和建筑工地。TSCI也是由挤压伤、跳水和暴力造成的。结论：在线全球地图现在形成了一个外推统计模型，该模型估计了TSCI数据不足的地区的发病率。这一方法的准确性将通过使用预期的、标准化的数据登记来提高。
Study design: Literature review.Objectives: Update the global maps for traumatic spinal cord injury (TSCI) and incorporate methods for extrapolating incidence data.Setting: An initiative of the International Spinal Cord Society (ISCoS) Prevention Committee.Methods: A search of Medline/Embase was performed (1959-Jun/30/2011). Enhancement of data-quality 'zones' including individual data-ranking as well as integrating regression techniques to provide a platform for continued regional and global estimates.Results: A global-incident rate (2007) is estimated at 23 TSCI cases per million (179 312 cases per annum). Regional data are available from North America (40 per million), Western Europe (16 per million) and Australia (15 per million). Extrapolated regional data are available for Asia-Central (25 per million), Asia-South (21 per million), Caribbean (19 per million), Latin America, Andean (19 per million), Latin America, Central (24 per million), Latin America-Southern (25 per million), Sub-Saharan Africa-Central (29 per million), Sub-Saharan Africa-East (21 per million). Discussion: It is estimated that globally in 2007, there would have been between 133 and 226 thousand incident cases of TSCI from accidents and violence. The proportion of TSCI from land transport is decreasing/stable in developed but increasing in developing countries due to trends in transport mode (transition to motorised transport), poor infrastructure and regulatory challenges. TSCIs from low falls in the elderly are increasing in developed countries with ageing populations. In some developing countries low falls, resulting in TSCI occur while carrying heavy loads on the head in young people. In developing countries high-falls feature, commonly from trees, balconies, flat roofs and construction sites. TSCI is also due to crush-injuries, diving and violence.Conclusion: The online global maps now inform an extrapolative statistical model, which estimates incidence for areas with insufficient TSCI data. The accuracy of this methodology will be improved through the use of prospective, standardised-data registries.