The demographics and traumatic causes of spinal cord injury in Nepal: An observational study
The demographics and traumatic causes of spinal cord injury in Nepal: An observational study
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尼泊尔脊髓损伤的人口统计特征和创伤原因：一项观察性研究
作者：
Arran Willott;Raju Dhakal;C. Groves;J. Mytton;M. Ellis
在尼泊尔、东南亚以及一般的低收入和中等收入国家（LMICs），很少有关于创伤性脊髓损伤（TSCI）流行病学的系统研究。全球因伤害造成的发病率和死亡率的三分之一集中在东南亚。如果我们要在预防方面取得进展，我们就需要更好地了解导致创伤性脊髓损伤的情况。方法尼泊尔脊髓损伤康复中心（SIRC）系统收集了描述2015年9月至2016年8月收治的TSCI患者的前瞻性数据。变量的描述性分析产生了该队列的人口统计学、病因学和临床描述符。交叉表被用来探索变量之间的关联。结果在184名一年以上的入院者中，男性比女性多2.3倍。年轻人（21-30岁）是最大的年龄组（34%）。大多数TSCI导致截瘫（67%），近一半（49%）完全瘫痪。福尔斯是造成TSCI的主要原因（69%），而从树上摔下的福尔斯是最常见的。道路交通伤害（RTI）是第二大原因（29%）;大多数涉及两轮或三轮机动车辆，患者最常驾驶。结论福尔斯是TSCI的主要原因，在所有性别和年龄组中，其次是RTI，最常见于年轻人和男性。损伤监测和进一步的研究将提供对TSCI模式的更好理解，并使TSCI预防和康复取得进展。
Introduction There has been little systematic study of the epidemiology of traumatic spinal cord injury (TSCI) in Nepal, South-East Asia, and low- and middle-income countries (LMICs) in general. One third of the global morbidity and mortality due to injuries is concentrated in South-East Asia. We need to better understand the circumstances leading to TSCI if we are to make progress with prevention. Method The Spinal Injury Rehabilitation Centre (SIRC) in Nepal systemically collected prospective data describing people with TSCI admitted between September 2015 and August 2016. Descriptive analyses of variables yielded demographic, aetiological and clinical descriptors of this cohort. Cross-tabulations were used to explore the associations between variables. Results Of 184 admissions over one year, males were admitted to SIRC almost 2.3 times more often than females. Young adults (21–30 years) were the largest age group (34%). The majority of TSCI resulted in paraplegia (67%) and was complete in nearly half (49%). Falls caused the majority of TSCI (69%), and falls from trees were the most common. Road traffic injuries (RTIs) were the second leading cause (29%); the majority involved two- or three-wheeled motorised vehicles and patients were most commonly driving. Conclusion Falls were the leading cause of TSCI across both genders and all age groups, followed by RTIs, which occurred most often in young adults and men. Injury surveillance and further research would provide a greater understanding of the pattern of TSCI and enable progress in TSCI prevention and rehabilitation.