Surkin J, Gilbert B J, Harkey H L, Sniezek J, Currier M
Mississippi State Department of Health, Division of Epidemiology, Jackson, USA.
Spine (Phila Pa 1976). 2000 Mar 15;25(6):716-21. doi: 10.1097/00007632-200003150-00011.
The Mississippi spinal cord injury surveillance system is both active and passive, designed to capture all cases of spinal cord injury through mandated reporting by multiple sources. Each case is confirmed by medical record review.
To describe the development of a state-wide spinal cord injury surveillance system, discuss findings from the system, and evaluate sensitivity.
In the United States, the annual incidence rate of spinal cord injury requiring hospital admission has been estimated at 32-50 per million. With prehospital fatalities included, the estimated incidence rate ranges from 43 to 55 per million population annually.
In the current study all cases identified during the first 2 years of operation of the spinal cord injury (SCI) system were included. To evaluate the sensitivity of the system, International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes from each hospital's discharge database were used.
The incidence rate among patients in hospitals and prehospital fatal cases was 77 per million. The rate for patients in hospitals was 59 per million. The incidence rate of spinal cord injury among males was 4.4 times higher than among females. Rates of spinal cord injury were highest among persons 20-24 years of age. Rates were similar for whites and blacks. The most frequent causes of spinal cord injury were motor vehicle collisions, violence, and falls. Additional cases were identified during the evaluation, resulting in a 94% sensitivity.
Mississippi's spinal cord injury incidence rates are substantially higher than rates reported for other states except Alaska. The surveillance system was found to be very complete. Prevention efforts should focus on increasing safety belt usage, increasing alcohol awareness, and reducing violence.
密西西比脊髓损伤监测系统兼具主动和被动监测功能，旨在通过多个来源的强制报告来收集所有脊髓损伤病例。每个病例均通过病历审查进行确认。
描述全州脊髓损伤监测系统的发展情况，讨论该系统的研究结果，并评估其敏感性。
在美国，估计每年因脊髓损伤需住院治疗的发病率为每百万人口32 - 50例。若将院前死亡病例包括在内，估计发病率为每年每百万人口43至55例。
在本研究中，纳入了脊髓损伤（SCI）系统运行头两年内识别出的所有病例。为评估该系统的敏感性，使用了各医院出院数据库中的国际疾病分类第九版临床修订本（ICD - 9 - CM）编码。
医院患者及院前死亡病例的发病率为每百万人口77例。医院患者的发病率为每百万人口59例。男性脊髓损伤发病率比女性高4.4倍。脊髓损伤发病率在20 - 24岁人群中最高。白人和黑人的发病率相似。脊髓损伤最常见的原因是机动车碰撞、暴力和跌倒。在评估过程中还发现了其他病例，系统敏感性达到94%。
密西西比州的脊髓损伤发病率显著高于除阿拉斯加外其他州报告的发病率。该监测系统非常完善。预防工作应侧重于提高安全带使用率、增强酒精意识和减少暴力行为。
