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希腊塞萨洛尼基和瑞典斯德哥尔摩外伤性脊髓损伤的发生率:一项前瞻性基于人群的研究。

Incidence of traumatic spinal cord injury in Thessaloniki, Greece and Stockholm, Sweden: a prospective population-based study.

机构信息

Division of Neuro-rehabilitation, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 16989, Stockholm, Sweden.

出版信息

Spinal Cord. 2009 Nov;47(11):796-801. doi: 10.1038/sc.2009.28. Epub 2009 Apr 7.

DOI:10.1038/sc.2009.28
PMID:19350044
Abstract

STUDY DESIGN

Prospective population-based open-ended study. This paper is part of the Stockholm-Thessaloniki Acute Traumatic Spinal Cord Injury Study.

OBJECTIVES

To calculate incidence and evaluate the epidemiological profile of the incident population with traumatic spinal cord injury (TSCI).

SETTINGS

The greater Thessaloniki region in Greece and the greater Stockholm region in Sweden.

METHODS

TSCI individuals, older than 15 years of age, who had survived the first 7 days post-trauma, were identified through an active surveillance system. The forms of the Nordic Spinal Cord Injury Registry were used.

RESULTS

87 individuals were injured in the greater Thessaloniki and 49 in the greater Stockholm region. Annual crude incidence was 33.6 per million for Thessaloniki and 19.5 per million for the Stockholm region. The leading causes of injury for the Thessaloniki region were transportation accidents (51%) and falls (37%), and those for the Stockholm region were falls (47%) and transportation accidents (23%). A significantly larger number of individuals of the Thessaloniki group were injured in transportation accidents. There was no significant difference between regions with regard to the type of resulting impairment.

CONCLUSIONS

Incidence of TSCI was considerably higher in the Thessaloniki region as compared with that in the Stockholm region, probably chiefly reflecting differences in preventative measures with regard to driving.

摘要

研究设计

前瞻性基于人群的开放式研究。本文是斯德哥尔摩-塞萨洛尼基急性创伤性脊髓损伤研究的一部分。

研究目的

计算发病率并评估创伤性脊髓损伤(TSCI)发病人群的流行病学特征。

研究地点

希腊大塞萨洛尼基地区和瑞典大斯德哥尔摩地区。

研究方法

通过主动监测系统,确定在创伤后第 7 天存活下来的年龄超过 15 岁的 TSCI 个体。使用北欧脊髓损伤登记册的表格。

研究结果

在大塞萨洛尼基地区有 87 人受伤,在大斯德哥尔摩地区有 49 人受伤。塞萨洛尼基的年粗发病率为每百万 33.6,斯德哥尔摩地区为每百万 19.5。塞萨洛尼基地区受伤的主要原因是交通意外(51%)和跌倒(37%),而斯德哥尔摩地区则是跌倒(47%)和交通意外(23%)。塞萨洛尼基组中明显有更多的人在交通意外中受伤。两个地区在损伤类型方面没有显著差异。

结论

与斯德哥尔摩地区相比,TSCI 在塞萨洛尼基地区的发病率明显更高,这可能主要反映了驾驶预防措施方面的差异。

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