Rehabilitation Service, Hospital del Trabajador Santiago, Universidad de Chile, Santiago, Chile.
Spinal Cord. 2011 Feb;49(2):196-9. doi: 10.1038/sc.2010.71. Epub 2010 Jun 15.
Retrospective cohort study.
To describe the characteristics of patients with work-related traumatic spinal cord injuries (TSCI) in Chile.
Hospital del Trabajador in Santiago, Santiago, Chile.
Patients suffering from TSCI incurred at the workplace from 1986 to 2005 were identified through records of the Asociación Chilena de Seguridad (ACHS, Chilean Safety Association).
The medical records of 173 patients, 172 men and 1 woman, were analyzed. The yearly average incidence was 7.8 per million workers. Age at TSCI onset was 38.2 ± 12.1 years. The principal external causes for TSCI incurred at the workplace were falls from a height in 86 cases (49.7%) and trauma blows to the vertebral spine in 61 cases (35.3 %). More falls occurred in the field construction, and other traumas occurred as a result of traumatic blows caused by tree trunks and stones in forestry and mining sectors. Mortality in this series was 8.7%, and the worst prognosis was for older patients with complete tetraplegia. The paraplegia:tetraplegia ratio was 3.2:1.
The characteristics of workplace TSCI are specific to this population. It is important therefore to develop prevention programs for specific work-related TSCI.
回顾性队列研究。
描述智利与工作相关的外伤性脊髓损伤（TSCI）患者的特征。
智利圣地亚哥的 Hospital del Trabajador。
通过智利安全协会（ACHS）的记录，确定了 1986 年至 2005 年期间在工作场所发生的 TSCI 患者。
分析了 173 名患者（172 名男性和 1 名女性）的病历。每年平均发病率为每百万工人 7.8 例。TSCI 发病时的年龄为 38.2±12.1 岁。在工作场所发生的 TSCI 的主要外部原因是 86 例（49.7%）高处坠落和 61 例（35.3%）脊椎创伤打击。更多的坠落发生在野外施工中，其他创伤是由于林业和采矿业中树干和石头造成的创伤打击所致。该系列的死亡率为 8.7%，预后最差的是年龄较大的完全四肢瘫痪患者。截瘫：四肢瘫痪的比例为 3.2:1。
工作场所 TSCI 的特征是特定于该人群的。因此，制定针对特定工作相关 TSCI 的预防计划非常重要。
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