中国广东脊髓损伤的流行病学及完全性损伤的危险因素：一项回顾性研究
Epidemiology of spinal cord injuries and risk factors for complete injuries in Guangdong, China: a retrospective study.
作者信息
Yang Rui, Guo Lan, Wang Peng, Huang Lin, Tang Yong, Wang Wenhao, Chen Keng, Ye Jichao, Lu Ciyong, Wu Yanfeng, Shen Huiyong
机构信息
Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China.
出版信息
PLoS One. 2014 Jan 28;9(1):e84733. doi: 10.1371/journal.pone.0084733. eCollection 2014.
BACKGROUND
Spinal cord injuries are highly disabling and deadly injuries. Currently, few studies focus on non-traumatic spinal cord injuries, and there is little information regarding the risk factors for complete injuries. This study aims to describe the demographics and the injury characteristics for both traumatic and non-traumatic spinal cord injuries and to explore the risk factors for complete spinal cord injuries.
METHODS
A retrospective study was performed by reviewing the medical records of 3,832 patients with spinal cord injuries who were first admitted to the sampled hospitals in Guangdong, China. The demographics and injury characteristics of the patients were described and compared between the different groups using the chi-square test. Logistic regression was conducted to analyze the risk factors for complete spinal cord injuries.
RESULTS
The proportion of patients increased from 7.0% to 14.0% from 2003 to 2011. The male-to-female ratio was 3.0 ∶ 1. The major cause of spinal cord injuries was traffic accidents (21.7%). Many of the injured were workers (36.2%), peasants (22.8%), and unemployed people (13.9%); these occupations accounted for 72.9% of the total sample. A multivariate logistic regression model revealed that the OR (95% CI) for male gender compared to female gender was 1.25 (1.07-1.89), the OR (95%CI) for having a spinal fracture was 1.56 (1.35-2.60), the OR (95%CI) for having a thoracic injury was 1.23 (1.10-2.00), and the OR (95%CI) for having complications was 2.47 (1.96-3.13).
CONCLUSION
The proportion of males was higher than the proportion of females. Workers, peasants and the unemployed comprised the high-risk occupational categories. Male gender, having a spinal fracture, having a thoracic injury, and having complications were the major risk factors for a complete injury. We recommend that preventive measures should focus on high-risk populations, such as young males.
背景
脊髓损伤是极具致残性和致命性的损伤。目前，很少有研究关注非创伤性脊髓损伤，关于完全性损伤的危险因素的信息也很少。本研究旨在描述创伤性和非创伤性脊髓损伤患者的人口统计学特征和损伤特点，并探讨完全性脊髓损伤的危险因素。
方法
通过回顾首次入住中国广东省抽样医院的3832例脊髓损伤患者的病历进行回顾性研究。使用卡方检验描述患者的人口统计学特征和损伤特点，并在不同组之间进行比较。进行逻辑回归分析以分析完全性脊髓损伤的危险因素。
结果
从2003年到2011年，患者比例从7.0%增加到14.0%。男女比例为3.0∶1。脊髓损伤的主要原因是交通事故（21.7%）。许多伤者是工人（36.2%）、农民（22.8%）和失业人员（13.9%）；这些职业占总样本的72.9%。多变量逻辑回归模型显示，男性与女性相比的OR（95%CI）为1.25（1.07 - 1.89），发生脊柱骨折的OR（95%CI）为1.56（1.35 - 2.60），发生胸部损伤的OR（95%CI）为1.23（1.10 - 2.00），发生并发症的OR（95%CI）为2.47（1.96 - 3.13）。
结论
男性比例高于女性比例。工人、农民和失业人员构成高危职业类别。男性、脊柱骨折、胸部损伤和并发症是完全性损伤的主要危险因素。我们建议预防措施应侧重于高危人群，如年轻男性。
Zotero 插件