Güzelküçük Ü, Demir Y, Kesikburun S, Yaşar E, Yılmaz B
Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Gulhane Military Medical Academy, Ankara, Turkey.
Spinal Cord. 2014 Nov;52(11):850-4. doi: 10.1038/sc.2014.103. Epub 2014 Jun 17.
Retrospective, comparative 4-year study.
To identify the clinical characteristics unique to older patients with spinal cord injury (SCI).
Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
The study included 870 consecutive patients with SCI that were divided into two groups according to age. Patients aged ⩾60 years at the time of injury constituted the study group, and randomly selected patients aged <60 years that were matched for gender, week of admission and time since injury constituted the control group. Patients' demographic and clinical characteristics were recorded, compared and analyzed.
The study group included 73 SCI patients (mean age: 66.98±6.28 years) and the control group included 75 SCI patients (mean age: 33.93±10.67 years). Among the 148 patients, 98 (66.2%) were male. The vast majority of lesions were at the thoracic level (47.3%). In the older group, falls were the most frequent etiology (32.9%), simple falls predominated (62.5%). 49.3% of the study group vs 18.6% of the control group had a non-traumatic cause of SCI. Older patients were found to be less likely to have complete injury (27.4 vs 44%, P=0.035). The most common bladder management method was intermittent catheterization (69.6%) and the number of patients in each group treated with this method did not differ significantly (P>0.05). More patients in the study group had neuropathic pain (50.7 vs 34.7%, P=0.049) and abnormal urinary ultrasound findings (23.3 vs 9.3%, P=0.021).
RESULTS revealed that older patients with SCI may have different demographic and clinical features compared with younger patients.
回顾性、为期4年的比较研究。
确定老年脊髓损伤（SCI）患者特有的临床特征。
土耳其安卡拉土耳其武装部队康复中心。
该研究纳入了870例连续的SCI患者，根据年龄分为两组。受伤时年龄≥60岁的患者构成研究组，随机选取年龄<60岁、性别、入院周数和受伤后时间相匹配的患者构成对照组。记录、比较和分析患者的人口统计学和临床特征。
研究组包括73例SCI患者（平均年龄：66.98±6.28岁），对照组包括75例SCI患者（平均年龄：33.93±10.67岁）。在这148例患者中，98例（66.2%）为男性。绝大多数损伤位于胸段（47.3%）。在老年组中，跌倒为最常见病因（32.9%），单纯跌倒占多数（62.5%）。研究组49.3%的患者与对照组18.6%的患者存在SCI的非创伤性病因。发现老年患者完全损伤的可能性较小（27.4%对44%，P=0.035）。最常见的膀胱管理方法是间歇性导尿（69.6%），两组接受该方法治疗的患者数量无显著差异（P>0.05）。研究组有更多患者存在神经性疼痛（50.7%对34.7%，P=0.049）和异常的泌尿系统超声检查结果（23.3%对9.3%，P=0.021）。
结果显示，与年轻患者相比，老年SCI患者可能具有不同的人口统计学和临床特征。
