Smith Eimear, Brosnan Michael, Comiskey Catherine, Synnott Keith
Spinal Cord System of Care, National Rehabilitation Hospital, Dun Laoghaire , Co. Dublin , Ireland.
Road Safety Authority , Ballina, Co. Mayo , Ireland.
Top Spinal Cord Inj Rehabil. 2014 Spring;20(2):158-65. doi: 10.1310/sci2002-147.
Road collisions remain the leading cause of traumatic spinal cord injury (TSCI) in the world. Half of all TSCIs in Ireland in 2000 were caused by road collisions. Since then, there has been a downward trend in road fatalities coincident with implemented road safety strategies.
To examine the incidence of TSCI resulting from road collisions from 2001 to 2010.
This is a retrospective study using the hospital inpatient enquiry database of the tertiary referral center, which houses the national spinal injuries unit. Information retrieved included total numbers of patients with TSCI and number of TSCIs due to road collisions from 2001 through 2010, age groups affected, and the gender balance.
Over the 10-year period studied, the incidence rate of TSCI due to road collisions declined, although this did not reach statistical significance. The largest numbers of all TSCIs and TSCIs due to road collisions were in the 20- to 29-year age category and the male gender.
As mortality due to road collisions declined, so did the number of TSCIs from the same etiology. An impactful road safety campaign is likely to have influenced these trends.
道路碰撞仍是全球创伤性脊髓损伤(TSCI)的主要原因。2000年爱尔兰所有TSCI病例中有一半是由道路碰撞导致的。自那时以来,随着道路安全策略的实施,道路交通事故死亡人数呈下降趋势。
研究2001年至2010年道路碰撞导致的TSCI发病率。
这是一项回顾性研究,使用了三级转诊中心的医院住院查询数据库,该数据库设有国家脊髓损伤科室。检索的信息包括2001年至2010年TSCI患者总数、道路碰撞导致的TSCI病例数、受影响的年龄组以及性别比例。
在研究的10年期间,道路碰撞导致的TSCI发病率有所下降,尽管未达到统计学显著性。所有TSCI病例以及道路碰撞导致的TSCI病例中,数量最多的是20至29岁年龄组和男性。
随着道路碰撞死亡率的下降,同一病因导致的TSCI病例数也有所下降。一项有影响力的道路安全运动可能对这些趋势产生了影响。