Sharif-Alhoseini Mahdi, Rahimi-Movaghar Vafa
1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences , Tehran, Iran.
Iran J Public Health. 2014 Mar;43(3):331-41.
The goal of this study was to describe the hospital-based incidence of traumatic spinal cord injury in Tehran, Iran.
We retrospectively reviewed the hospital records of traumatic spinal cord injury patients, admitted between March 2010 and July 2011 in 61/68 hospitals of Tehran.
Overall, 138 cases of traumatic spinal cord injury were identified. The majority of patients were male (84.8%). The mean age was 33.2 ± 14.3 years. 54.3% patients were residing in Tehran and the others were referred from other cities. The mean annual incidence of hospitalized traumatic spinal cord injury patients of Tehran was 10.5/1,000,000/year (95% confidence interval: 9-12). Fall was the leading cause of injury (45.7%), followed by road traffic crash (40.6%). The most common cause of tetraplegia (cervical traumatic spinal cord injury) was road traffic crash. The duration of hospital stay for tetraplegia and paraplegia (thoracic and lumbar traumatic spinal cord injury) was 22.7±23.7 and 12.5±7.5, respectively (P<0.001). Early surgery (surgical decompression within 24 h) was done for 19% of the patients. The median day of hospitalization for early and late surgery was 7.5 and 12, respectively (P=0.044).
Preventing traumatic spinal cord injury should focus on males, age group of 21-30 years, falls and road traffic crash. More studies are suggested to evaluate the incidence of non-hospitalized traumatic spinal cord injury patients.
本研究的目的是描述伊朗德黑兰以医院为基础的创伤性脊髓损伤发病率。
我们回顾性分析了2010年3月至2011年7月期间在德黑兰61/68家医院收治的创伤性脊髓损伤患者的医院记录。
总体而言，共确定了138例创伤性脊髓损伤病例。大多数患者为男性（84.8%）。平均年龄为33.2±14.3岁。54.3%的患者居住在德黑兰，其他患者从其他城市转诊而来。德黑兰住院创伤性脊髓损伤患者的年平均发病率为10.5/1,000,000/年（95%置信区间：9 - 12）。跌倒为主要损伤原因（45.7%），其次是道路交通事故（40.6%）。四肢瘫（颈髓创伤性脊髓损伤）最常见的原因是道路交通事故。四肢瘫和截瘫（胸髓和腰髓创伤性脊髓损伤）的住院时间分别为22.7±23.7天和12.5±7.5天（P<0.001）。19%的患者接受了早期手术（24小时内进行手术减压）。早期和晚期手术患者的住院中位天数分别为7.5天和12天（P = 0.044）。
预防创伤性脊髓损伤应关注男性、21 - 30岁年龄组、跌倒和道路交通事故。建议进行更多研究以评估非住院创伤性脊髓损伤患者的发病率。
