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伊朗脊髓损伤的患病率:一项三源捕获-再捕获研究。

Prevalence of Spinal Cord Injury in Iran: A 3-Source Capture-Recapture Study.

机构信息

Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Neuroepidemiology. 2015;45(1):28-33. doi: 10.1159/000435785. Epub 2015 Jul 18.

DOI:10.1159/000435785
PMID:26201388
Abstract

BACKGROUND

Epidemiologic data of spinal cord injured (SCI) patients are necessary for prevention policymaking and improvement of social and healthcare support to patients. This study was designed to estimate the prevalence of traumatic and non-traumatic SCI in Iran in a three-source capture-recapture study.

METHODS

Three organizations, which provide supports to SCI patients were identified. Demographic data of patients in each organization was obtained. Datasets were formed and matching data were found. Matched data were incorporated into STATA 12 for log linear analyses. Results of sensitivity analyses were used to estimate total number of SCI patients in Iran. Veterans of Iraq-Iran conflict were added as separate data source to final results.

RESULTS

The prevalence of traumatic and non-traumatic SCI patients is 296.87 (95% confidence intervals (CI): 292.04-302.48) per million in Tehran and Alborz provinces. The prevalence of SCI in Iran is an estimated 318.45 (95% CI: 312.98-324.54) per million.

CONCLUSION

The prevalence of SCI in Iran is among the lowest figures reported in the literature. The supporting organizations in Iran do not have details about the cause, level and severity of SCI patients. A national study to register SCI patients' data is needed.

摘要

背景

脊髓损伤(SCI)患者的流行病学数据对于制定预防政策和改善患者的社会和医疗支持至关重要。本研究旨在通过三源捕获-再捕获研究估计伊朗外伤性和非外伤性 SCI 的患病率。

方法

确定了三个为 SCI 患者提供支持的组织。从每个组织中获取患者的人口统计学数据。形成数据集并找到匹配数据。将匹配数据合并到 STATA 12 中进行对数线性分析。敏感性分析的结果用于估计伊朗 SCI 患者的总数。将伊拉克-伊朗冲突的退伍军人作为单独的数据源添加到最终结果中。

结果

德黑兰和阿尔博兹省外伤性和非外伤性 SCI 患者的患病率为每百万 296.87(95%置信区间(CI):292.04-302.48)。伊朗 SCI 的患病率估计为每百万 318.45(95% CI:312.98-324.54)。

结论

伊朗 SCI 的患病率是文献中报告的最低水平之一。伊朗的支持组织不了解 SCI 患者的病因、水平和严重程度。需要进行一项全国性的研究来登记 SCI 患者的数据。

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