Zhou Y, Wang X-B, Kan S-L, Ning G-Z, Li Y-L, Yang B, Li Y, Sun J-C, Feng S-Q
Department of Orthopaedics, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Spinal Cord. 2016 Sep;54(9):670-4. doi: 10.1038/sc.2015.173. Epub 2015 Oct 13.
Hospital-based retrospective study.
The objective of this study was to describe the epidemiological profile of traumatic spinal cord injury (TSCI) in Tianjin Medical University General Hospital, China, from 2009 to 2014.
Tianjin Medical University General Hospital.
Hospital medical records of patients with TSCI admitted to hospital from 1 January 2009 to 31 December 2014 were reviewed. Collected variables included gender, age, marital status, ethnic group, occupation, etiology, neurological level of injury, American Spinal Injury Association (ASIA)-ISCoS impairment scale at admission, the severity, death and its cause, concomitant injuries and treatment choice.
During the study period, 354 cases were identified. Male-to-female ratio was 2.34:1, with a mean age of 50.1±15.5 years. Falls (55.1%), comprising low falls and high falls (33.6% and 21.5%, respectively), were the leading cause, followed by motor vehicle collisions (MVCs) (35.9%). The most common injury site was the cervical spinal cord, especially C4-C6, accounting for 59.3%. Surgery was the major treatment choice (57.6%).
The number of TSCI patients increased annually in our center. The mean age at the time of injury was older, and the proportion of males was higher. The leading two causes were falls and MVCs. The SCIs caused by MVCs were increasing. Peasants, workers and unemployed individuals were those at higher risk. Surgery was the major treatment choice. These data may be useful to implement those preventive strategies focused on the characteristics of different groups and pay more attention to high-risk populations.
基于医院的回顾性研究。
本研究的目的是描述2009年至2014年中国天津医科大学总医院创伤性脊髓损伤（TSCI）的流行病学特征。
天津医科大学总医院。
回顾了2009年1月1日至2014年12月31日期间入住该院的TSCI患者的病历。收集的变量包括性别、年龄、婚姻状况、种族、职业、病因、损伤的神经平面、入院时美国脊髓损伤协会（ASIA）-国际脊髓损伤学会（ISCoS）损伤量表、严重程度、死亡及其原因、合并伤和治疗选择。
在研究期间，共确定了354例病例。男女比例为2.34:1，平均年龄为50.1±15.5岁。跌倒（55.1%），包括低跌倒和高跌倒（分别为33.6%和21.5%）是主要原因，其次是机动车碰撞（MVCs）（35.9%）。最常见的损伤部位是颈髓，尤其是C4-C6，占59.3%。手术是主要的治疗选择（57.6%）。
我们中心TSCI患者数量逐年增加。受伤时的平均年龄较大，男性比例较高。主要的两个原因是跌倒和MVCs。由MVCs导致的脊髓损伤正在增加。农民、工人和无业人员是高危人群。手术是主要的治疗选择。这些数据可能有助于实施针对不同群体特征的预防策略，并更加关注高危人群。
