芬兰北部的外伤性脊柱损伤。
Traumatic Spinal Injuries in Northern Finland.
机构信息
Department of Medical Rehabilitation, Oulu University Hospital, Oulu, Finland.
Faculty of Medicine, University of Oulu, Oulu, Finland.
出版信息
Spine (Phila Pa 1976). 2018 Jan 1;43(1):E45-E51. doi: 10.1097/BRS.0000000000002214.
STUDY DESIGN
A retrospective epidemiological study.
OBJECTIVE
To reveal incidence and epidemiological features of traumatic spinal injuries (TSI) in Northern Finland.
SUMMARY OF BACKGROUND DATA
In Finland the annual incidence of traumatic spine fractures requiring inpatient care has been found to be 27/100,000, while international incidences have varied across the range of 16-64/100,000. More specific epidemiological data from Finland is not available. Internationally, the most common mechanisms of injury are road traffic as well as low and high falls. Associated injuries occur in 30% to 55% of cases.
METHODS
The study sample included patients with traumatic spinal injury admitted to Oulu University Hospital (OYS) with injury between the January 1, 2007 and December 31, 2011. Patient information was collected from the hospital care register, including all inpatient and outpatient visits and surgical procedures. Traumatic spinal column and spinal cord injuries were identified using International Classification of Diseases 10th revision or Nordic Classification of Surgical Procedures codes and all patient records were manually reviewed.
RESULTS
Nine hundred seventy-one patients met the criteria for TSI. The mean annual incidence of hospitalized traumatic spinal injuries was 26/100,000 in the whole of Northern Finland and 35/100,000 in the OYS main responsibility area. The most frequent etiology of TSI was low falls, which accounted for 35.8% of the injuries, followed by road traffic and high falls. Lumbar spine was the most common site of the fracture. Spinal surgery was performed in 376 (38.7%) cases. Three hundred eight patients (31.7%) suffered from associated injuries, 101 (10.4%) had a spinal cord injury, and 71 (7.3%) a brain injury.
CONCLUSION
Low falls in elderly and road traffic injuries in younger age groups were the most common etiology of traumatic spinal injuries in Northern Finland and should be given more attention in primary prevention.
LEVEL OF EVIDENCE
研究设计
回顾性流行病学研究。
目的
揭示芬兰北部创伤性脊柱损伤（TSI）的发生率和流行病学特征。
背景资料总结
在芬兰，需要住院治疗的创伤性脊柱骨折的年发病率为 27/100,000，而国际发病率范围为 16-64/100,000。芬兰没有更具体的流行病学数据。在国际上，最常见的损伤机制是道路交通以及低和高坠落。30%至 55%的病例存在相关损伤。
方法
研究样本包括 2007 年 1 月 1 日至 2011 年 12 月 31 日期间因创伤性脊柱损伤入住奥卢大学医院（OYS）的患者。从医院护理登记处收集患者信息，包括所有住院和门诊就诊以及手术程序。使用国际疾病分类第 10 版或北欧手术程序分类代码识别创伤性脊柱柱和脊髓损伤，并对所有患者记录进行手动审查。
结果
971 名患者符合 TSI 标准。整个芬兰北部的住院创伤性脊柱损伤的年平均发生率为 26/100,000，而在 OYS 主要责任区为 35/100,000。TSI 最常见的病因是低坠落，占损伤的 35.8%，其次是道路交通和高坠落。腰椎是骨折最常见的部位。376 例（38.7%）进行了脊柱手术。308 例（31.7%）患者存在相关损伤，101 例（10.4%）发生脊髓损伤，71 例（7.3%）发生脑损伤。
结论
在芬兰北部，老年人的低坠落和年轻人群的道路交通伤害是创伤性脊柱损伤的最常见病因，应在初级预防中给予更多关注。
证据水平
3。
Zotero 插件