, Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Stockholm, Sweden.
J Rehabil Med. 2017 May 16;49(5):431-436. doi: 10.2340/16501977-2224.
To update the incidence rate, aetiology and injury characteristics of acutely-injured adults with traumatic spinal cord injury in Stockholm, Sweden, using international standards of reporting.
Prospective, (regional) population-based observation.
Forty-nine consecutively enrolled individuals.
A surveillance system of newly-injured adults with traumatic spinal cord injury was implemented for an 18-month period. The International Spinal Cord Injury Core Data Set was used to collect data on those who survived the first 7 days post-injury.
After an 18-month period, 49 incident cases were registered, of whom 45 were included in this study. The crude incidence rate was 19.0 per million, consisting mainly of men (60%), and the mean age of the cohort was 55 years (median 58). Causes of injury were almost exclusively limited to falls and transport-related events, accounting for 58% and 40% of cases, respectively. The incidence has remained stable when compared with the previous study; however, significant differences exist for injury aetiology (p = 0.004) and impairment level (p = 0.01) in that more fall- and transport-related spinal cord injury occurred, and a larger proportion of persons was left with resultant tetraplegia, in the current study, compared with more sport-related injuries and those left with paraplegia in the previous study.
The incidence rate appeared to remain stable in Stockholm, Sweden. However, significant changes in injury aetiology and impairment-level post injury were found, compared with the previous study. There remains a need for developing fall-related prevention strategies in rehabilitation settings as well as in population-based programmes.
使用国际报告标准更新瑞典斯德哥尔摩外伤性脊髓损伤成人急性损伤的发病率、病因和损伤特征。
前瞻性（区域性）人群观察。
连续纳入的 49 名个体。
实施了为期 18 个月的新受伤成年人外伤性脊髓损伤监测系统。国际脊髓损伤核心数据集用于收集在损伤后 7 天内存活的患者的数据。
在 18 个月期间，登记了 49 例新发病例，其中 45 例纳入本研究。粗发病率为 19.0/百万，主要为男性（60%），队列的平均年龄为 55 岁（中位数 58 岁）。损伤的原因几乎完全限于跌倒和与运输相关的事件，分别占 58%和 40%的病例。与之前的研究相比，发病率保持稳定；然而，在病因（p=0.004）和损伤程度（p=0.01）方面存在显著差异，即当前研究中更多的跌倒和与运输相关的脊髓损伤，以及更大比例的患者遗留四肢瘫痪，而之前的研究中更多的是与运动相关的损伤和遗留截瘫。
瑞典斯德哥尔摩的发病率似乎保持稳定。然而，与之前的研究相比，损伤病因和损伤程度后发生了显著变化。仍然需要在康复环境以及基于人群的计划中制定与跌倒相关的预防策略。
