Chang Feng-Shui, Zhang Qi, Sun Mei, Yu Hui-Jiong, Hu Long-Jun, Wu Jing-Hua, Chen Gang, Xue Lian-Ding, Lu Jun
a China Research Center on Disability, Collaborative Innovation Center of Social Risks Governance in Health, Fudan University , Shanghai , People's Republic of China.
b School of Community and Environmental Health, Old Dominion University , Norfolk , Virginia , USA.
J Spinal Cord Med. 2018 Jul;41(4):450-458. doi: 10.1080/10790268.2017.1367357. Epub 2017 Sep 7.
To describe the characteristics of spinal cord injury (SCI) individuals in Shanghai and examine their treatment and rehabilitation for traumatic and complete SCI individuals.
Community-based secondary data analyses.
Shanghai, China.
We analyzed gender, age at injury, complications, disturbances of function, treatment, etiology, and severity of injury of SCI individuals that enrolled in "halfway houses", government-supported community co-op centers. Bivariate statistical analyses were conducted to examine the factors associated with complete and traumatic SCI.
We analyzed 808 SCI individuals who participated in halfway houses in Shanghai during 2009-2015. The male-to-female ratio was 2.1:1. The proportion of middle or elder age groups at injury (age 46 to 60 and age 61 or over) showed a rising trend from 1970 to 2015. The leading causes of SCIs in Shanghai were traumatic injuries (58%), followed by disease (29.5%). The proportion of traumatic injuries decreased over time, while the proportion of non-traumatic injuries rose significantly. A majority of traumatic injury individuals were aged between 16-45.
The middle or elder age groups at injury among SCI individuals increased continuously from 1970 to 2015. The principal causes of injury in Shanghai were traumatic injuries and disease-related injuries. Men had a higher prevalence of traumatic SCI in Shanghai. Preventive measures should focus on male and middle-aged adults. As a fast-aging society in Shanghai, more effective prevention, medical care, and rehabilitation schemes should be implemented for aging SCI individuals.
描述上海脊髓损伤（SCI）患者的特征，并研究创伤性和完全性SCI患者的治疗与康复情况。
基于社区的二次数据分析。
中国上海。
我们分析了入住“中途之家”（政府支持的社区合作中心）的SCI患者的性别、受伤年龄、并发症、功能障碍、治疗、病因及损伤严重程度。进行双变量统计分析以研究与完全性和创伤性SCI相关的因素。
我们分析了2009年至2015年期间在上海入住中途之家的808例SCI患者。男女比例为2.1:1。1970年至2015年期间，受伤时处于中年或老年组（46至60岁以及61岁及以上）的比例呈上升趋势。上海SCI的主要原因是创伤性损伤（58%），其次是疾病（29.5%）。创伤性损伤的比例随时间下降，而非创伤性损伤的比例显著上升。大多数创伤性损伤患者年龄在16至45岁之间。
1970年至2015年期间，SCI患者中受伤时处于中年或老年组的人数持续增加。上海的主要损伤原因是创伤性损伤和与疾病相关的损伤。在上海，男性创伤性SCI的患病率更高。预防措施应侧重于男性和中年成年人。作为一个快速老龄化的社会，上海应为老龄化的SCI患者实施更有效的预防、医疗和康复方案。
