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2009 年至 2018 年中国重庆创伤性颈脊髓损伤的流行病学特征。

Epidemiological characteristics of traumatic cervical spinal cord injury in Chongqing, China, from 2009 to 2018.

机构信息

Department of Orthopedics, Xinqiao Hospital, Army Military Medical University, Chongqing, China.

出版信息

Spinal Cord Ser Cases. 2021 Aug 4;7(1):70. doi: 10.1038/s41394-021-00434-1.

Abstract

STUDY DESIGN

Hospital-based retrospective epidemiological research.

OBJECTIVES

To describe the epidemiological and demographic features of patients with traumatic cervical spinal cord injury in Chongqing, China from 2009 to 2018.

SETTING

Army Military Medical University Xinqiao Hospital in Chongqing.

METHODS

All patients diagnosed traumatic CSCI admitted to Xinqiao hospital from 2009 to 2018 were retrospectively reviewed. Data elements referred from the International SCI Core Data Set, included date of birth, date of injury, gender, etiology of injury, vertebral injury, associated injury, ventilatory assistance, and neurological status were collected.

RESULTS

A total of 503 patients with TCSCI met the criteria. The mean age of patients with TCSCI was 50.3 ± 13.9 years (15-85 years), and the male-to-female ratio was 4.7:1. Fall (67.2%) was the leading cause of injury, followed by transport (22.3%). The most common neurologic level of injury (NLI) was C5, accounting for 38.2%. The number of AIS D was the largest, accounting for 42%.

CONCLUSIONS

The results indicated that TCSCI occurred most frequently in the middle age and fall was the leading cause of injury. The number of patients with TCSCI was larger in male than in female. The most common NLI occurred in C5, and AIS D had the largest numbers.

摘要

研究设计

基于医院的回顾性流行病学研究。

目的

描述 2009 年至 2018 年中国重庆创伤性颈脊髓损伤患者的流行病学和人口统计学特征。

地点

重庆陆军军医大学新桥医院。

方法

回顾性分析 2009 年至 2018 年期间因创伤性 CSCI 入住新桥医院的所有患者。从国际 SCI 核心数据集引用的数据元素包括出生日期、损伤日期、性别、损伤病因、椎体损伤、合并损伤、通气辅助和神经状态。

结果

共有 503 例 TCSCI 患者符合标准。TCSCI 患者的平均年龄为 50.3±13.9 岁(15-85 岁),男女比例为 4.7:1。跌倒(67.2%)是导致损伤的主要原因,其次是交通伤(22.3%)。最常见的损伤神经学水平(NLI)是 C5,占 38.2%。AIS D 的数量最多,占 42%。

结论

结果表明,TCSCI 最常发生在中年,跌倒是导致损伤的主要原因。TCSCI 患者中男性多于女性。最常见的 NLI 发生在 C5,AIS D 的数量最多。

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