1997 年至 2018 年爱沙尼亚外伤性脊髓损伤的趋势。

Trends in traumatic spinal cord injuries in Estonia from 1997 to 2018.

机构信息

Department of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.

Department of Neurology and Neurosurgery, Neurology Clinic, Tartu University Hospital, Tartu, Estonia.

出版信息

J Spinal Cord Med. 2023 Jan;46(1):83-90. doi: 10.1080/10790268.2021.1947680. Epub 2022 Jan 10.

DOI:10.1080/10790268.2021.1947680

PMID:35007476

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9897800/

Abstract

OBJECTIVE

To analyze time trends in incidence, causes and risk factors for traumatic spinal cord injuries (TSCI) in Estonia between 1997-2007 and 2008-2018.

DESIGN

Retrospective, population-based cohort study.

SETTING

Specialized trauma centres in Estonia.

PARTICIPANTS

Medical records of patients with TSCI from 1997 to 2018.

INTERVENTION

None.

OUTCOME MEASURES

Demographical data, crude and age- and sex-adjusted incidence rates, causes of TSCI, level and extent of injury, associated injuries.

RESULTS

A total of 940 new patients with TSCI were identified for the period of 1997-2018. The average annual incidence rate (standardized to the Estonian population by age and sex in 2011) decreased significantly from 37.8 (95% confidence interval (CI) 34.6-41.1) in the first period (1997-2008) to 28.2 per million population (95% CI 25.3-31.0) during the second period (2008-2018) (incidence rate ratio 0.74 (95% CI 0.65-0.85), P < 0.0001). The decrease in incidence was most significant among young men. The mean age at injury increased from 38.7 (±16.7) years to 46.6 (±19.9) years, P < 0.0001. Falls were the leading cause of injury during both periods followed by traffic accidents and sports injuries. Still, traffic accidents as a cause of TSCI decreased significantly (from 30.5% to 20.6%, P = 0.001) and falls increased (from 39.9% to 59.5%, P < 0.0001) during the second period. Alcohol consumption prior to injury also decreased significantly from 66.0% to 55.1% (P = 0.006).

CONCLUSION

Estonia has become closer to other European countries regarding TSCI during the last decade; TSCI incidence has significantly decreased, the mean age at injury and the percentage of falls have increased.

摘要

目的

分析 1997-2007 年至 2008-2018 年爱沙尼亚外伤性脊髓损伤（TSCI）的发病率、病因和危险因素的时间趋势。

设计

回顾性、基于人群的队列研究。

地点

爱沙尼亚专门的创伤中心。

参与者

1997 年至 2018 年 TSCI 患者的病历。

干预措施

无。

主要观察指标

人口统计学数据、TSCI 的粗发病率和年龄及性别调整发病率、TSCI 的病因、损伤水平和程度、合并伤。

结果

共确定了 1997-2018 年期间 940 例新的 TSCI 患者。平均年发病率（按年龄和性别标准化为 2011 年爱沙尼亚人口）从第一个时期（1997-2008 年）的 37.8（95%置信区间（CI）34.6-41.1）显著下降到第二个时期（2008-2018 年）的 28.2/百万人（95%CI 25.3-31.0）（发病率比 0.74（95%CI 0.65-0.85），P<0.0001）。发病率的下降在年轻男性中最为显著。受伤时的平均年龄从 38.7（±16.7）岁增加到 46.6（±19.9）岁，P<0.0001。在两个时期，跌倒都是受伤的主要原因，其次是交通事故和运动损伤。尽管如此，交通事故作为 TSCI 的病因明显减少（从 30.5%降至 20.6%，P=0.001），而跌倒增加（从 39.9%增至 59.5%，P<0.0001）。受伤前饮酒也显著减少（从 66.0%降至 55.1%，P=0.006）。