伊朗南部单一一级创伤中心创伤性脊柱损伤的发生率和模式。
Incidence and pattern of traumatic spine injury in a single level I trauma center of southern Iran.
机构信息
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Chin J Traumatol. 2023 Jul;26(4):199-203. doi: 10.1016/j.cjtee.2023.01.001. Epub 2023 Jan 10.
PURPOSE
Spine injury is one of the leading causes of death and mortality worldwide. The objective of this study was to determine the incidence, pattern and outcome of trauma patients with spine injury referred to the largest trauma center in southern Iran during the last 3 years.
METHODS
This is a cross-sectional study conducted between March 2018 and June 2021 in the largest trauma center in the southern Iran. The data collection form included the age, sex, injury location (cervical, thoracic, and lumbar), cause of injury (traffic accidents, falls, and assaults), length of hospital stay, injured segment of spine injury, severity of injury, and outcome. Statistical analyzes were performed using SPSS software version 24.
RESULTS
Totally 776 cases of spine injury were identified. The spine injury rate was 17.0%, and the mortality rate was 15.5%. Cervical spine injury (20.4%) more often occulted in motorcycle accident, and thoracic spine injury (20.1%) occulted in falls. The highest and lowest rates of spine injurys were related to lumbar spine injury (30.2%) and cervical spine injury (21.5%), respectively. There was a statistically significant relationship between the mechanism of injury and the location of spine injury (p < 0.001). And patients with lumbar spine injury had the highest mortality rate (16.7%). Injury severity score (OR= 1.041, p < 0.001) and length of stay (OR = 1.018, p < 0.001) were strong predictors of mortality in trauma patients with spine injury.
CONCLUSION
The results of the study showed that the incidence of traumatic spine injury rate was approximately 17.0% in southern of Iran. Road traffic injury and falls are the common mechanism of injury to spine. It is important to improve the safety of roads, and passengers, as well as work environment, and improve the quality of cars. Also, paying attention to the pattern of spine injury may assist to prevent the missing diagnosis of spine injury in multiple trauma patients.
目的
脊柱损伤是全球导致死亡和死亡率的主要原因之一。本研究的目的是确定过去 3 年来伊朗南部最大创伤中心转诊的脊柱创伤患者的发病率、类型和结局。
方法
这是一项 2018 年 3 月至 2021 年 6 月在伊朗南部最大创伤中心进行的横断面研究。数据收集表包括年龄、性别、损伤部位（颈椎、胸椎和腰椎）、损伤原因（交通事故、跌倒和袭击）、住院时间、脊柱损伤节段、损伤严重程度和结局。使用 SPSS 软件版本 24 进行统计分析。
结果
共确定了 776 例脊柱损伤病例。脊柱损伤发生率为 17.0%，死亡率为 15.5%。颈椎损伤（20.4%）多见于摩托车事故，而胸椎损伤（20.1%）多见于跌倒。脊柱损伤发生率最高和最低的部位分别为腰椎损伤（30.2%）和颈椎损伤（21.5%）。损伤机制与脊柱损伤部位之间存在统计学显著关系（p<0.001）。腰椎损伤患者的死亡率最高（16.7%）。损伤严重程度评分（OR=1.041，p<0.001）和住院时间（OR=1.018，p<0.001）是创伤性脊柱损伤患者死亡的强烈预测因素。
结论
研究结果表明，伊朗南部创伤性脊柱损伤发生率约为 17.0%。道路交通伤和跌倒是脊柱损伤的常见机制。提高道路和乘客的安全性，以及改善工作环境和提高汽车质量非常重要。此外，关注脊柱损伤的类型可能有助于防止多发伤患者脊柱损伤漏诊。
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