Ragnarsdóttir Harpa, Arnardóttir Kristín Rut, Briem Kristín, Nicholls Micah, Björnsson Hjalti Már
Department of Physical Therapy, Faculty of Medicine, School of Health Sciences, University of Iceland, 102 Reykjavík, Iceland.
Elja Physical Therapy, 220 Hafnarfjörður, Iceland.
Life (Basel). 2025 Jun 20;15(7):987. doi: 10.3390/life15070987.
Whiplash-associated disorder (WAD) is common following motor vehicle collisions (MVCs). The yearly incidence rate in the Western world has been reported to be around 300 per 100,000 habitants, but no publications have examined yearly incidence across a period that includes the COVID-19 pandemic. A retrospective, epidemiological study was conducted in Iceland involving data from the University Hospital and the healthcare centers for the Capital Region for all individuals who visited the emergency department during 2010-2024 due to TAs, with a diagnosis indicating whiplash injury. The yearly incidence rate was calculated and presented per 100,000 person-years and analyzed by age, sex, months, and weekdays. The overall incidence of whiplash injuries was 267 per 100,000 person-years, greater for females than males ( < 0.001) with a significant effect of age ( < 0.001), the greatest rate being seen in young adulthood. A significant effect of time was seen across the study period ( < 0.001) due to a sharp decline between 2016 and 2020, followed by a continued low yearly incidence rate, with the smallest one seen in 2024 (78 per 100,000). Despite an increase in MVCs worldwide, the incidence of whiplash injuries following MVCs has declined significantly over the past decade. This trend may reflect shifts in injury patterns, healthcare-seeking behavior, or reporting practices.
挥鞭样相关疾病(WAD)在机动车碰撞(MVC)后很常见。据报道,西方世界的年发病率约为每10万居民300例,但尚无出版物研究包括新冠疫情期间在内的一段时间内的年发病率。在冰岛进行了一项回顾性流行病学研究,涉及大学医院和首都地区医疗中心的数据,这些数据来自2010年至2024年因交通事故(TAs)前往急诊科就诊且诊断为挥鞭样损伤的所有个体。计算并给出了每10万人年的年发病率,并按年龄、性别、月份和工作日进行分析。挥鞭样损伤的总体发病率为每10万人年267例,女性高于男性(<0.001),年龄有显著影响(<0.001),最高发病率出现在青年期。由于2016年至2020年期间急剧下降,随后年发病率持续较低,2024年最低(每10万例78例),因此在整个研究期间观察到时间有显著影响(<0.001)。尽管全球机动车碰撞事故有所增加,但在过去十年中,机动车碰撞后挥鞭样损伤的发病率显著下降。这一趋势可能反映了损伤模式、就医行为或报告方式的变化。