Hu R, Mustard C A, Burns C
Department of Surgery, Faculty of Medicine, University of Toronto, Canada.
Spine (Phila Pa 1976). 1996 Feb 15;21(4):492-9. doi: 10.1097/00007632-199602150-00016.
Cross-section observational study of incident spinal fractures using an administrative data-base.
To identify and define all patients who have spinal fractures within a complete population.
The true incidence of spinal column and cord injury is not known. Previous studies have been institutional or practice based. Accurate information concerning the magnitude of the spinal injury population and their characteristics may provide more rational basis for public health decision making and resource allocation.
The study dates were April 1, 1981 to March 31, 1984. Using the Manitoba Health Services Insurance Plan database, all patients with ICD-9-CM coding of 805.x and 806.x (spinal column fracture with and without spinal cord injury) were identified. Incidence rates, age and gender distribution, and ambulatory and hospital contracts were identified. Hospital discharge abstracts were used to classify mechanisms of injury, associated injuries, and length of stay.
The annual incidence rate of spinal fracture was 64 per 100,000. Two thousand sixty-three patients were identified, with 944 being admitted to the hospital. There were two peaks of incidence occurring in young men and elderly women. Of the hospitalized patients, 182 had cervical injury, 286 had thoracic fracture, and 403 had injury in the lumbosacral spine Associated injuries occurred in 38% of hospitalized patients. Length of stay was an average of 38.5 days. Overall mortality was 41%. Neurologic injury occurred in 122 patients.
Ambulatory care of spine injuries is more common than hospital care. Two peaks of incidence occur-in young men and elderly women. Future decisions for research, public health policy, and resource allocation can be based on these data.
使用行政数据库对新发脊柱骨折进行横断面观察性研究。
识别并界定全人群中所有发生脊柱骨折的患者。
脊柱和脊髓损伤的真实发病率尚不清楚。既往研究多基于机构或实践。有关脊柱损伤人群规模及其特征的准确信息可为公共卫生决策和资源分配提供更合理的依据。
研究日期为1981年4月1日至1984年3月31日。利用马尼托巴省医疗服务保险计划数据库，识别出所有国际疾病分类第九版临床修订本（ICD - 9 - CM）编码为805.x和806.x（伴有或不伴有脊髓损伤的脊柱骨折）的患者。确定发病率、年龄和性别分布以及门诊和住院情况。利用医院出院摘要对损伤机制、相关损伤和住院时间进行分类。
脊柱骨折的年发病率为每10万人中有64例。共识别出2063例患者，其中944例住院。发病率有两个高峰，分别出现在年轻男性和老年女性中。在住院患者中，182例有颈椎损伤，286例有胸椎骨折，403例有腰骶椎损伤。38%的住院患者发生了相关损伤。平均住院时间为38.5天。总体死亡率为41%。122例患者发生神经损伤。
脊柱损伤的门诊治疗比住院治疗更常见。发病率有两个高峰，分别出现在年轻男性和老年女性中。未来的研究、公共卫生政策和资源分配决策可基于这些数据。
