Epidemiological Characteristics of Traumatic Spinal Cord Injury in Guangzhou, China

Epidemiological Characteristics of Traumatic Spinal Cord Injury in Guangzhou, China

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Author(s)

Author(s): Shaojie He, Zhenyu Zhao, Sheng Tang, Xiaofeng Lai, Xincheng Yu, Junlong Hou, Dingsheng Zha, Hao Wu

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DOI: 10.18483/ijSci.2557 15 50 20-23 Volume 11 - Mar 2022

Abstract

Objective: To study the epidemiological characteristics of traumatic spinal cord injury (TSCI) in Guangzhou, China, and identify high-risk population, so as to provide reference for prevention, diagnosis and treatment of SCI. Methods: The First Affiliated Hospital of Jinan University between January 2017 and December 2020 hospitalized patients with spinal cord injury were analyzed retrospectively, and observe the following relevant factors: age, gender, injury time, injury causes, segmental spinal cord injury, whether with spine fracture, whether to merge with other parts of the injury, whether complications. The above indicators were analyzed statistically. Results: There were 197 patients with spinal cord injury, the male to female ratio was 2.72:1. The average age was 47.83±13.70 years from 5 to 80 years old, and the patients aged from 41 to 50 years old were the most (28.0%). The main causes of injuries were falls (33.0%), falls (32.0%), traffic accidents (26.9%), and heavy injuries (7.1%). The incidence of lumbar spinal cord injury was the highest, followed by cervical spine injury. Complications occurred during hospitalization in 51.3% of TSCI patients, with pulmonary infection accounting for 34.8%, followed by urinary tract infection accounting for 25.6%. The higher the severity of spinal cord injury, the higher the probability of complications, the incidence of complications in ASIA grade A patients was 96%. Class B 73.3%; Grade C 59.1%, D 29.6%. Conclusion: Young and middle-aged men are the high risk group of TSCI, and the main causes of injury are fall injury, fall injury and car accident injury. The incidence of spinal cord injury was highest in lumbar vertebra L1 and L2, cervical vertebra C4 and C5, and thoracic vertebra T12 and T11. Complications occurred during hospitalization in 51.3% of TSCI patients, with pulmonary infection being the most common, followed by urinary tract infection. The higher the severity of spinal cord injury, the greater the probability of complications.

Keywords

Spinal Cord Injury, Epidemiology, Characteristic, The Correlation

References

  1. Chamberlain J D, Deriaz O, Hund-Georgiadis M, et al. Epidemiology and contemporary risk profile of traumatic spinal cord injury in Switzerland[J]. Inj Epidemiol, 2015, 2(1): 28. DOI: 10.1186/s40621-015-0061-4
  2. Singh A, Tetreault L, Kalsi-Ryan S, et al. Global prevalence and incidence of traumatic spinal cord injury[J]. Clin Epidemiol, 2014, 6: 309-31. DOI: 10.2147/CLEP.S68889
  3. Jackson A B, Dijkers M, Devivo M J, et al. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years[J]. Arch Phys Med Rehabil, 2004, 85(11): 1740-8. DOI: 10.1016/j.apmr.2004.04.035
  4. Jazayeri S B, Beygi S, Shokraneh F, et al. Incidence of traumatic spinal cord injury worldwide: a systematic review[J]. Eur Spine J, 2015, 24(5): 905-18. DOI: 10.1007/s00586-014-3424-6
  5. Cripps R A, Lee B B, Wing P, et al. A global map for traumatic spinal cord injury epidemiology: towards a living data repository for injury prevention[J]. Spinal Cord, 2011, 49(4): 493-501. DOI: 10.1038/sc.2010.146
  6. Wyndaele M, Wyndaele J J. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey?[J]. Spinal Cord, 2006, 44(9): 523-9. DOI: 10.1038/sj.sc.3101893
  7. Majdan M, Brazinova A, Mauritz W. Epidemiology of traumatic spinal cord injuries in Austria 2002-2012[J]. Eur Spine J, 2016, 25(1): 62-73. DOI: 10.1007/s00586-015-3985-z
  8. Rahimi-Movaghar V, Sayyah M K, Akbari H, et al. Epidemiology of traumatic spinal cord injury in developing countries: a systematic review[J]. Neuroepidemiology, 2013, 41(2): 65-85. DOI: 10.1159/000350710
  9. Hao D, Du J, Yan L, et al. Trends of epidemiological characteristics of traumatic spinal cord injury in China, 2009-2018[J]. Eur Spine J, 2021, 30(10): 3115-3127. DOI: 10.1007/s00586-021-06957-3
  10. Chang F S, Zhang Q, Sun M, et al. Epidemiological study of Spinal Cord Injury individuals from halfway houses in Shanghai, China[J]. J Spinal Cord Med, 2018, 41(4): 450-458. DOI: 10.1080/10790268.2017.1367357
  11. Yang R, Guo L, Huang L, et al. Epidemiological Characteristics of Traumatic Spinal Cord Injury in Guangdong, China[J]. Spine (Phila Pa 1976), 2017, 42(9): E555-E561. DOI: 10.1097/BRS.0000000000001896
  12. Du J, Hao D, He B, et al. Epidemiological characteristics of traumatic spinal cord injury in Xi'an, China[J]. Spinal Cord, 2021, 59(7): 804-813. DOI: 10.1038/s41393-020-00592-3
  13. Sun D, Zhang Z. Epidemiological characteristics of traumatic cervical spinal cord injury in Chongqing, China, from 2009 to 2018[J]. Spinal Cord Ser Cases, 2021, 7(1): 70. DOI: 10.1038/s41394-021-00434-1
  14. Tasoglu O, Koyuncu E, Daylak R, et al. Demographic and clinical characteristics of persons with spinal cord injury in Turkey: One-year experience of a primary referral rehabilitation center[J]. J Spinal Cord Med, 2018, 41(2): 157-164. DOI: 10.1080/10790268.2016.1224215
  15. Fredø Hege Linnerud,Rizvi Syed Ali Mujtaba,Lied Bjarne et al. The epidemiology of traumatic cervical spine fractures: a prospective population study from Norway.[J] .Scand J Trauma Resusc Emerg Med, 2012, 20: 85. DOI: 10.1186/1757-7241-20-85
  16. Wang Z M, Zou P, Yang J S, et al. Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study[J]. J Orthop Surg Res, 2020, 15(1): 214. DOI: 10.1186/s13018-020-01729-z

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International Journal of Sciences is Open Access Journal.
This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License.
Author(s) retain the copyrights of this article, though, publication rights are with Alkhaer Publications.

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