Epidemiology of traumatic spinal cord injury in Ireland, 2017-2022.

IF 0.7 Q4 CLINICAL NEUROLOGY
Ili Nadia Binti Mohd Fuad, Éimear Smith
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引用次数: 0

Abstract

Study design: Retrospective population based study on traumatic spinal cord injury (SCI) in Ireland.

Objectives: To gather the most recent epidemiological data prior to the implementation of a new national trauma strategy. Also, to consider if the COVID-19 pandemic impacted on SCI epidemiology in Ireland.

Setting: Republic of Ireland.

Methods: All patients with TSCI discharged from the National Rehabilitation Hospital (NRH), the national acute SCI unit and two neurosciences centres were included. The International Spinal Cord Injury Core Data Set was collected on all patients at discharge from rehabilitation between 2017 and 2022.

Results: Overall crude incidence of TSCI was 14 per million per year, ranging between 11.3 and 18.4. 12.7% of patients did not survive to discharge from hospital. In those completing rehabilitation, the mean age of injury onset was 50.1 years (SD 19.9). Males accounted for 75.7%. The most common impairment was incomplete tetraplegia, 45.3% of all TSCI. Leading aetiology was falls, 53.9% of injuries. Patients with incomplete tetraplegia and those whose cause of injury were falls were older than those with all other impairments and injury aetiologies (p < 0.001).

Conclusions: Overall incidence of TSCI is similar to our previous studies. Also similar is the predominant pattern of older people sustaining falls resulting in incomplete tetraplegia.

2017-2022 年爱尔兰创伤性脊髓损伤流行病学。
研究设计:目标: 在实施新的国家创伤战略之前,收集最新的流行病学数据:在实施新的国家创伤战略之前收集最新的流行病学数据。同时,考虑COVID-19大流行是否对爱尔兰的SCI流行病学产生影响:地点:爱尔兰共和国:方法:纳入所有从国家康复医院(NRH)、国家急性 SCI 单位和两个神经科学中心出院的 TSCI 患者。国际脊髓损伤核心数据集收集了2017年至2022年间所有康复出院患者的数据:TSCI的总体粗发病率为每年14/100万,介于11.3和18.4之间。12.7%的患者未能康复出院。在完成康复治疗的患者中,受伤时的平均年龄为 50.1 岁(标准差 19.9)。男性占 75.7%。最常见的损伤是不完全四肢瘫痪,占所有TSCI患者的45.3%。主要病因是跌倒,占受伤总数的 53.9%。不完全性四肢瘫痪患者和因跌倒而受伤的患者的年龄比其他所有损伤和受伤病因的患者都要大:TSCI的总体发病率与我们之前的研究结果相似。同样相似的是,跌倒导致不完全四肢瘫痪的主要是老年人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
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