土耳其东安纳托利亚地区脊柱创伤的描述性特征:三年回顾性分析

Mürteza Çakir, Fatma Tortum, Kamber Kaşali̇
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引用次数: 0

摘要

目的:了解脊柱外伤的描述性特征,如病因学、流行病学、死亡率及其与死亡率的关系,有助于脊柱外伤的诊断和管理。此外,还可以通过消除可预防的原因来降低脊柱创伤的发病率。本研究旨在评估我国脊柱创伤的描述性特征以及与死亡率相关的情况。材料和方法:我们的研究是在一家三级医院的急诊科进行的回顾性研究。通过扫描电子病历,从医院信息管理系统中获取了 2020 年至 2023 年期间因脊柱创伤到我院急诊就诊的患者数据,并将其纳入研究。研究结果共有 1835 名患者被纳入研究,其中 427 名(23.3%)为女性,1408 名(76.7%)为男性。在急诊室就诊的患者中,最常见的主诉是跌倒(n꞊1112)。52.8%(n=968)的特殊创伤患者伴有其他损伤。3.7%(n=68)的患者死亡。结论在我国,跌倒是造成特殊创伤的最常见原因,同时伴有头部创伤和胸部创伤与死亡率密切相关。虽然男性更常因特殊外伤到急诊室就诊,但就死亡率而言,男女之间并无差异。此外,脊柱外伤后最常见的脊椎骨折发生在腰椎的椎体和棘突部位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Türkiye’de Doğu Anadolu bölgesinde spinal travmaların tanımlayıcı özellikleri: 3 yıllık retrospektif analiz.
Purpose: Understanding the descriptive characteristics of traumatic spinal injuries such as etiology, epidemiology, mortality and their associations with mortality may facilitate the diagnosis and management of spinal traumas. Moreover, its incidence can be reduced through eliminating preventable causes. The present study aimed to assess the descriptive characteristics of spinal traumas and the conditions associated with mortality in our country. Materials and methods: Our study was conducted retrospectively in the emergency service of a tertiary care hospital. Data of patients visiting to our hospital’s emergency room between 2020 and 2023 with spinal trauma, were obtained from the hospital information management system by scanning electronic patient records for inclusion in the study. Results: A total of 1835 patients were included in our study, of which 427 (23.3%) were female and 1408 (76.7%) were male. The most common complaint of the included patients who presented to the emergency room was observed as falls (n꞊1112). 52.8% (n=968) of those patients with special traumas had other concomitant injury. 3.7% (n=68) of the included patients resulted in death. Conclusion: Falls are the most common cause of special traumas in our country and concomitant head trauma and thoracic trauma are closely associated with mortality. While men are more frequently presented to the emergency room with special trauma, there has been no difference between both sexes in terms of mortality rate. Moreover, the most common vertebral fractures after spinal trauma occur in the parts of the corpus and spinous processes of the lumbar vertebrae.
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