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美国的创伤性脊髓损伤,1993-2012年

Nitin B Jain¹, Gregory D Ayers², Emily N Peterson²

¹Department of Physical Medicine and Rehabilitation, Vanderbilt University School of Medicine, Nashville, Tennessee2Department of Orthopaedics and Rehabilitation, Vanderbilt University School of Medicine, Nashville, Tennessee.

|June 10, 2015

概括

急性创伤性脊髓损伤发生率保持稳定,但由于人口增长,病例增加. 老年人患病率增加,主要是因跌倒,高住院死亡率持续存在,特别是在老年人中.

科学领域:

神经学神经学
创伤学创伤学创伤学
公共卫生公共卫生

背景情况:

急性创伤性脊髓损伤 (SCI) 会导致严重的残疾和医疗利用.
关于SCI发病率和原因的国家趋势的数据有限.

研究的目的:

分析1993年至2012年美国急性创伤性SCI发病率,病因学,死亡率和手术程序的趋势.

主要方法:

利用了美国全国性住院患者样本数据库 (1993-2012).
包括63,109名患有急性创伤性SCI的患者.
分析了年龄和性别分层的发病率,病因和住院死亡率趋势.

主要成果:

整体上,SCI发病率保持稳定 (53-54例/百万).
年轻男性 (16-44岁) 的发病率下降,但年长男性 (65-74岁) 的发病率显著增加.
跌倒成为老年人 (≥65岁) 的首要原因,从28%上升到66%. 住院死亡率整体上升,但在最年长的年龄组 (≥85岁) 降低.

结论:

虽然整体SCI发病率稳定,但由于人口增长,病例总数有所增加.
老年人中SCI的增加,由跌倒驱动,是一个关键问题.
持续高的住院死亡率,特别是在老年人中,突显了针对性干预的必要性.

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The Spinal Cord

The Spinal Cord

The spinal cord is the body’s major nerve tract of the central nervous system, communicating afferent sensory information from the periphery to the brain and efferent motor information from the brain to the body. The human spinal cord extends from the hole at the base of the skull, or foramen magnum, to the level of the first or second lumbar vertebra.