加拿大的创伤性脊髓损伤的发生率和患病率,使用卫生行政数据
Nancy P Thorogood1, Vanessa K Noonan1, Xiaozhi Chen1
1Praxis Spinal Cord Institute, Vancouver, BC, Canada.
Frontiers in neurology
|August 9, 2023
概括
加拿大创伤性脊髓损伤 (TSCI) 发生率从2005年至2019年增加了37%,老年人明显增加. 这凸显了针对这个日益增长的人口群的有针对性的预防和医疗保健战略的需要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 创伤学 创伤学 创伤学
背景情况:
- 准确的发病率和流行率数据对于有效的伤害预防和医疗保健计划规划至关重要.
- 了解创伤性脊髓损伤 (TSCI) 的趋势对于资源配置和政策制定至关重要.
研究的目的:
- 利用国家卫生行政数据,估计加拿大TSCI的发病率,流行率和时间趋势.
- 为加拿大TSCI数据分析提供标准化的方法.
主要方法:
- 利用ICD-10 CA代码从加拿大医院入院和出院数据 (2005-2016) 中识别TSCI病例.
- 计算了特定年龄和性别的发病率,将其预测到2019年.
- 采用了一种流行模型,采用从预期寿命数据中得出的年度生存率.
主要成果:
- 在2019年,估计有1,199个TSCI病例被录取,其中1,076人活着出院.
- 据估计,生活在TSCI的人口为30239人 (804 / 百万),在残肢和四肢之间几乎是平等的分布.
- 观察到每年TSCI病例增加了37%,平均受伤年龄上升 (46.6至54.3岁),65岁以上的个人受伤比例更高 (22%至38%).
结论:
- 这项研究建立了一个可靠的方法来估计加拿大的TSCI发病率和流行率.
- 调查结果表明,TSCI显著增加,特别是在老年人中,由跌倒驱动.
- 结果强调需要加强医疗保健规划,制定有针对性的预防策略,并进一步专注于老龄化TSCI人口的研究.
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