UNASSIGNED: To determine the incidence of TSCI in Spain and to describe the trend of clinical and demographic characteristics according to age group during a 10-year period.
UNASSIGNED: A prospective cohort study was conducted. A multidisciplinary team evaluated all individuals with new TSCI. The data were recorded according to the International Spinal Cord Injury Core Data Sets.
UNASSIGNED: In a 10-year period, 933 new patients with TSCI were admitted to the hospital. The annual incidence of TSCI was 6.2 per million. The leading causes of injury were traffic accidents (38.5%), low-level falls (20.6%), and high-level falls (19.1%). Males, age group of 31-45 years, and cervical level of injury were the most common profiles of TSCI. In patients over 60 years,71.5% were injured following a fall, particularly low-level falls (47.2%). In patients under 60 years old, the leading cause of SCI was traffic accidents (46%). The proportion of tetraplegia in patients above 60 years was 68.3%, compared to 43.7% in patients under 60 years of age. Patients in the age group above 60 years were hospitalized with a shorter duration of rehabilitation compared to younger age group.
UNASSIGNED: Compared with globally estimated data reported in previous studies, this research demonstrated a low incidence of TSCI in Spain, suggesting a decrease in the last years. Falls and traffic accidents were the most common causes of TSCI in elderly and youth, respectively. Prevention programs should focus on these issues.
■确定西班牙TSCI的发生率,并描述10年期间根据年龄组的临床和人口统计学特征的趋势。
■进行了一项前瞻性队列研究。一个多学科小组用新的TSCI评估了所有个人。根据国际脊髓损伤核心数据集记录数据。
■在10年内,933例新的TSCI患者入院。TSCI的年发病率为百万分之6.2。造成伤害的主要原因是交通事故(38.5%),低水平下跌(20.6%),和高位下跌(19.1%)。男性,31-45岁年龄组,宫颈损伤是TSCI最常见的表现。在60岁以上的患者中,71.5%的人在跌倒后受伤,尤其是低水平下跌(47.2%)。在60岁以下的患者中,SCI的主要原因是交通事故(46%)。60岁以上患者中四肢瘫痪的比例为68.3%,相比之下,60岁以下患者的比例为43.7%。与年轻年龄组相比,60岁以上年龄组的患者住院时间较短。
■与先前研究报告的全球估计数据相比,这项研究表明,西班牙的TSCI发病率较低,表明过去几年的下降。跌倒和交通意外是老年人和青少年中TSCI的最常见原因,分别。预防方案应侧重于这些问题。