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  4. Epidemiological characteristics of traumatic spinal cord injuries in a multicenter retrospective study in northwest China, 2017–2020

Epidemiological characteristics of traumatic spinal cord injuries in a multicenter retrospective study in northwest China, 2017–2020

Frontiers in Surgery, 2022 · DOI: 10.3389/fsurg.2022.994536 · Published: October 10, 2022

Spinal Cord InjuryTraumaPublic Health

Simple Explanation

This study examines the characteristics of traumatic spinal cord injuries (TSCIs) in northwest China from 2017 to 2020. It looks at factors like the causes of injury, patient demographics, and how the COVID-19 pandemic affected the number of cases. The study found that TSCI incidence increased from 2017 to 2019 but decreased in 2020, possibly due to COVID-19 restrictions. High falls were the leading cause of injury, and most patients experienced incomplete injuries. Rural patients took longer to receive treatment compared to urban patients. The research suggests that promoting online work could help reduce traumatic injuries, and attention should be paid to timely treatment for rural patients.

Study Duration
2017-2020
Participants
2,621 patients with TSCI
Evidence Level
Not specified

Key Findings

  • 1
    The number of patients with TSCI showed an increasing trend from 2017 to 2019, while there were 12.8% fewer patients in 2020 than in 2019.
  • 2
    The primary cause of TSCI was high falls (38.8%), slip falls/low falls (27.7%), traffic accidents (23.9%), sports (2.6%), and other factors (7.0%).
  • 3
    In terms of severity, incomplete injury (72.8%) occurred more often than complete injury (27.2%).

Research Summary

This multicenter retrospective study analyzed 2,621 patients with traumatic spinal cord injuries (TSCIs) in northwest China from 2017 to 2020 to understand epidemiological characteristics and risk factors. The study found that the incidence of TSCI increased from 2017 to 2019 but decreased in 2020, possibly due to COVID-19 restrictions. The male-to-female ratio was 3.67:1, and the mean age was 48 ± 14.9 years. High falls were the leading cause of TSCI, incomplete injuries were more common, and rural patients experienced longer waiting times for treatment. The study suggests promoting online work and improving timely treatment for rural patients.

Practical Implications

Preventive Measures

Strengthen labor safety measures and enhance safety education for employees, especially in high-risk occupations.

Resource Allocation

Address the problem of emergency transfer services in rural areas, potentially through helicopter emergency medical services (HEMS).

Online Work Promotion

Promote online office work and learning as a primary prevention measure for traumatic diseases, particularly for urban residents.

Study Limitations

  • 1
    Misrecords or incomplete information in the data.
  • 2
    Ignoring data on treatment cost and Medicare coverage.
  • 3
    Deviation between results and the actual situation.

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