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  4. Epidemiological features of traumatic spinal cord injury in Beijing, China

Epidemiological features of traumatic spinal cord injury in Beijing, China

The Journal of Spinal Cord Medicine, 2022 · DOI: 10.1080/10790268.2020.1793505 · Published: July 28, 2020

Spinal Cord InjuryPublic Health

Simple Explanation

Traumatic spinal cord injury (TSCI) is a devastating condition associated with high mortality, disability, and treatment costs. Prevention is key due to the lack of breakthrough treatments. This study examines the epidemiological features of TSCI in Beijing to inform preventative measures. This study analyzed data from 590 patients with TSCI admitted to a rehabilitation center in Beijing between 2011 and 2019. The researchers looked at factors like age, sex, occupation, cause of injury, and the severity and location of the spinal cord injury. The study found significant changes in the characteristics of TSCI compared to data from 2002. The mean age of patients increased, and falls became a more common cause of injury, especially among older adults. Workers were also a high-risk group, with many injuries occurring at construction sites.

Study Duration
2011 to 2019 (9 years)
Participants
590 patients with TSCI
Evidence Level
Retrospective research

Key Findings

  • 1
    The mean age of patients with TSCI was 46.3 ± 15.5 years, with a male/female ratio of 4.73:1, indicating a higher prevalence among males.
  • 2
    Falls, particularly falls from heights and low falls, were the leading causes of TSCI, accounting for 30.8% and 25.1% of cases, respectively.
  • 3
    A majority of patients (54.9%) had cervical spinal cord injuries, and most patients (91.9%) underwent surgical treatment.

Research Summary

This study investigated the epidemiological features of traumatic spinal cord injury (TSCI) in Beijing from 2011 to 2019, comparing the data with that of 2002. The study included 590 patients and analyzed factors such as age, sex, occupation, etiology, neurological level, and treatment. The results showed a significant increase in the mean age of TSCI patients and a higher proportion of injuries caused by falls, especially among the elderly. Workers were also identified as a high-risk group, with construction-related accidents being a major cause of injury. The authors concluded that preventative strategies should be adjusted to address the changing epidemiological characteristics of TSCI. They emphasized the need for stricter regulatory practices and safety measures in construction, as well as interventions to reduce low falls among the elderly.

Practical Implications

Workplace Safety Improvement

Implement stricter regulatory practices and safety measures in construction to reduce work-related TSCI among workers.

Elderly Fall Prevention

Develop and implement interventions aimed at reducing low falls among the elderly, such as home modifications and education programs.

Traffic Safety Enhancement

Enhance traffic safety measures and education to reduce traffic-related TSCI, particularly among office clerks and drivers.

Study Limitations

  • 1
    Potential inaccuracies in medical record data.
  • 2
    The study only included patients from one rehabilitation hospital in Beijing.
  • 3
    Manual data recording and extraction may have introduced errors or omissions.

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