Incidence of adult traumatic spinal cord injury in Saint Petersburg, Russia

Abstract

Study design Retrospective population-based cohort study. Objectives To characterise the epidemiology of traumatic spinal cord injury (TSCI) among the inhabitants of Saint Petersburg, Russia. Setting All hospitals in Saint Petersburg. Methods Charts for all individuals admitted to city hospitals from 1st January 1 2012 to 31st December 2016 with acute TSCI were reviewed. Incidence rates were calculated for the whole period and for each year separately. Gender-specific and age-specific incidence rates were calculated, and epidemiological characteristics and possible risk factors were analysed. Results A total of 361 people were identified. The average annual incidence rate was 17.6 per million, varying from 21.2 (2013) to 13.6 (2016), and 70.9% were men. Mean age at injury was 42.1 years. Injuries from falls represented 49.8% of cases, and motor vehicle accidents 18.9%. The male:female ratio in the low-falls group was 1.2:1, and among the elderly patients, it was 0.5:1. Lesions at the cervical level were involved in 49.3%, thoracic in 24.7%, and lumbar/sacral in 23.5%. TSCI was complete in 16.9%. Concomitant injuries occurred in 47.2% of cases, and traumatic brain injuries in 37.7%. Conclusion TSCI incidence decreased during the observation period and was 2.4 times more common among men than women. In half of the cases, injuries involved the cervical level, and a fall was the most frequent injury cause. Elderly women more often had falls from a low height than men. Multiple injuries-most frequently traumatic brain injuries-were common.

Prevalence and Characteristics of Traumatic Spinal Cord Injuries for Educational Hospitals in Cairo

“…It is similar to the results reported by ahoniemi and colleagues in 2008 were the most common cause of traumatic spinal injury was fall (41.2%), followed by traffic accident (39.5%) [7] . This study comes in agreement with the work of Mirzaeva and colleagues in 2019 who reported that the most frequent cause of traumatic SCI was falls (49.8%), followed by motor vehicle accidents (18.9%) [8] . On the other hand, this study comes in disagreement with the work of Pickett and colleagues in 2006 who found that the most common causes of traumatic SCI were traffic accident (35%) followed by falls (31%) [9] .…”

Acute traumatic spinal cord injury in Saint Petersburg: causes, clinical characteristics, risk factors

“…В исследование были включены пациенты, которые достигли 18-летнего возраста, зарегистрированы на территории Санкт-Петербурга и у которых полученная травма соответствует критериям острой ПСМТ (механическое повреждение позвоночника и/или содержимого позвоночного канала (спинного мозга, его оболочек и сосудов, спинномозговых нервов)) с кодами S14, S24, S34 (по МКБ-10) [8]. Пациенты с переломами позвоночника без повреждения спинного мозга, с изолированными повреждениями нервных корешков и/или вегетативной нервной системы, а также лица, умершие на догоспитальном этапе, были исключены из исследования [6,7].…”

“…Потребление алкоголя было выявлено у 75 % безработных, что было значительно выше, чем среди трудоустроенных лиц (16,7 %), пенсио неров (8,3 %) и студентов (0 %). Доля безработных лиц среди когорты пациентов с ПСМТ составила 32,4 % [6], в то время как в популяции уровень безработных (согласно данным Петростата) -19,1 % [14]. Исследователи из Китая установили, что безработица является одним из факторов риска ПСМТ [13].…”

“…Частота острой ПСМТ в Санкт-Петербурге, согласно проведенному ретроспективному исследованию за 2012-2016 гг. составила 17 случаев на 1 млн в год [6,7]. Это существенно ниже, чем в предшествующие десятилетия (от 29,4 до 50 на 1 млн [8]), что можно объяснить осуществленными профилактическими мероприятиями.…”

Epidemiological Characteristics of Spinal Cord Injury in Northwest China: a single hospital-based study

“…Spinal cord injury (SCI) not only causes serious functional and family financial burdens, but also poses a series of problems for patients' mental health and social stability (1). SCI is considered to be a major public health matter worldly, and the incidence of spinal cord injury vary widely around the world.…”