TRAUMATIC SPINAL-CORD INJURIES IN THE RURAL REGION OF TAIWAN - AN EPIDEMIOLOGIC-STUDY IN HUALIEN COUNTY, 1986-1990

被引：34

作者：

LAN, C

LAI, JS

CHANG, KH

JEAN, YC

LIEN, IN

机构：

[1] Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, 10016, No 1, Chang-teh Street

[2] Department of Physical Medicine and Rehabilitation, Buddhist Tzu-Chi General Hospital

来源：

PARAPLEGIA | 1993年 / 31卷 / 06期

关键词：

SPINAL CORD INJURY; EPIDEMIOLOGY; INCIDENCE;

D O I：

10.1038/sc.1993.66

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In order to survey the epidemiological characteristics of traumatic spinal cord injuries (SCI) in Hualien county, a retrospective study was conducted from January 1986 to December 1990 in four local general hospitals. During this period, 135 traumatic SCI patients were identified and 99 of them were residents of Hualien county. The estimated annual incidence of traumatic SCI in Hualien county was 56.1 per million population. As a result of injury 36 patients were tetraparetic 33 tetraplegic, 12 paraparetic and 18 paraplegic. The male/female ratio was 4:1. The mean age of onset for male patients was 44 years, and that for female patients was 6 years. The major causes of SCI were traffic accident (61.6%) followed by accidental falls (23.3%). The average duration of hospitalisation ranged from 62 days in paraparetics to 132 days in tetraplegics. Ten patients died of respiratory failure or sepsis, and the mortality rate was 10.1%. Our data revealed that traumatic SCI was prevalent in Hualien county in comparison with epidemiological studies elsewhere. The special population composition of Hualien county and the preponderance of the motorcycle as a transportation vehicle in this area might result in its unique epidemiological characteristics.

引用

页码：398 / 403

页数：6

共 13 条

[1]

Chen C.F., Lien I.N., Spinal cord injuries in Taipei, Taiwan 1978-81, Paraplegia, 23, pp. 364-370, (1985)

[2]

Kraus J.F., Injury to the head and spinal cord. The epidemiological relevance of the medical literature published from I960-1978, J Neurosurg, 58, pp. S10-S83, (1980)

[3]

Kraus J.F., Franti C.E., Riggins R.S., Richards D., Borhani N.O., Incidence of traumatic spinal cord lesions, J Chron Dis, 28, pp. 471-492, (1975)

[4]

Kuhn W., Zach G.A., Kochlin P.H., Urwyler A., Comparison of spinal cord injuries in females and in males, 1979-81 Basle, Paraplegia, 21, pp. 154-160, (1983)

[5]

Bracken M.B., Freeman D.H., Hellenbrand K., Incidence of traumatic hospitalized in spinal cord injury in the United States 1970-1977, Am J Epidemiol, 113, pp. 615-622, (1981)

[6]

Fine P.R., Kuhlemeier K.V., Devivo M.J., Stover S.L., Spinal cord injury: An epidemiological perspective, Paraplegia, 17, pp. 237-250, (1980)

[7]

Biering-Sorensen F., Pedersen V., Clausen S., Epidemiology of spinal cord lesions in Denmark, Paraplegia, 28, pp. 105-118, (1990)

[8]

Hung C.C., Chiu W.T., Tsai J.C., Laporte R.E., Shih C.J., An epidemiological study of head injury in Hualien county, Taiwan, J Formosan Med Assoc, 90, pp. 1227-1233, (1991)

[9]

Hwu H.G., Yeh E.K., Yeh Y.L., Chang L.Y., Alcoholism by Chinese Diagnostic Interview Schedule: A prevalence and validity study, Acta Psychiatr Scand, 77, pp. 7-13, (1988)

[10]

Hwu H.G., Yeh Y.L., Wang J.D., Yeh E.K., Alcoholism among Taiwan aborigines defines by the Chinese Diagnostic Interview Schedule: A comparison with alcoholism among Chinese, Acta Psychiatr Scand, 82, pp. 374-380, (1990)

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