Age-specific characterization of spinal cord injuries over a 19-year period at a Japanese rehabilitation center

Autor: Kaoru Omae, Eiji Nakatani, Masanori Fukushima, Takaaki Chin, Mitsunori Toda
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
030506 rehabilitation
Pediatrics
Critical Care and Emergency Medicine
medicine.medical_treatment
lcsh:Medicine
Pathology and Laboratory Medicine
Geographical Locations
Elderly
0302 clinical medicine
Japan
Medicine and Health Sciences
Paralysis
Public and Occupational Health
Longitudinal Studies
Spinal Cord Injury
lcsh:Science
Spinal cord injury
Tetraplegia
Trauma Medicine
Multidisciplinary
Rehabilitation
Incidence
Incidence (epidemiology)
Traumatic Injury Risk Factors
Age Factors
Middle Aged
Sports Science
Neurology
symbols
Falls
Female
medicine.symptom
0305 other medical science
Paraplegia
Traumatic Injury
Research Article
Adult
medicine.medical_specialty
Asia
Rehabilitation Centers
03 medical and health sciences
symbols.namesake
Signs and Symptoms
Diagnostic Medicine
medicine
Humans
Poisson regression
Sports and Exercise Medicine
Spinal Cord Injuries
Aged
Retrospective Studies
business.industry
lcsh:R
Biology and Life Sciences
Retrospective cohort study
medicine.disease
Age Groups
People and Places
Population Groupings
lcsh:Q
business
Neurotrauma
030217 neurology & neurosurgery
Zdroj: PLoS ONE, Vol 13, Iss 3, p e0195120 (2018)
PLoS ONE
ISSN: 1932-6203
Popis: Regional demographics of spinal cord injuries (SCIs) are fundamental to identifying and implementing appropriate preventive measures. The current study was conducted as a longitudinal analysis of all patients with SCIs admitted to the Hyogo Rehabilitation Center over a 19-year period. The sex and age of the patient, time and nature of injury (i.e., cause, level, and extent), and period from injury to admission were evaluated retrospectively. Pertinent tests, including Poisson regression analysis, and the Cochran–Armitage, Kruskal–Wallis, and chi-square tests, were applied to assess demographic variables, with statistical significance set at p < 0.05. Between 1995 and 2013, a total of 632 patients with SCIs (predominantly male and largely < 60 years old) were admitted to our center for rehabilitation. Although the male: female ratio remained unchanged throughout the study period, the ratio of older adults increased over time. In assessing the cause of injury, the majority of the patients involved in road traffic accidents were aged ≤ 44 years, whereas patients aged ≥ 45 years accounted for the majority of low-distance falls and disease-related SCIs, the proportions of which gradually increased. Complete paralysis and paraplegia primarily occurred in patients aged ≤ 44 years, whereas the majority of incomplete injuries and tetraplegia were limited to those aged ≥ 45 years. The patient age at the time of SCI and the nature of the injury sustained were interrelated. Age-specific strategies thus offered the best means of preventing/reducing the incidence of SCIs in Hyogo prefecture.
Databáze: OpenAIRE
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