Association between spinal curvature disorders and injury: a nationwide population-based retrospective cohort study
| Autor: | Yen-Liang Kuo, Chung-Kan Peng, Chang-Huei Tsao, Shan-Yueh Chang, Chih-Hao Shen, Wei-Erh Cheng, Chi-Hsiang Chung, Wu-Chien Chien, Tsai-Wang Huang |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Databases Factual Population Taiwan Subgroup analysis Scoliosis spine Spinal Curvatures Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Injury prevention Humans Medicine 030212 general & internal medicine education Aged Proportional Hazards Models Retrospective Studies education.field_of_study scoliosis business.industry Incidence Public health Research public health Retrospective cohort study 030229 sport sciences General Medicine Middle Aged medicine.disease Spinal cord Cross-Sectional Studies medicine.anatomical_structure bone diseases Case-Control Studies Cohort Wounds and Injuries Female musculoskeletal disorders business |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesInjury is an important issue in public health. Spinal curvature disorders are deformities characterised by excessive curves of the spine. The prevalence of spinal curvature disorders is not low, but its relationship with injury has not been studied. The aim of this study is to investigate whether spinal curvature disorders increase the risk of injury.DesignPopulation-based retrospective cohort study.SettingUsing data from the Taiwan National Health Insurance Research Database from 2000 to 2010.Participants and exposurePatients with spinal curvature disorders were selected using codes from the International Classification of Diseases, Ninth Revision, Clinical Modification. A cohort without spinal curvature was randomly frequency-matched to the spinal curvature disorders cohort at a ratio of 2:1 according to age, sex and index year.Primary outcome measuresThe risk of injury was analysed using Cox’s proportional hazards regression models adjusting for age, sex, comorbidities, urbanisation level and socioeconomic status.ResultsA total of 20 566 patients with spinal curvature disorders and 41 132 controls were enrolled in this study. The risk of injury was 2.209 times higher (95% CI 2.118 to 2.303) in patients with spinal curvature disorders than in the control group. The spinal curvature disorders cohort exhibited higher risk of developing injury compared with the control group, regardless of age, sex, comorbidities, urbanisation level and subgroup of spinal curvature disorders. Based on the subgroup analysis, the spinal curvature disorders cohort had higher risks of unintentional injury and injury diagnoses such as fracture, dislocation, open wound, superficial injury/contusion, crushing and injury to nerves and spinal cord compared with the control cohort.ConclusionsPatients with spinal curvature disorders have a significantly higher risk of developing injury than patients without spinal curvature disorders. Aggressive detection and management of spinal curvature disorders may be beneficial for injury prevention. |
| Databáze: | OpenAIRE |
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