TY  - JOUR
PY  - 2021//
TI  - Trends of epidemiological characteristics of traumatic spinal cord injury in China, 2009-2018
JO  - European spine journal
A1  - Hao, Dingjun
A1  - Du, Jinpeng
A1  - Yan, Liang
A1  - He, Baorong
A1  - Qi, Xiao
A1  - Yu, Shicheng
A1  - Zhang, Jiaojiao
A1  - Zheng, Wenjing
A1  - Zhang, Rongqiang
A1  - Huang, Da-Geng
A1  - Yang, Junsong
A1  - Zhu, Ming
A1  - Ouyang, Jiawei
A1  - Zhao, He
A1  - Ding, Keyuan
A1  - Shi, Haodong
A1  - Cao, Yang
A1  - Zhang, Ying
A1  - Tang, Qinghua
A1  - Liu, Yuan
A1  - Zhang, Zilong
A1  - Wang, Yuhang
A1  - Tian, Ye
A1  - Chen, Hao
A1  - Bai, Lulu
A1  - Li, Heng
A1  - Mu, Chenchen
A1  - Wang, Youhan
A1  - Wang, Xiaohui
A1  - Jiang, Chao
A1  - Lin, JianHua
A1  - Lin, Bin
A1  - Fan, Shunwu
A1  - Nie, Lin
A1  - Song, Jiefu
A1  - Ma, Xun
A1  - Shao, Zengwu
A1  - Gao, Yanzheng
A1  - Guan, Zhong
A1  - Song, Yueming
A1  - Ma, Weihu
A1  - Chen, Qixin
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: We focus on providing the first comprehensive national dataset on the incidence, injury aetiology and mortality of TSCI in China. <br><br>METHODS: A multi-stage stratified cluster sampling method was used. We included TSCI cases from all hospitals in three regions, nine provinces and 27 cities in China via search of electronic medical records and retrospectively analysed the characteristics of TSCI in China from 2009 to 2018. We estimated the incidence of TSCI in the total population and subgroups. <br><br>RESULTS: There were 5954 actual cases in 2009, corresponding to a total estimated TSCI incidence of 45.1 cases per million population (95% CI, 44.0-46.3). There were 10,074 actual cases in 2018, corresponding to a total estimated TSCI incidence of 66.5 cases per million population (95% CI, 65.2-67.8) (P < 0.001; annual average percentage change (AAPC), 4.4%). From 2009 to 2018, the incidence of almost all sex/age groups showed an increasing trend over time (P < 0.001; AAPC, 0.7-8.8%). The elderly population (aged 65-74) displayed the highest incidence of TSCI (with an average annual incidence of 127.1 cases per million [95% CI, 119.8-134.3]). <br><br>CONCLUSIONS: The TSCI incidence increased significantly from 2009 to 2018. The incidence in the elderly populations was consistently high and continues to increase over time. The mortality of TSCI patients in hospitals is relatively low and continues to decrease each year, but elderly individuals remain at a high risk of hospital death.<p />  <p>Language: en</p>
LA  - en
SN  - 0940-6719
UR  - http://dx.doi.org/10.1007/s00586-021-06957-3
ID  - ref1
ER  -