Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Oct;30(10):3115-3127.
doi: 10.1007/s00586-021-06957-3. Epub 2021 Aug 15.

Trends of epidemiological characteristics of traumatic spinal cord injury in China, 2009-2018

Dingjun Hao #  1 , Jinpeng Du #  2 , Liang Yan #  2 , Baorong He #  2 , Xiao Qi  3 , Shicheng Yu  3 , Jiaojiao Zhang  3 , Wenjing Zheng  3 , Rongqiang Zhang  4 , Da-Geng Huang  2 , Junsong Yang  2 , Ming Zhu  2 , Jiawei Ouyang  2 , He Zhao  2 , Keyuan Ding  2 , Haodong Shi  2 , Yang Cao  2 , Ying Zhang  2 , Qinghua Tang  2 , Yuan Liu  2 , Zilong Zhang  2 , Yuhang Wang  2 , Ye Tian  2 , Hao Chen  2 , Lulu Bai  2 , Heng Li  2 , Chenchen Mu  2 , Youhan Wang  2 , Xiaohui Wang  2 , Chao Jiang  2 , Jianhua Lin  5 , Bin Lin  6 , Shunwu Fan  7 , Lin Nie  8 , Jiefu Song  9 , Xun Ma  10 , Zengwu Shao  11 , Yanzheng Gao  12 , Zhong Guan  13 , Yueming Song  14 , Weihu Ma  15 , Qixin Chen  16
Affiliations

Trends of epidemiological characteristics of traumatic spinal cord injury in China, 2009-2018

Dingjun Hao et al. Eur Spine J. 2021 Oct.

Abstract

Objective: We focus on providing the first comprehensive national dataset on the incidence, injury aetiology and mortality of TSCI in China.

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.

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]).

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.

Keywords: China; Epidemiology; Incidence; Mortality; Spinal cord injury.

PubMed Disclaimer

Comment in

References

    1. Chamberlain JD, Deriaz O, Hund-Georgiadis M, Meier S, Scheel-Sailer A, Schubert M, Stucki G, Brinkhof MW (2015) Epidemiology and contemporary risk profile of traumatic spinal cord injury in Switzerland. Inj Epidemiol 2:28 - DOI
    1. Singh A, Tetreault L, Kalsiryan S, Nouri A, Fehlings MG (2014) Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol 2014:309–331
    1. Li J, Liu G, Zheng Y, Hao C, Zhang Y, Wei B, Zhou H, Wang D (2011) The epidemiological survey of acute traumatic spinal cord injury (ATSCI) of 2002 in Beijing municipality. Spinal Cord 49:777–782. https://doi.org/10.1038/sc.2011.8 - DOI - PubMed
    1. Ning GZ, Yu TQ, Feng SQ, Zhou XH, Ban DX, Liu Y, Jiao XX (2011) Epidemiology of traumatic spinal cord injury in Tianjin, China. Spinal Cord 49:386–390. https://doi.org/10.1038/sc.2010.130 - DOI - PubMed
    1. Chen Y, He Y, Devivo MJ (2016) Changing demographics and injury profile of new traumatic spinal cord injuries in the United States, 1972–2014. Arch Phys Med Rehabil 97:1610–1619 - DOI

Publication types

LinkOut - more resources