{"title":"2019 年冠状病毒病大流行前后颈椎脊髓损伤的趋势差异","authors":"Hirotaka Fukushima, Chikara Ushiku, Shoshi Akiyama, Shinji Saito, Hiroki Wakiya, Kenji Okuno, Mitsuru Saito","doi":"10.1038/s41394-024-00633-6","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Study design</h3><p>Cross-Sectional Study.</p><h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>To investigate the changes in the characteristics of cervical spinal cord injuries (CSCI) before and after the coronavirus disease 2019 (COVID-19) pandemic among patients transported to our hospital in Japan.</p><h3 data-test=\"abstract-sub-heading\">Setting</h3><p>Hospital with an emergency center in Chiba, Japan.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Patients eligible for the study were those transported within 24 h of injury and diagnosed with cervical spinal cord injury between January 2018 and December 2021 at our hospital. Medical records were retrospectively examined to investigate the number and characteristics of patients with CSCI. The clinical variables of patients with CSCI were compared according to the time of admission as related to the COVID-19 pandemic: 2018-19 (before) or 2020-21 (after).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The total number of patients with CSCI from 2018 to 2021 was 108, with 57 before the COVID-19 pandemic and 51 after the COVID-19 pandemic. The number of severe cases with an injury severity score (ISS) of >16 decreased after COVID-19 (<i>p</i> < 0.05). Falls on level surfaces were the most common cause of injury both before and after COVID-19. Although the ranking of traffic accidents decreased after COVID-19, among those, the number of bicycle injuries tended to increase.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The number of serious cases with an ISS > 16 decreased, presumably because of the decline in high-energy trauma due to the background decrease in the number of traffic accidents.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trend differences in cervical spinal cord injuries before and after the coronavirus disease 2019 pandemic\",\"authors\":\"Hirotaka Fukushima, Chikara Ushiku, Shoshi Akiyama, Shinji Saito, Hiroki Wakiya, Kenji Okuno, Mitsuru Saito\",\"doi\":\"10.1038/s41394-024-00633-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Study design</h3><p>Cross-Sectional Study.</p><h3 data-test=\\\"abstract-sub-heading\\\">Objectives</h3><p>To investigate the changes in the characteristics of cervical spinal cord injuries (CSCI) before and after the coronavirus disease 2019 (COVID-19) pandemic among patients transported to our hospital in Japan.</p><h3 data-test=\\\"abstract-sub-heading\\\">Setting</h3><p>Hospital with an emergency center in Chiba, Japan.</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>Patients eligible for the study were those transported within 24 h of injury and diagnosed with cervical spinal cord injury between January 2018 and December 2021 at our hospital. Medical records were retrospectively examined to investigate the number and characteristics of patients with CSCI. The clinical variables of patients with CSCI were compared according to the time of admission as related to the COVID-19 pandemic: 2018-19 (before) or 2020-21 (after).</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>The total number of patients with CSCI from 2018 to 2021 was 108, with 57 before the COVID-19 pandemic and 51 after the COVID-19 pandemic. The number of severe cases with an injury severity score (ISS) of >16 decreased after COVID-19 (<i>p</i> < 0.05). Falls on level surfaces were the most common cause of injury both before and after COVID-19. Although the ranking of traffic accidents decreased after COVID-19, among those, the number of bicycle injuries tended to increase.</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusions</h3><p>The number of serious cases with an ISS > 16 decreased, presumably because of the decline in high-energy trauma due to the background decrease in the number of traffic accidents.</p>\",\"PeriodicalId\":22079,\"journal\":{\"name\":\"Spinal Cord Series and Cases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2024-04-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spinal Cord Series and Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1038/s41394-024-00633-6\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spinal Cord Series and Cases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1038/s41394-024-00633-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
研究设计横断面研究.Objections To investigate the changes in the characteristics of cervical spinal cord injuries (CSCI) before and after the coronavirus disease 2019 (COVID-19) pandemic among patients transported to our hospital in Japan.SettingHospital with an emergency center in Chiba, Japan.MethodsPatients eligible to the study were those transported within 24 h of injury and diagnosed with cervical spinal cord injury between January 2018 and December 2021 at our hospital.研究方法符合研究条件的患者是在我院2018年1月至2021年12月期间受伤后24小时内转运并被诊断为颈脊髓损伤的患者。通过回顾性研究病历，调查了CSCI患者的数量和特征。根据与COVID-19大流行相关的入院时间：2018-19年（之前）或2020-21年（之后），对CSCI患者的临床变量进行比较。结果2018年至2021年的CSCI患者总数为108例，其中57例在COVID-19大流行之前，51例在COVID-19大流行之后。受伤严重程度评分（ISS）为>16的重症病例数量在COVID-19大流行后有所减少（p< 0.05）。在 COVID-19 之前和之后，在平地摔倒是最常见的受伤原因。虽然 COVID-19 后交通事故的排名有所下降，但其中自行车受伤的数量却呈上升趋势。结论 ISS 为 16 分的严重病例数量有所下降，这可能是由于交通事故数量下降导致高能量创伤减少。
Trend differences in cervical spinal cord injuries before and after the coronavirus disease 2019 pandemic
Study design
Cross-Sectional Study.
Objectives
To investigate the changes in the characteristics of cervical spinal cord injuries (CSCI) before and after the coronavirus disease 2019 (COVID-19) pandemic among patients transported to our hospital in Japan.
Setting
Hospital with an emergency center in Chiba, Japan.
Methods
Patients eligible for the study were those transported within 24 h of injury and diagnosed with cervical spinal cord injury between January 2018 and December 2021 at our hospital. Medical records were retrospectively examined to investigate the number and characteristics of patients with CSCI. The clinical variables of patients with CSCI were compared according to the time of admission as related to the COVID-19 pandemic: 2018-19 (before) or 2020-21 (after).
Results
The total number of patients with CSCI from 2018 to 2021 was 108, with 57 before the COVID-19 pandemic and 51 after the COVID-19 pandemic. The number of severe cases with an injury severity score (ISS) of >16 decreased after COVID-19 (p < 0.05). Falls on level surfaces were the most common cause of injury both before and after COVID-19. Although the ranking of traffic accidents decreased after COVID-19, among those, the number of bicycle injuries tended to increase.
Conclusions
The number of serious cases with an ISS > 16 decreased, presumably because of the decline in high-energy trauma due to the background decrease in the number of traffic accidents.
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