Local Differences in Epidemiology of Traumatic Spinal Injuries

Erdoğan, Mehmet Özgür; Demir, Sibel; Kosargelir, Mehmet; Çolak, Şahin; Öztürk, Erdinç

doi:10.5505/tjtes.2013.74501

Cited by 15 publications

(20 citation statements)

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“…Second, environmental modifications should be strengthened. Roads should be widened and protective barriers installed between the motor road and the sidewalk to prevent traffic accidents [29]. Third, education is needed for persons at risk of injury [30].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Spinal Cord Injuries and Risk Factors for Complete Injuries in Guangdong, China: A Retrospective Study

et al. 2014

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BackgroundSpinal cord injuries are highly disabling and deadly injuries. Currently, few studies focus on non-traumatic spinal cord injuries, and there is little information regarding the risk factors for complete injuries. This study aims to describe the demographics and the injury characteristics for both traumatic and non-traumatic spinal cord injuries and to explore the risk factors for complete spinal cord injuries.MethodsA retrospective study was performed by reviewing the medical records of 3,832 patients with spinal cord injuries who were first admitted to the sampled hospitals in Guangdong, China. The demographics and injury characteristics of the patients were described and compared between the different groups using the chi-square test. Logistic regression was conducted to analyze the risk factors for complete spinal cord injuries.ResultsThe proportion of patients increased from 7.0% to 14.0% from 2003 to 2011. The male-to-female ratio was 3.0∶1. The major cause of spinal cord injuries was traffic accidents (21.7%). Many of the injured were workers (36.2%), peasants (22.8%), and unemployed people (13.9%); these occupations accounted for 72.9% of the total sample. A multivariate logistic regression model revealed that the OR (95% CI) for male gender compared to female gender was 1.25 (1.07–1.89), the OR (95%CI) for having a spinal fracture was 1.56 (1.35–2.60), the OR (95%CI) for having a thoracic injury was 1.23 (1.10–2.00), and the OR (95%CI) for having complications was 2.47 (1.96–3.13).ConclusionThe proportion of males was higher than the proportion of females. Workers, peasants and the unemployed comprised the high-risk occupational categories. Male gender, having a spinal fracture, having a thoracic injury, and having complications were the major risk factors for a complete injury. We recommend that preventive measures should focus on high-risk populations, such as young males.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of Spinal Cord Injuries and Risk Factors for Complete Injuries in Guangdong, China: A Retrospective Study

et al. 2014

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“…Kadıköy is one of the most culturally and economically developed parts of Turkey, and as such, it reveals unique features of motorcycle-related trauma epidemiology [3]. Due to the common use of heavy motorcycles and protective clothing, our hospital is a good place to conduct an evaluation of the effects of motorcycle type and protective clothing on injury patterns [3].…”

Section: Discussionmentioning

confidence: 99%

Roles of Motorcycle Type and Protective Clothing in Motorcycle Crash Injuries

Erdogan

Söğüt

Çolak

et al. 2013

Emergency Medicine International

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Background. The aims of this study were to identify subgroups of motorcyclists with a higher accident risk and evaluate the efficiency of protective clothing for preventing injuries. Methods. A 1-year prospective study of motorcycle crashes was conducted beginning in June 2012. Participants were patients involved in motorcycle crashes and admitted to our emergency department. Results. A total of 226 patients were included in the study. In total, 174 patients were involved in crashes with light motorcycles. Patients involved in a motorcycle accident without a helmet had a higher incidence of head and maxillofacial trauma. Motorcycle jackets were not protective for systemic injuries (P > 0.05) or upper extremity fractures (P > 0.05). Motorcycle pants (P > 0.05) and motorcycle shoes (P > 0.05) were not protective against leg and foot fractures. However, motorcycle protective clothes were protective against soft-tissue injuries (P = 0.001). Conclusion. Riders of heavy motorcycles rode more safely than riders of light motorcycles. Light motorcycle riders were the most vulnerable and comprised the largest percentage of motorcyclists. Helmets may be effective for preventing head and facial injuries. Other protective clothes were not effective against fractures or systemic injuries.

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“…In the study by Liu et al 10 and Erdogan et al 11 investigating traumatic vertebral fractures, patients were mostly aged between 30-50 years (47 and 52%, respectively), whereas in our study patients were mostly (46%) aged between 40-60 years and approximately a quarter of the patients were over 65 years of age. Osteoporotic vertebral fractures may occur without trauma; nonetheless, our results suggest traumatic vertebral fractures are also remarkably frequent in elderly population.…”

Section: Discussionmentioning

confidence: 52%

“…14 and Erdogan et al 11 reported male-to-female ratio as 1.6. Studies that indicated higher male to female ratios were generally carried out in countries where the contributions of women to the workforce were less than those of men (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…When all age groups are considered, vertebral fractures generally occur as a result of high energy traumas, whereas osteoporotic vertebral fractures are commonly observed in elderly patients 3,8,11 . In the study by Liu et al 10 and Erdogan et al 11 investigating traumatic vertebral fractures, patients were mostly aged between 30-50 years (47 and 52%, respectively), whereas in our study patients were mostly (46%) aged between 40-60 years and approximately a quarter of the patients were over 65 years of age.…”

Section: Discussionmentioning

confidence: 99%

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