Abstract
Background: Spinal cord injury (SCI) is a severe condition that disrupts patients' physiological, mental, and social well-being state and exerts great financial burden on patients, their families and social healthcare system. This review intends to compile studies regarding epidemiological features of SCI in China.Methods: Searches were conducted on PubMed, EMBASE, Web of Science and Cochrane Library for relevant studies published through January, 2018. Studies reported methodological and epidemiological data were collected by two authors independently.Results: Seventeen studies met the inclusion criteria. Two studies reported incidence of SCI that is 60.6 in Beijing (2002) and 23.7 in Tianjin (2004–2008). All studies showed male had a larger percentage in SCI compared to female except Taiwan (2000–2003). The average male and female ratio was 3–4:1 in China and the highest male and female ratio was 5.74: 1 in Tianjin (2004–2007). Farmers, laborers and unemployed people accounted for more than half of the SCI patients in China. Fall was the primary causation with exception of Heilongjiang (2009–2013), Beijing (2001–2010), and Taiwan (2002–2003), where motor vehicle collision (MCVs) was the leading causation. Pulmonary infection, urinary tract infection and bedsore were common complications, accounting for approximately 70% of SCI patients in China.Conclusion: This review shows that epidemiological features of SCI are various in different regions in China and prevention should be implemented by regions. The number of patients with SCI result from fall and MCVs may become a main public health problem because population aging and economic developing in China. However, because all included studies were retrospective and lacking a register system in China, some data were incomplete and some cases may be left out, so the conclusion may not be generalizable to the other regions.
Highlights
Spinal cord injury (SCI) is a severe condition that disrupts patients’ physiological, mental, and social well-being state and exerts great financial burden on patients, their families and social healthcare system
Due to no effective treatment is available for SCI, SCI patients have to take substantial financial burden for their treatment and healthcare rehabilitation
Searches were conducted on PubMed, EMBASE, Web of Science and Cochrane Library for potentially relevant studies without language and date restrictions
Summary
Spinal cord injury (SCI) is a severe condition that disrupts patients’ physiological, mental, and social well-being state and exerts great financial burden on patients, their families and social healthcare system. Spinal cord injury (SCI) is a devastating lesion, resulting in motor and sensory deficit and exerts impact on patient’s physiological, mental and social well-being state (1, 2). Research have reported the incidence of SCI ranged between 10.6 and 22.6 per million in Québec, Canada (2000–2011) (7) and its annual costs was 2.67 billion dollars. In Finland (2012–2013) (9) was 25.1–38.1 per million and 21.0–32.3 per million in Australia (1921–2011) (10) It has been estimated the costs of SCI in Australia annually to be almost 2 billion Australian dollars in total (11). Studies have revealed the high incidence and heavy economic impact of SCI in developed countries
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