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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(2):267-275.
Epidemiologic Study of Spinal Cord Injury.
Park, Chang Il , Shin, Ji Cheol , Kim, Seong Won , Jang, Seong Ho , Chung, Woong Tae , Kim, Hyun Joo
1Department of Rehabilitation Medicine, Yonsei University College of Medicine.
2Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine.
3Department of Rehabilitation Medicine, Chung Ang University College of Medicine.
4Department of Rehabilitation Medicine, Young Nam University College of Medicine.
척수손상 환자의 역학적 연구
박창일, 신지철, 김성원1, 장성호2, 정웅태, 김현주
연세대학교 의과대학 재활의학교실 및 재활의학 연구소, 1중앙대학교 의과대학 재활의학과 및 2영남대학교 의과대학 재활의학과
Abstract

Objective
The purpose of this study is to present epidemiological data on patients with spinal cord lesion admitted to the Rehabilitation Hospital, YUCM.


Method
Review of medical records of 590 patients with spinal cord injury admitted to the Rehabilitation Hospital, YUCM from 1987 to 1996 retrospectively.


Results
1) Sex: Males account for 79.6% of the SCI patients. 2) Age: The largest number of injuries occurs in the 20∼29 years of age group (32.5% of patients). 3) Etiology: Trauma accounts for 91.2% of all spinal cord injuries. The leading causes of traumatic spinal cord injury are traffic accidents (57.6%) and falls (26.4%). 4) Level of injury: Complete tetraplegia accounts for 20.5% of all SCI patients, incomplete tetraplegia 23.9%, complete paraplegia 38.8% and incomplete paraplegia 16.5%. In tetraplegics, incomplete injuries increased from 40% in 1987∼1991 to 56.7% in 1992∼1996. 5)
Methods
of bladder management: 87% of patients voids by reflex. Intermittent catheterization is practiced by 8% of patients


Conclusion
Epidemiologic data of 590 patients admitted to the Rehabilitation Hospital, YUCM, from 1987 to 1996 is presented with changes of epidemiology in each period. The patients suffered SCI from trauma, and traffic accidents and sports as causes were increasing. Female patients and incomplete injuries were also increasing. Mean duration of hospitalization decreased.

Key Words: Spinal cord injury, Epidemiology


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