Trend differences in cervical spinal cord injuries before and after the coronavirus disease 2019 pandemic,Spinal Cord Series and Cases

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Trend differences in cervical spinal cord injuries before and after the coronavirus disease 2019 pandemic
Spinal Cord Series and Cases ( IF 0.7 ) Pub Date : 2024-04-10 , DOI: 10.1038/s41394-024-00633-6
Hirotaka Fukushima _{1,

2} , Chikara Ushiku _{1,

2} , Shoshi Akiyama _{1,

2} , Shinji Saito _{1,

2} , Hiroki Wakiya _{1,

2} , Kenji Okuno ₃ , Mitsuru Saito ₂

Affiliation

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.

中文翻译：

2019冠状病毒病大流行前后颈脊髓损伤的趋势差异

研究设计

横断面研究。

目标

旨在调查2019年冠状病毒病（COVID-19）大流行前后转运至日本我院的患者颈脊髓损伤（CSCI）特征的变化。

环境

日本千叶市设有急救中心的医院。

方法

符合研究资格的患者为受伤后24小时内转运并于2018年1月至2021年12月期间在我院诊断为颈脊髓损伤的患者。回顾性检查病历，调查 CSCI 患者的数量和特征。根据与 COVID-19 大流行相关的入院时间，比较 CSCI 患者的临床变量：2018-19（之前）或 2020-21（之后）。

结果

2018年至2021年CSCI患者总数为108例，其中在COVID-19大流行之前有57例，在COVID-19大流行之后有51例。 COVID-19 后，损伤严重程度评分 (ISS) > 16 的重症病例数量有所减少 ( p < 0.05)。在 COVID-19 之前和之后，水平地面跌倒是最常见的受伤原因。尽管在COVID-19之后，交通事故的排名有所下降，但其中自行车受伤的数量呈上升趋势。