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Record W7112659853

Epidemiology of traumatic spinal cord injury in Taiwan from 2005 to 2008

2010· dissertation· en· W7112659853 on OpenAlexaboutno aff

Bibliographic record

VenueTaipei Medical University Repository · 2010
Typedissertation
Languageen
FieldMedicine
TopicSpinal Cord Injury Research
Canadian institutionsnot available
Fundersnot available
KeywordsSpinal cordSpinal cord injuryEpidemiologyCentral nervous system diseasePoison controlOccupational safety and healthInjury prevention
DOInot available

Abstract

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表目錄........................................................................................................i 圖目錄........................................................................................................ii 第一章 緒論..............................................................................................1 第一節、研究背景及動機..................................................................1 第二節、研究目的.............................................................................3 第三節、名詞定義.............................................................................4 第二章 文獻探討......................................................................................7 第一節、創傷性脊髓損傷之定義....................................................7 第二節、創傷性脊髓損傷發生率與死亡率探討............................8 第三節、創傷性脊髓損傷之年齡與性別探討...............................11 第四節、創傷性脊髓損傷之損傷原因探討...................................13 第五節、創傷性脊髓損傷之脊髓損傷部位及障礙型態................15 第三章 材料與方法................................................................................17 第一節、研究對象............................................................................17 第二節、資料分析...........................................................................18 第三節、統計分析............................................................................19 第四章、研究結果....................................................................................20 第一節、創傷性脊髓損傷發生率及基本人口學資料分佈情形...21 第二節、創傷性脊髓損傷患者受傷原因探討..............................23 第三節、創傷性脊髓損傷患者受傷情形分佈..............................24 第四節、創傷性脊髓損傷患者神經障礙程度分佈以及住院天數 分析..................................................................................26 第五節、創傷性脊髓損傷患者受傷結果分析..............................28 第六節、各危險因子與病患出院時神經障礙程度之相關性......31 第五章、討論..........................................................................................33 第六章、研究限制..................................................................................38 第七章、結論與建議..............................................................................39 參考文獻..................................................................................................40 附表..........................................................................................................46 附圖..........................................................................................................52 附件..........................................................................................................76 表目錄 表2-2-1、各國創傷性脊髓損傷之發生率.......................46 表2-2-2、各國創傷性脊髓損傷之死亡率.......................47 表2-3、各國創傷性脊髓損傷患者之平均年齡與性別比.... ......48 表2-4、各國創傷性脊髓損傷患者之受傷原因............ ......49 表2-5、各國創傷性脊髓損傷患者之受傷部位及神經障礙程度之比例...............................................50 表3-1-1、合作醫院列表.....................................51 表3-1-2、脊髓損傷ICD-9項目..............................52 表4-1、976位脊髓損傷患者基本人口學特性與受傷原因.........53 表4-2、性別、年齡與受傷原因之分佈..........................57 表4-3-1、受傷情形之分佈...................................59 表4-3-2、性別、年齡、受傷原因與受傷部位之分佈...............62 表4-4-1、受傷部位與脊髓神經障礙種類之分佈.................64 表4-4-2、住院天數之分佈..................................65 表4-4-3、脊髓神經障礙種類與加護病房住院天數之分佈.........67 表4-5-1、受傷結果........................................68 表4-5-2、性別、年齡、受傷原因、受傷部位、脊髓神經障礙種類與受傷結果之分佈..................................70 表4-5-3、性別、年齡、受傷原因、受傷部位、脊髓神經障礙種類與受傷結果(死亡與植物人)之分析....................74 表4-6、影響脊髓神經障礙之危險因子.................... ....75 圖目錄 圖4-1-1 受傷年份分佈.....................................54 圖4-1-2 年齡分佈.........................................54 圖4-1-3 性別分佈.........................................55 圖4-1-4戶籍地分佈.......................................55 圖4-1-5 受傷原因分佈.....................................56 圖4-1-6 受傷者所乘座之車型...............................56 圖4-2-1 性別與受傷原因...................................58 圖4-2-2 年齡與受傷原因...................................58 圖4-3-1 受傷部位分佈.....................................60 圖4-3-2 合併傷害部位分佈.................................60 圖4-3-3脊髓神經障礙種類分佈..............................61 圖4-3-2-1 性別與受傷部位.................................62 圖4-3-2-2年齡與受傷部位.................................63 圖4-3-2-3 受傷原因與受傷部位.............................63 圖4-4-1 受傷部位與脊髓神經障礙種類.......................64 圖4-4-2-1 加護病房和普通病房的平均住院天數...............65 圖4-4-2-2加護病房住院天數分佈...........................66 圖4-4-2-3普通病房住院天數...............................66 圖4-4-3-1脊髓神經障礙種類與加護病房住院天數.............67 圖4-5-1-1受傷結果.......................................68 圖4-5-1-2死亡原因.......................................69 圖4-5-1-3 受傷後醫學合併症...............................69 圖4-5-2-1 性別與受傷結果.................................71 圖4-5-2-2 年齡與受傷結果.................................71 圖4-5-2-3受傷原因與受傷結果.............................72 圖4-5-2-4 受傷部位與受傷結果.............................72 圖4-5-2-5脊髓神經障礙種類與受傷結果................... ..73 1. Institute of Occupational Safety and Health. http://www.iosh.gov.tw/data/f2/sp42-1.htm. Accessed December 10, 2008. 2. Center NSCIS. Spinal cord injury Facts and figures at a glance. J Spinal Cord Med. 2008;31(3):357-358. 3. Centers for Disease Control and Prevention.Spinal Cord Injury (SCI): Fact Sheet. http://www.cdc.gov/ncipc/factsheets/scifacts.htm. Accessed December 6, 2008 4. French DD, Campbell RR, Sabharwal S, Nelson AL, Palacios PA, Gavin-Dreschnack D. Health care costs for patients with chronic spinal cord injury in the Veterans Health Administration. J Spinal Cord Med. 2007;30(5):477-481. 5. The Potential Development Center for Spinal Cord. http://www.scsrc.org.tw/index.php. Accessed December 6, 2008. 6.Samsa GP, Patrick CH, Feussner JR. Long-term survival of veterans with traumatic spinal cord injury. Arch Neurol 1993;50:909-14 7. Chen HY, Chiu WT, Chen SS, et al. A nationwide epidemiological study of spinal cord injuries in Taiwan from July 1992 to June 1996. Neurol Res. Dec 1997;19(6):617-622. 8.Griffin MR,O’Fallon WM, Opitz JL, Kurland LT. Mortality,survival and prevalence: traumatic spinal cord injury in Olmsted County, Minnesota,1935-1981. J Chronic Dis 1985;38:643-53. 9. Pajareya K. Traumatic spinal cord injuries in Thailand: an epidemiologic study in Siriraj Hospital, 1989-1994. Spinal Cord. Oct 1996;34(10):608-610. 10. Griffin MR, Opitz JL, Kurland LT, Ebersold MJ, O'Fallon WM. Traumatic spinal cord injury in Olmsted County, Minnesota, 1935-1981. Am J Epidemiol. Jun 1985;121(6):884-895. 11. Lan C, Lai JS, Chang KH, Jean YC, Lien IN. Traumatic spinal cord injuries in the rural region of Taiwan: an epidemiological study in Hualien county, 1986-1990. Paraplegia. Jun 1993;31(6):398-403. 12. Pickett GE, Campos-Benitez M, Keller JL, Duggal N. Epidemiology of traumatic spinal cord injury in Canada. Spine. Apr 1 2006;31(7):799-805. 13. Albert T, Ravaud JF. 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Long-term survival in spinal cord injury: a fifty year investigation. Spinal Cord. Apr 1998;36(4):266-274. 21. Maharaj JC. Epidemiology of spinal cord paralysis in Fiji: 1985-1994. Spinal Cord. Sep 1996;34(9):549-559. 22. O'Connor P. Incidence and patterns of spinal cord injury in Australia. Accid Anal Prev. Jul 2002;34(4):405-415. 23. Shingu H, Ohama M, Ikata T, Katoh S, Akatsu T. A nationwide epidemiological survey of spinal cord injuries in Japan from January 1990 to December 1992. Paraplegia. Apr 1995;33(4):183-188. 24. Otom AS, Doughan AM, Kawar JS, Hattar EZ. Traumatic spinal cord injuries in Jordan--an epidemiological study. Spinal Cord. Apr 1997;35(4):253-255. 25. Karacan I, Koyuncu H, Pekel O, et al. Traumatic spinal cord injuries in Turkey: a nation-wide epidemiological study. Spinal Cord. Nov 2000;38(11):697-701. 26. Kraus JF, Franti CE, Riggins RS, Richards D, Borhani NO. Incidence of traumatic spinal cord lesions. J Chronic Dis. Oct 1975;28(9):471-492. 27. Sekhon LH, Fehlings MG. Epidemiology, demographics, and pathophysiology of acute spinal cord injury. Spine. Dec 15 2001;26(24 Suppl):S2-12. 28 Wyndaele M, Wyndaele JJ. Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord. Sep 2006;44(9):523-529. 29. Gur A, Kemaloglu MS, Cevik R, et al. Characteristics of traumatic spinal cord injuries in south-eastern Anatolia, Turkey: a comparative approach to 10 years' experience. Int J Rehabil Res. Mar 2005;28(1):57-62. 30. Burney RE, Maio RF, Maynard F, Karunas R. Incidence, characteristics, and outcome of spinal cord injury at trauma centers in North America. Arch Surg. May 1993;128(5):596-599. 31. Hoque MF, Grangeon C, Reed K. Spinal cord lesions in Bangladesh: an epidemiological study 1994 - 1995. Spinal Cord. Dec 1999;37(12):858-861. 32.Saunders LL,Selassie AW,HILL EG,et al.Traumatic spinal cord injury mortality,1981-1998. J Traumatic2009;66;184-90. 33.DeVivo MJ,Stover SL,Black kj.Prognostic factors for 12-year survival after spinal cord injury.Arch Phys Med Rehabil 1992;73;156-62 34.Spinal cord injury.Facts and figures at a glance.J Spinal Cord Med 2005;28;379-80 35. da Paz AC, Beraldo PS, Almeida MC, Neves EG, Alves CM, Khan P. Traumatic injury to t

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.109
Threshold uncertainty score0.216

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0020.003
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.038
GPT teacher head0.373
Teacher spread0.336 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2010
Admission routes1
Has abstractyes

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Same venueTaipei Medical University RepositorySame topicSpinal Cord Injury ResearchFrench-language works237,207