Article Abstract

Elderly patients in Japan are susceptible to cervical spine injury: a database search study

Authors: Keita Nakayama, Tomofumi Nishino, Kengo Fujii, Tetsuya Abe, Masataka Sakane, Masao Koda, Toru Funayama, Hiroshi Noguchi, Kosei Miura, Katsuya Nagashima, Hiroshi Kumagai, Kentaro Mataki, Masashi Yamazaki

Abstract

Background: The aim of the present study was to elucidate the prevalence of cervical spine injury and its age distribution, and the causes and mortality rate in Japan using the Japan Trauma Data Bank.
Methods: Patients coded as having a cervical spine injury were extracted from the Japan Trauma Data Bank from 2004 to 2013, which consisted of a total of 152,722 patients. The number of patients, their age distribution and causes of injury were analyzed amongst the patients with Abbreviated Injury Score (AIS) coding associated with cervical spine injuries. Next, we extracted data for patients with an AIS coding of cervical spine injuries as a main disease, excluding patients with multiple trauma. We compared the mortality rate between aged and non-aged patients.
Results: The total number of patients with an AIS code of cervical spine injuries was 12,116. The peak age range for cervical injury was 60–69 years. The most common causes of cervical spine injuries were falls from a height and traffic accidents. The number of patients with an AIS code of cervical spine injuries as a main disease was 8982. The total number of patients who died from a cervical spine injury was 668. Mortality rate tended to be higher in the older patients.
Conclusions: The present results showed that the peak age range for cervical injury was 60–69 years. The mortality rate tended to be higher in patients over 70 years old.