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논문 기본 정보

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저자정보
Choi Yoonjeong (Department of Rehabilitation Medicine Seoul National University Hospital Seoul Korea.National Traffic Injury Rehabilitation Research Institute National Traffic Injury Rehabilitation Hospital Yangpyeon) Kim Young-Eun (Department of Big Data Strategy National Health Insurance Service Wonju Korea.) Leigh Ja-Ho (Department of Rehabilitation Medicine Seoul National University Hospital Seoul Korea.National Traffic Injury Rehabilitation Research Institute National Traffic Injury Rehabilitation Hospital Yangpyeon) Lee Ye Seol (Department of Rehabilitation Medicine Seoul National University Hospital Seoul Korea.National Traffic Injury Rehabilitation Research Institute National Traffic Injury Rehabilitation Hospital Yangpyeon) Kim Han-Kyoul (Department of Rehabilitation Medicine Seoul National University Hospital Seoul Korea.National Traffic Injury Rehabilitation Research Institute National Traffic Injury Rehabilitation Hospital Yangpyeon) Yi You Gyoung (Department of Rehabilitation Medicine National Traffic Injury Rehabilitation Hospital Yangpyeong Korea.) Lee Jinyoung (Department of Rehabilitation Medicine National Traffic Injury Rehabilitation Hospital Yangpyeong Korea.) Lee Min-Yong (Department of Rehabilitation Medicine Seoul National University Hospital Seoul Korea.Department of Rehabilitation Medicine Korea Workers’ Compensation and Welfare Incheon Hospital Incheon Korea.) Lee Gangpyo (Department of Rehabilitation Medicine Korea Workers’ Compensation and Welfare Incheon Hospital Incheon Korea.Rehabilitation Medicine Research Center Korea Workers’ Compensation and Welfare Service Inc) Shin Hyung-Ik (Department of Rehabilitation Medicine Seoul National University Hospital Seoul Korea.) Bang Moon Suk (Department of Rehabilitation Medicine Seoul National University Hospital Seoul Korea.Department of Rehabilitation Medicine National Traffic Injury Rehabilitation Hospital Yangpyeong Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.7
발행연도
2023.2
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1 - 12 (12page)
DOI
10.3346/jkms.2023.38.e26

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Background: To examine the incidence of traumatic spinal cord injury (TSCI) from all etiologies, we measured and compared the incidence of TSCI from three national or quasinational databases in South Korea, namely, the National Health Insurance Service (NHIS), automobile insurance (AUI), and Industrial Accident Compensation Insurance (IACI). Methods: We reviewed patients with TSCI reported in the NHIS database between 2009 and 2018, and in the AUI and IACI databases between 2014 and 2018. TSCI patients were defined as those first admitted to the hospital with a diagnosis of TSCI according to the International Classification of Diseases (10th revision) criteria. Age-adjusted incidence was calculated using direct standardization using the 2005 South Korean population or the 2000 US population as the standard population. The annual percentage changes (APC) of TSCI incidence were calculated. The Cochrane–Armitage trend test was performed according to the injured body region. Results: In the NHIS database, age-adjusted TSCI incidence using the Korean standard population increased significantly from 2009 to 2018 (from 33.73 per million in 2009 to 38.14 per million in 2018, APC = 1.2%, P = 0.014). Contrarily, age-adjusted incidence in the AUI database significantly decreased from 13.88 per million in 2014 to 11.57 per million in 2018 (APC = – 5.1%, P = 0.009). In the IACI database, the age-adjusted incidence showed no significant difference, while crude incidence showed a significant increase (from 22.02 per million in 2014 to 28.92 per million in 2018, APC = 6.1%, P = 0.038). According to the age group, all the three databases showed high incidences of TSCI in those in their 60s and 70s or older. Among those in their 70s or older, the incidence of TSCI increased dramatically in the NHIS and IACI databases, while no significant trend was found in AUI database. In 2018, the number of TSCI patients was the highest among those over 70 years of age in the NHIS, whereas among those in their 50s were the highest in both AUI and IACI. The proportion of patients with cervical spinal cord injury was the most common in all these databases. Conclusions: The differences in trends in the incidence of TSCI may be due to the different etiologies and different characteristics of subjects depending on insurance type. These results imply the need for tailored medical strategies for the different injury mechanisms represented by three national insurance services in South Korea.
#Spinal Cord Injuries #Wounds and Injuries #Incidence #National Health Programs #Population #Korea

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