A Montoto-Marqués1,2, M E Ferreiro-Velasco1, S Salvador-de la Barrera1, V Balboa-Barreiro3, A Rodriguez-Sotillo1, R Meijide-Failde4. 1. Unidad de Lesionados Medulares, Complexo Hospitalario Universitario A Coruña (CHUAC), Coruña, Spain. 2. Departamento de Medicina, Universidade da Coruña, Coruña, Spain. 3. Unidad de Epidemiología Clínica y Bioestadística. INIBIC, Complexo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain. 4. Departamento de Medicina, Universidade da Coruña. INIBIC, Complexo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain.
Abstract
STUDY DESIGN: Observational study with prospective and retrospective monitoring. OBJECTIVE: To describe the epidemiological and demographic characteristics of traumatic spinal cord injury (TSCI), and to analyze its epidemiological changes. SETTING: Unidad de Lesionados Medulares, Complejo Hospitalario Universitario A Coruña, in Galicia (Spain). METHODS: The study included patients with TSCI who had been hospitalized between January 1995 and December 2014. Relevant data were extracted from the admissions registry and electronic health record. RESULTS: A total of 1195 patients with TSCI were admitted over the specified period of time; 76.4% male and 23.6% female. Mean patient age at injury was 50.20 years. Causes of injury were falls (54.2%), traffic accidents (37%), sports/leisure-related accidents (3.5%) and other traumatic causes (5.3%). Mean patient age increased significantly over time (from 46.40 to 56.54 years), and the number of cases of TSCI related to traffic accidents decreased (from 44.5% to 23.7%), whereas those linked to falls increased (from 46.9% to 65.6%). The most commonly affected neurological level was the cervical level (54.9%), increasing in the case of levels C1-C4 over time, and the most frequent ASIA (American Spinal Injury Association) grade was A (44.3%). The crude annual incidence rate was 2.17/100 000 inhabitants, decreasing significantly over time at an annual percentage rate change of -1.4%. CONCLUSIONS: The incidence rate of TSCI tends to decline progressively. Mean patient age has increased over time and cervical levels C1-C4 are currently the most commonly affected ones. These epidemiological changes will eventually result in adjustments in the standard model of care for TSCI.
STUDY DESIGN: Observational study with prospective and retrospective monitoring. OBJECTIVE: To describe the epidemiological and demographic characteristics of traumatic spinal cord injury (TSCI), and to analyze its epidemiological changes. SETTING: Unidad de Lesionados Medulares, Complejo Hospitalario Universitario A Coruña, in Galicia (Spain). METHODS: The study included patients with TSCI who had been hospitalized between January 1995 and December 2014. Relevant data were extracted from the admissions registry and electronic health record. RESULTS: A total of 1195 patients with TSCI were admitted over the specified period of time; 76.4% male and 23.6% female. Mean patient age at injury was 50.20 years. Causes of injury were falls (54.2%), traffic accidents (37%), sports/leisure-related accidents (3.5%) and other traumatic causes (5.3%). Mean patient age increased significantly over time (from 46.40 to 56.54 years), and the number of cases of TSCI related to traffic accidents decreased (from 44.5% to 23.7%), whereas those linked to falls increased (from 46.9% to 65.6%). The most commonly affected neurological level was the cervical level (54.9%), increasing in the case of levels C1-C4 over time, and the most frequent ASIA (American Spinal Injury Association) grade was A (44.3%). The crude annual incidence rate was 2.17/100 000 inhabitants, decreasing significantly over time at an annual percentage rate change of -1.4%. CONCLUSIONS: The incidence rate of TSCI tends to decline progressively. Mean patient age has increased over time and cervical levels C1-C4 are currently the most commonly affected ones. These epidemiological changes will eventually result in adjustments in the standard model of care for TSCI.
Authors: Maayken Van Den Berg; Juan Manuel Castellote; Ignacio Mahillo-Fernandez; Jesús de Pedro-Cuesta Journal: J Neurotrauma Date: 2011-03 Impact factor: 5.269
Authors: Steven C Kirshblum; William Waring; Fin Biering-Sorensen; Stephen P Burns; Mark Johansen; Mary Schmidt-Read; William Donovan; Daniel Graves; Amit Jha; Linda Jones; M J Mulcahey; Andrei Krassioukov Journal: J Spinal Cord Med Date: 2011-11 Impact factor: 1.985
Authors: E J McCaughey; M Purcell; A N McLean; M H Fraser; A Bewick; R J Borotkanics; D B Allan Journal: Spinal Cord Date: 2015-10-13 Impact factor: 2.772
Authors: E Canosa-Hermida; R Mora-Boga; J J Cabrera-Sarmiento; M E Ferreiro-Velasco; S Salvador-de la Barrera; A Rodríguez-Sotillo; A Montoto-Marqués Journal: J Spinal Cord Med Date: 2017-10-23 Impact factor: 1.985
Authors: Lara Bieler; Lukas Grassner; Pia Zaunmair; Christina Kreutzer; Lukas Lampe; Eugen Trinka; Julia Marschallinger; Ludwig Aigner; Sebastien Couillard-Despres Journal: Heliyon Date: 2018-03-01