Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBELLUCCI, Carlos Henrique Suzuki
dc.contributor.authorCASTRO FILHO, Jose Everton de
dc.contributor.authorGOMES, Cristiano Mendes
dc.contributor.authorBESSA JR., Jose de
dc.contributor.authorBATTISTELLA, Linamara Rizzo
dc.contributor.authorSOUZA, Daniel Rubio de
dc.contributor.authorSCAZUFCA, Marcia
dc.contributor.authorBRUSCHINI, Homero
dc.contributor.authorSROUGI, Miguel
dc.contributor.authorBARROS FILHO, Tarcisio E. P.
dc.date.accessioned2015-08-14T15:34:12Z
dc.date.available2015-08-14T15:34:12Z
dc.date.issued2015
dc.description.abstractBackground: Epidemiological features of spinal cord injury (SCI) have been changing over the last decades. We evaluated the contemporary trends in the epidemiology of traumatic SCI patients from a rehabilitation center. Methods: In a cross-sectional study, a consecutive series of 348 patients with traumatic SCI were evaluated. Variables were collected through an epidemiological form, which included gender, age at injury, duration and cause of SCI. We investigated SCI epidemiological trends over time including the association between gender and age at injury with SCI features such as etiology, injury severity and level. Results: The mean age at SCI has increased from 26.0 +/- 11.8 in patients with SCI before 2003 to 37.9 +/- 15.7 in those with SCI after 2009 (p < 0.001). Gunshot wounds were the main cause of injury in patients with SCI before 2003, dropping from 40.6 to 16.9% after 2009 and being surpassed by road traffic injuries (38.6%) and falls (31.4%) after 2009 (p < 0.001). Gender, SCI severity and level have not changed significantly over the time. Conclusions: There was a major increase in the average age of patients as well as changes in the etiology of SCI over the past fifteen years, including a significant decrease in gunshot wounds and an increase in the frequency of road traffic injuries and falls. These changes and accompanying risk factors must be taken into consideration when planning measures to prevent SCI. (C) 2015 S. Karger AG, Basel
dc.description.indexMEDLINE
dc.description.sponsorshipSao Paulo Research Foundation - FAPESP [2010/10919-3]
dc.identifier.citationNEUROEPIDEMIOLOGY, v.44, n.2, p.85-90, 2015
dc.identifier.doi10.1159/000371519
dc.identifier.eissn1423-0208
dc.identifier.issn0251-5350
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/9644
dc.language.isoeng
dc.publisherKARGER
dc.relation.ispartofNeuroepidemiology
dc.rightsrestrictedAccess
dc.rights.holderCopyright KARGER
dc.subjectEpidemiology
dc.subjectEtiology
dc.subjectSpinal cord injury
dc.subjectTrauma
dc.subjectAge
dc.subject.otherdeveloping-countries
dc.subject.otherprevalence
dc.subject.othercanada
dc.subject.otherworldwide
dc.subject.otherpatterns
dc.subject.otheroutcomes
dc.subject.wosPublic, Environmental & Occupational Health
dc.subject.wosClinical Neurology
dc.titleContemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalBELLUCCI, Carlos Henrique Suzuki:Univ Sao Paulo, Sch Med, Div Urol, BR-05422970 Sao Paulo, SP, Brazil
hcfmusp.citation.scopus27
hcfmusp.contributor.author-fmusphcJOSE EVERTON DE CASTRO FILHO
hcfmusp.contributor.author-fmusphcCRISTIANO MENDES GOMES
hcfmusp.contributor.author-fmusphcJOSE DE BESSA JUNIOR
hcfmusp.contributor.author-fmusphcLINAMARA RIZZO BATTISTELLA
hcfmusp.contributor.author-fmusphcDANIEL RUBIO DE SOUZA
hcfmusp.contributor.author-fmusphcMARCIA SCAZUFCA
hcfmusp.contributor.author-fmusphcHOMERO BRUSCHINI
hcfmusp.contributor.author-fmusphcMIGUEL SROUGI
hcfmusp.contributor.author-fmusphcTARCISIO ELOY PESSOA DE BARROS FILHO
hcfmusp.description.beginpage85
hcfmusp.description.endpage90
hcfmusp.description.issue2
hcfmusp.description.volume44
hcfmusp.origemWOS
hcfmusp.origem.pubmed25765118
hcfmusp.origem.scopus2-s2.0-84924747959
hcfmusp.origem.wosWOS:000353562800004
hcfmusp.publisher.cityBASEL
hcfmusp.publisher.countrySWITZERLAND
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hcfmusp.scopus.lastupdate2024-05-10
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