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

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Citações na Scopus
27
Tipo de produção
article
Data de publicação
2015
Título da Revista
ISSN da Revista
Título do Volume
Editora
KARGER
Citação
NEUROEPIDEMIOLOGY, v.44, n.2, p.85-90, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: 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
Palavras-chave
Epidemiology, Etiology, Spinal cord injury, Trauma, Age
Referências
  1. Aung TS, 1997, SPINAL CORD, V35, P147, DOI 10.1038/sj.sc.3100375
  2. Biering-Sørensen E, 1990, Paraplegia, V28, P105
  3. Catz A, 2002, SPINAL CORD, V40, P595, DOI 10.1038/sj.sc.3101391
  4. Cripps RA, 2011, SPINAL CORD, V49, P493, DOI 10.1038/sc.2010.146
  5. DAPAZ AC, 1992, PARAPLEGIA, V30, P636
  6. DeVivo MJ, 2011, ARCH PHYS MED REHAB, V92, P332, DOI 10.1016/j.apmr.2010.08.031
  7. DINCER F, 1992, PARAPLEGIA, V30, P641
  8. DITUNNO JF, 1994, PARAPLEGIA, V32, P70
  9. Dryden DM, 2005, NEUROEPIDEMIOLOGY, V25, P55, DOI 10.1159/000086284
  10. Dryden DM, 2003, CAN J NEUROL SCI, V30, P113
  11. Exner G, 1997, SPINAL CORD, V35, P415, DOI 10.1038/sj.sc.3100410
  12. Hagen EM, 2013, NEUROEPIDEMIOLOGY, V41, P86, DOI 10.1159/000351497
  13. Hagen EM, 2010, SPINAL CORD, V48, P313, DOI 10.1038/sc.2009.133
  14. Hubbard G, 2011, NEW MEXICO EPIDEMIOL
  15. Jackson AB, 2004, ARCH PHYS MED REHAB, V85, P1740, DOI 10.1016/j.apmr.2004.04.035
  16. Kattail D, 2009, J TRAUMA, V67, P936, DOI 10.1097/TA.0b013e3181a8b431
  17. Martins F, 1998, SPINAL CORD, V36, P574, DOI 10.1038/sj.sc.3100657
  18. Noonan VK, 2012, NEUROEPIDEMIOLOGY, V38, P219, DOI 10.1159/000336014
  19. O'Connor P, 2002, ACCIDENT ANAL PREV, V34, P405, DOI 10.1016/S0001-4575(01)00036-7
  20. Pirouzmand F, 2010, J NEUROSURG-SPINE, V12, P131, DOI [10.3171/2009.9.SPINE0943, 10.3171/2009.9.SPINE09435]
  21. Ragnarsson KT, 2012, AM J PHYS MED REHAB, V91, P231, DOI 10.1097/PHM.0b013e3182489f5e
  22. Rahimi-Movaghar V, 2013, NEUROEPIDEMIOLOGY, V41, P65, DOI 10.1159/000350710
  23. Robertson A, 2002, J TRAUMA, V53, P5, DOI 10.1097/00005373-200207000-00002
  24. Sacomani CAR, 2003, SPINAL CORD, V41, P12, DOI 10.1038/sj.sc.3101354
  25. SILBERSTEIN B, 1995, PARAPLEGIA, V33, P322
  26. van den Berg MEL, 2010, NEUROEPIDEMIOLOGY, V34, P184, DOI 10.1159/000279335
  27. Waiselfisz JJ, 2013, MAPA VIOLENCIA 2013
  28. World Health Organization, 2013, GLOB STAT REP ROAD S
  29. Wyndaele M, 2006, SPINAL CORD, V44, P523, DOI 10.1038/sj.sc.3101893