Epidemiological study of spinal cord injury in Spain 1984-1985

García-Reneses, J.; Herruzo-Cabrera, R.; Martínez-Moreno, M.

doi:10.1038/sc.1991.26

Cited by 36 publications

(31 citation statements)

References 4 publications

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“…11 , 12 . 14 , J 6 , 2!S, 29 The most consistent of these seem to be pressure sores and urinary tract infection followed by respiratory infection, spasticity, pain and others. In this study there was a highly significant association between completeness of the lesion and the presence of complications on admission to the MRU.…”

Section: Discussionmentioning

confidence: 98%

Epidemiology of spinal cord paralysis in Fiji: 1985-1994

Maharaj¹

1996

Spinal Cord

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This descriptive analytical ten year (1985 -1994) retrospective study assessed the pattern of spinal cord paralysis (SCP) in the Fiji Islands utilising medical rehabilitation hospital data. Fiji Islands is an archipelago of 300 islands in the south western Pacific with a multi-ethnic population of over three quarters of a million. Rehabilitation of all SCP is provided at the Medical Rehabilitation Unit (MRU). Data was collected from medical records of new SCP (n = 140) admitted to MRU and analysed with Epi Info 5 assessing associations between cause and other variables. The incidence of new SCP admitted to the MRU was 18.7/million/year. There were 75 (53.6%) traumatic and 65 (46.4%) non-traumatic SCPo The incidence varied according to gender and ethnicity with Fijian male being at the highest (41.85) risk. Amongst traumatic SCP, 38.7% were due to falls, 25.3% motor vehicle accidents, 20% sports, 8% shallow water dive and 4% each deep sea diving and others, whereas among non-traumatic SCP, 52.3% were due to unknown causes, 32.3% infections, 9.2% neoplasms and 6.2% others. The male/female ratio was 4: 1. The 16 -30 year age group accounted for 35% of SCPo 31 % had tetraplegia and 52.1 % had complete lesions. The subset of the sample who experienced traumatic SCP were more likely to be employed, aged between 16-30 years at the time of paralysis and to have complete tetraplegia. Those who experienced incomplete paraplegia were more likely to be unemployed, aged 46 -60 years and educated to primary level at the time of paralysis. There was a high proportion of complete spinal lesion when compared with other studies. The incidence of secondary complications such as pressure sores and UTI was also found to be high when compared with other studies. The results support the view that young Fijian males are most prone to sustaining traumatic spinal cord paralysis, and that there is a high incidence of secondary preventable complications. The need for preventative measures and adequate rehabilitation are emphasised.

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Section: Discussionmentioning

confidence: 98%

Epidemiology of spinal cord paralysis in Fiji: 1985-1994

Maharaj¹

1996

Spinal Cord

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“…The average age of the population studied (n=398) was 50.53 years; most publications present lower average ages, in the forties 18,25 or even in the thirties. 7,10,14,16,20,26,33 19,29,39 are frequently cited as a second cause.…”

Section: Discussionmentioning

confidence: 99%

Spinal cord injuries – Epidemiology in Portugal's central region

et al. 1998

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This study concerns spinal cord injuries (SCI) in a region of Portugal with a population of 1 721 650 inhabitants. Legislation has made it possible to identify deaths occurring during collection and transport. Between 1989 and 1992, 398 new cases of spinal cord injuries were identi®ed, of which 77% were male and 23% female. The average age was 50, with a range of between 1 and 92. As far as the type of injury is concerned, there were 154 isolated SCI (38.7%); in 120 cases (30.1%) there were multiple associated injuries; in 66 cases (16.6%) there was an associated traumatic brain injury; in 34 cases (8.5%) there was an associated trauma of the thorax. In the hospitals concerned no Injury Severity Score (ISS) was carried out during hospitalization. Sixty-four (16%) were dead upon arrival at hospital, and 159 (40%) died before release. The average length of hospitalization was 26.6 days, with the maximum being 539 days. The annual incidence rate is 57.8 new cases per million inhabitants, including those who died before being admitted to hospital. The annual survival rate is 25.4 new cases per million inhabitants. The death rate is very high during the ®rst week, peaking during the ®rst 24 h.

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“…4 Finally, in some countries, the context of accidentology is particularly severe, which explains high incidences. 18 Studies only focusing on patients in PMR units [24][25][26] are fewer. The incidence found in this survey is higher than in the former ones.…”

Section: Incidence Of Scimentioning

confidence: 99%

“…Estimations of SCI incidence vary widely, from 8 to 58 SCI persons per million inhabitants per annum (Table 1). Three types of parameters can account for such wide differences: 12 1978-1981 Taiwan 14.6 R, postinjury acute care Gehrig and Michaelis (1986) 13 1960-1967 Switzerland 13.4 R, postinjury acute care, multicentre Biering-Sorensen et al (1990) 24 1975-1984 Denmark 9.2 R, PMR, multicentre Garcia et al (1991) 25 1984-1985 Spain 8 R, PMR, multicentre Acton et al (1993) 14 1980-1989 USA (Arkansas) 28.5 R, postinjury acute care, multicentre Price et al (1994) 15 1988-1990 USA (Oklahoma) 40 R, postinjury acute care and PMR, multicentre Thurman et al (1994) 16 1989-1991 USA (Utah) 43 R, postinjury acute care and PMR, multicentre Knutsdottir (1993) 17 1973-1982 Iceland 24 P, postinjury acute care and PMR [1983][1984][1985][1986][1987][1988][1989] 18 P, postinjury acute care and PMR Lan et al (1993) 18 1986-1990 Taiwan (rural areas) 56 R, postinjury acute care, multicentre Shingu et al (1994) 4 1990 Japan 39.4 R, postinjury acute care and PMR, multicentre 50. 5 Inclusion of forms of ASIA E Soopramanien (1994) 5 1992-1993 Romania 18.5 R, postinjury acute care, 1 unit 28.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation of spinal cord injury in France: a nationwide multicentre study of incidence and regional disparities

Albert

Ravaud

2005

Spinal Cord

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Study design: Multicentre retrospective 1-year survey during 2000. Objectives: To describe the network of physical medicine and rehabilitation units in France that care for people with traumatic spinal cord injuries (SCI), and secondly, to evaluate the incidence of SCI persons who have postinjury rehabilitation care. Setting: Every rehabilitation unit involved in rehabilitation of SCI patients in metropolitan France. Methods: During the first phase of the survey, a questionnaire was used to list the rehabilitation units that treat SCI people among a total of 380 centres. An additional survey was then carried out on a sample of 30 units that did not answer this questionnaire. In the second phase, the units involved were asked about the number of SCI patients received for a first rehabilitation stay during the year 2000 and their demographic and clinical characteristics. The incidence was calculated on the basis of the population census in metropolitan France aged 15 years, above. Results: Of the 275 respondent units, 148 declared that they treat SCI people on a regular or occasional basis. The survey on the sample of 30 randomly selected nonrespondents enabled us to estimate that 10% of the 105 nonrespondent units were concerned. Among the 148 units contributing to the study, 131 identified all the SCI patients received during the year 2000. After a series of adjustments, an extrapolation for all of metropolitan France leads to an annual incidence of 19.4 SCI persons per million inhabitants, or 934 new cases per year. Conclusion: This is the first nationwide survey aiming to estimate the incidence of SCI patients in France. The finding is based on the incidence of SCI persons treated in rehabilitation units. It therefore concerns the incidence of patients who will remain severely disabled. Sponsorship: Association Francophone Internationale des Groupes d'Animation de la Paraple´gie (AFIGAP) and the Institut de Recherche sur la Moelle Epinie`re (IRME) and the Association des Paralyse´s de France (APF).Spinal Cord (2005) 43, 357-365.

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Epidemiological study of spinal cord injury in Spain 1984-1985

Cited by 36 publications

References 4 publications

Epidemiology of spinal cord paralysis in Fiji: 1985-1994

Epidemiology of spinal cord paralysis in Fiji: 1985-1994

Spinal cord injuries – Epidemiology in Portugal's central region

Rehabilitation of spinal cord injury in France: a nationwide multicentre study of incidence and regional disparities

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