Incidence of traumatic spinal cord injury in Thessaloniki, Greece and Stockholm, Sweden: a prospective population-based study

Divanoglou, Anestis; Levi, Richard

doi:10.1038/sc.2009.28

Cited by 57 publications

(21 citation statements)

References 9 publications

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“…Eighty-eight percent of patients in Thessaloniki, Greece were male, representing the largest male:female ratio (7:1) 36. The smallest ratio was 2.6:1 in Olmsted County, Minnesota 15.…”

Section: Resultsmentioning

confidence: 97%

“…In a study by Divanoglou et al, the incidence of SCI was compared between Stockholm, Sweden and Thessaloniki, Greece 36. The annual crude incidence was 33.6 per million in Thessaloniki and was significantly higher than the incidence in Stockholm, Sweden (19.5 per million).…”

Section: Resultsmentioning

confidence: 98%

“…Many other studies used the modified definition presented earlier and excluded patients with nerve root avulsions 13,29,33. In the study on Stockholm and Thessaloniki, SCI was defined as an acute traumatic injury of the spinal cord, including cauda equina and conus medullaris injuries, resulting in motor/sensory deficits and/or bladder/bowel dysfunction persisting for at least 72 hours post-trauma 36. This 72-hour requirement was not specified in previous definitions and likely excludes all patients who died at the scene of the accident or during transfer to an acute care center.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Global prevalence and incidence of traumatic spinal cord injury

Singh¹,

Tetreault²,

Kalsi-Ryan³

et al. 2014

CLEP

514

296

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BackgroundSpinal cord injury (SCI) is a traumatic event that impacts a patient’s physical, psychological, and social well-being and places substantial financial burden on health care systems. To determine the true impact of SCI, this systematic review aims to summarize literature reporting on either the incidence or prevalence of SCI.MethodsA systematic search was conducted using PubMed, MEDLINE, MEDLINE in process, EMBASE, Cochrane Controlled Trial Register, and Cochrane Database of Systematic Reviews to identify relevant literature published through June 2013. We sought studies that provided regional, provincial/state, or national data on the incidence of SCI or reported estimates of disease prevalence. The level of evidence of each study was rated using a scale that evaluated study design, methodology, sampling bias, and precision of estimates.ResultsThe initial search yielded 5,874 articles, 48 of which met the inclusion criteria. Forty-four studies estimated the incidence of SCI and nine reported the prevalence, with five discussing both. Of the incidence studies, 14 provided figures at a regional, ten at a state or provincial level and 21 at a national level. The prevalence of SCI was highest in the United States of America (906 per million) and lowest in the Rhone-Alpes region, France (250 per million) and Helsinki, Finland (280 per million). With respect to states and provinces in North America, the crude annual incidence of SCI was highest in Alaska (83 per million) and Mississippi (77 per million) and lowest in Alabama (29.4 per million), despite a large percentage of violence injuries (21.2%). Annual incidences were above 50 per million in the Hualien County in Taiwan (56.1 per million), the central Portugal region (58 per million), and Olmsted County in Minnesota (54.8 per million) and were lower than 20 per million in Taipei, Taiwan (14.6 per million), the Rhone-Alpes region in France (12.7 per million), Aragon, Spain (12.1 per million), Southeast Turkey (16.9 per million), and Stockholm, Sweden (19.5 per million). The highest national incidence was 49.1 per million in New Zealand, and the lowest incidences were in Fiji (10.0 per million) and Spain (8.0 per million). The majority of studies showed a high male-to-female ratio and an age of peak incidence of younger than 30 years old. Traffic accidents were typically the most common cause of SCI, followed by falls in the elderly population.ConclusionThis review demonstrates that the incidence, prevalence, and causation of SCI differs between developing and developed countries and suggests that management and preventative strategies need to be tailored to regional trends. The rising aging population in westernized countries also indicates that traumatic SCI secondary to falls may become an increasing public health challenge and that incidence among the elderly may rise with increasing life expectancy.

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“…Eighty-eight percent of patients in Thessaloniki, Greece were male, representing the largest male:female ratio (7:1) 36. The smallest ratio was 2.6:1 in Olmsted County, Minnesota 15.…”

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Global prevalence and incidence of traumatic spinal cord injury

Singh¹,

Tetreault²,

Kalsi-Ryan³

et al. 2014

CLEP

514

296

View full text Add to dashboard Cite

show abstract

“…Transport, including driving, riding bicycle, was the second most common cause of injury, which is similar to other surveys. 12,8 Conversely, transport was the primary cause in Greece and Canada, 13,14 which could be explained by a lower number of motor vehicles in Anhui Province. The gender distribution (men/women) of TSCI was 3.4/1, which was similar to other studies, and their gender distribution ranged from 3.0/1-4.8/1.…”

Section: Epidemiological Features Of Tsci Hf Wang Et Almentioning

confidence: 99%

Epidemiological features of traumatic spinal cord injury in Anhui Province, China

et al. 2012

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Study design: A retrospective hospital-based study. Objectives: To describe the epidemiologic features of traumatic spinal cord injury (TSCI) in Anhui Province. Setting: Two hospitals within Anhui Province, China. Methods: We retrospectively reviewed the hospital records on all patients with TSCI, admitted between 1 January 2007 and 31 December 2010 (n ¼ 761). Variables included age, gender, occupation, neurological level, severity of injury, cause and treatment. Results: Seven hundred and sixty-one cases of TSCI were identified. Five hundred and eighty eight were males (77.3%) and 173 were females (22.7%), with a mean age of 45 years (s.d. ¼ 13, range from 5 to 87). Fall from height was the leading cause of injury (52.6%), followed by transport (21.2%). The neurological lesion levels were cervical (46.3%), lumbosacral (33.3%) and thoracic (20.4%). Conclusion: Prevention strategies for TSCI should target 30-60 age group, males, farmers and fall from height. The results of this study will serve as a basis for further studies on TSCI. The prevention strategies and treatment should be designed according to the injury features. Epidemiologic studies identify high-risk groups and provide useful information for prevention efforts. It is, therefore, imperative to conduct epidemiologic studies of TSCI in order to formulate corresponding intervention strategies to epidemiological features. In this study, we outlined the epidemiological features of TSCI, which included age, gender, cause, occupation, neurological level and severity of injury at admission, treatment and so on. The results of this study will serve as a base for design prevention strategies and epidemiological studies in order to reduce the number of patients with TSCI.

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“…In line with recent studies, we will include patients with a TSCI after 7 days post-injury (21, 26) during the surveillance year fulfilling the following inclusion criteria: A TSCI defined as a sudden loss of voluntary muscle strength, sensation and autonomic functions below the level of injury, which will vary depending on neurological level of injury and extent of impairment, but must include altered sacral sensation (27);The injury must result in persisting impairment (i.e., not just a concussion) after emergence from neurogenic shock, which generally occurs within the first 24–72 h after injury;Abnormal imaging, such as with Magnetic Resonance Imaging scan or multi-slice Computed Tomography scan;≥18 years of age;Residents of one of the two study settings;Those admitted to the government-funded hospitals providing SCI care;Those consenting to participate in the study…”

Section: Methodsmentioning

confidence: 99%

Strengthening Health Systems for Persons With Traumatic Spinal Cord Injury in South Africa and Sweden: A Protocol for a Longitudinal Study of Processes and Outcomes

et al. 2018

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Background: The provision of specialized care in a time-sensitive manner has shown to be crucial for survival and recovery of functioning after a traumatic spinal cord injury (TSCI). However, little is known about the provision of TSCI care in different international contexts; information which is required for strengthening policy and practice.Aims: The overarching aim of this study will be to explore health care processes and outcomes of TSCI care in South Africa and Sweden. Specific aims will be to: (1) describe acute processes of TSCI care, (2) determine acute- and long-term outcomes of TSCI care, and (3) identify predictors for survival, secondary complications, and functioning 12 months post-injury.Methods: A prospective (regional), population-based cohort study where adults with an acute TSCI will be recruited over at least a 1-year period from the City of Cape Town, South Africa, and Stockholm, Sweden. The anticipated sample size inclusive of both international contexts will be 200 participants—based on a power calculation for detecting differences in mortality. Information on the nature and timing of processes of acute care (e.g., transfer logistics, spinal surgery, and specialized SCI care) will be collected on acute care admission and discharge using a standardized form. Survival status, secondary complications, neurological symptoms, functional status, activity, and participation as well as health-related quality of life will be collected at discharge from SCI acute care and at 12-months post-injury. Secondary complications and functioning will be compared between South Africa and Sweden using inferential statistics. To address mortality specifically, the indirect standardization method for differences in mortality between contexts will be used whereby Stockholm will serve as standard for specialize care. For the assessment of factors related to mortality and other outcomes (e.g., neurological and secondary health conditions) multivariate regression analyses will be used to determine independent risk factors.Conclusion: This study offers a unique investigation of the relationship between health care processes and outcomes of TSCI care with the aim of strengthening management guidelines for SCI in South Africa and Sweden.

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Incidence of traumatic spinal cord injury in Thessaloniki, Greece and Stockholm, Sweden: a prospective population-based study

Cited by 57 publications

References 9 publications

Global prevalence and incidence of traumatic spinal cord injury

Global prevalence and incidence of traumatic spinal cord injury

Epidemiological features of traumatic spinal cord injury in Anhui Province, China

Strengthening Health Systems for Persons With Traumatic Spinal Cord Injury in South Africa and Sweden: A Protocol for a Longitudinal Study of Processes and Outcomes

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