Nontraumatic spinal cord injury: Demographic characteristics and complications

New, Peter W; Rawicki, Hyam Barry; Bailey, Michael

doi:10.1053/apmr.2002.33100

Cited by 113 publications

(126 citation statements)

References 23 publications

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“…Other studies have reported mean ages for NTSCI ranging from 31 to 61 years with a relatively even sex distribution. 3,18,19 The majority of the NTSCI sample had paraplegia compared with the TSCI group which is also consistent with previous work. 6,7 It is noteworthy that 42% of the NTSCI sample did not have a level of injury specified whereas only 14.3% were nonspecified for TSCI.…”

Section: Socio-demographic and Clinical Characteristicssupporting

confidence: 91%

“…1,2 To date, the majority of literature on SCI characterizing the incidence, impairments, demographics and health care utilization has largely focused on people with traumatic SCI (TSCI), with minimal research related to non-traumatic spinal cord injury (NTSCI) population. 3,4 NTSCIs are caused by a variety of medical conditions including but not limited to: vertebral spondylosis, tumor compression, vascular ischemia, neuronal motor disease, infectious abscess and transverse myelitis. 5 Ones et al, 6 suggest that NTSCI accounts for approximately one-third of all SCI cases admitted to inpatient rehabilitation; however, with the rising incidence of cancer-related SCI and aging population, others suggest that NTSCI represents at least 50% of all inpatient rehabilitation SCI cases.…”

Section: Introductionmentioning

confidence: 99%

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Health care utilization in non-traumatic and traumatic spinal cord injury: a population-based study

et al. 2009

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Study Design: Retrospective cohort design. Objectives: To compare socio-demographic, impairment characteristics and utilization (physician and emergency department (ED) visits) for non-traumatic (NTSCI) and traumatic (TSCI) spinal cord injury 1 year post inpatient rehabilitation. Setting: Ontario, Canada. Methods: Inpatient stays (2003)(2004)(2005)(2006) were identified from the National Rehabilitation Registry System. Exclusions were: in-hospital mortality; discharge after 31 March 2006; death within 1 year after discharge. Multivariate logistic regression analyses were used to determine factors predicting high utilization. Results: NTSCI cases (n ¼ 1002) were greater than TSCI (n ¼ 560). NTSCIs were older (mean ¼ 61.6, s.d. ¼ 15.8) with more co-morbidities, paraplegic (39.5%) and female (Po0.001). NTSCI had higher FIM admission and discharge scores but lower change scores. Mean number of physician visits for NTSCI and TSCI were 31.2 (median ¼ 24) and 29.7 (median ¼ 22), with no significant differences in mean specialist visits (NTSCI 16.5: TSCI 17.0). Factors predicting 30 or more physician visits included age 60 years or above (OR ¼ 1.5; 95% CI ¼ 1.2-1.9), urban living (OR ¼ 1.59; 95% CI ¼ 1.12-2.22) and lowest quartile (18-88) discharge FIM (OR ¼ 1.8; 95% CI ¼ 1.4-2.3). Charlson score of 3 or more (OR ¼ 2.1; 95% CI ¼ 1.3-3.2), urban living (OR ¼ 1.92; 95% CI ¼ 1.3-2.86) and lowest quartile discharge FIM (OR ¼ 1.5; 95% CI ¼ 1.2-2.0) were associated with 20 or more specialist visits. Factors for high ED use were: rurality (OR ¼ 1.5; 95% CI ¼ 1.1-2.1), low income (OR ¼ 1.4; 95% CI ¼ 1.1-1.9) and low (18-88) discharge FIM (OR ¼ 1.7; 95% CI ¼ 1.3-2.2). Conclusion: Both demonstrated significant health care utilization requiring attention to health care needs; particularly for those living in rural settings, with low income and/or low functional ability.

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Section: Socio-demographic and Clinical Characteristicssupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Health care utilization in non-traumatic and traumatic spinal cord injury: a population-based study

et al. 2009

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“…Lesions of vascular origin accounted for a smaller proportion in a study from Turkey (8%), 2 but for about a quarter of non-traumatic lesions in other publications. 7,12,13 An inflammatory cause was found in 17.2% of the patients with SCI in our study, compared to 19.5% reported elsewhere. 12 Not all studies described the same categories of aetiologies, making it difficult to draw comparisons between different studies.…”

Section: Traumatic Scimentioning

confidence: 39%

“…2,7-9,12,13 Percentages of women reported in the literature (36.6-58%) also resembled our findings, as did those for paraplegia (63.6-82.5%) and incomplete lesions (68.6-91%). 2,[7][8][9]12,13 The most common non-traumatic aetiologies in this study were vascular diseases, spinal degeneration and tumours (benign and malignant), which all accounted for over a quarter of non-traumatic lesions. Tumours and spinal degeneration were also a substantial category of nontraumatic SCI in other studies (20.1-36.4% 2,8,9,12,13 and 18-29%, 2,7,12,13 respectively).…”

Section: Traumatic Scimentioning

confidence: 85%

Characteristics, length of stay and functional outcome of patients with spinal cord injury in Dutch and Flemish rehabilitation centres

2008

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Study design: Multi-centre prospective descriptive study. Objective: To establish a profile of the population affected with traumatic and non-traumatic spinal cord injury (SCI) admitted to rehabilitation centres in the Netherlands and Flanders (Belgium) and to describe determinants of length of stay (LOS) and functional outcome. Methods: Information about LOS, functional outcome and personal and injury characteristics was derived from a joint data set developed for this project. Results: A total of 54.7% of patients with SCI had a non-traumatic lesion. The group of patients with non-traumatic SCI showed a more even gender distribution, a more advanced age and less severe lesion characteristics than the group of patients with traumatic SCI. Linear regression models explained 32% of the variance of LOS and 42% of the variance of functional outcome. Functional status on admission was the strongest determinant of LOS and completeness of the lesion was the strongest determinant of functional outcome. Aetiology (traumatic versus non-traumatic) was a weak independent determinant of LOS but was not an independent determinant of functional outcome. Conclusion: Patients with non-traumatic SCI formed a majority in the Dutch and Flemish SCI population. Although the characteristics of patients with traumatic and non-traumatic SCI clearly differed, rehabilitation of patients with non-traumatic SCI appears at least as efficient as rehabilitation of patients with traumatic SCI.

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“…A Medline search with the keywords spinal cord, complications, myelopathies, spinal cord injury and nontraumatic spinal cord injury revealed only two retrospective studies on medical complications in this important group. 4,5 The objective of this study was to prospectively document medical complications observed among subjects with NTSCL during in-patient rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Nontraumatic spinal cord lesions: a prospective study of medical complications during in-patient rehabilitation

et al. 2005

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Nontraumatic spinal cord injury: Demographic characteristics and complications

Cited by 113 publications

References 23 publications

Health care utilization in non-traumatic and traumatic spinal cord injury: a population-based study

Health care utilization in non-traumatic and traumatic spinal cord injury: a population-based study

Characteristics, length of stay and functional outcome of patients with spinal cord injury in Dutch and Flemish rehabilitation centres

Nontraumatic spinal cord lesions: a prospective study of medical complications during in-patient rehabilitation

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