Pediatric spinal cord injury in Sweden: incidence, etiology and outcome

Augutis, Marika; Levi, Richard

doi:10.1038/sj.sc.3101478

Cited by 59 publications

(47 citation statements)

References 26 publications

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“…14 The average incidence for children was, however, identical to the incidence of spinal cord injury in Sweden. 15 Boys dominate the injuries among children, which was higher than previous studies. [16][17][18] In this study, the only girl in the child population was injured as a pedestrian, whereas the cause of injury was more diverse among the boys.…”

Section: Discussioncontrasting

confidence: 55%

Traumatic spinal cord injury among children and adolescents; a cohort study in western Norway

2011

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Objective: The objective of this study is to assess the temporal trends in the incidence and demographic characteristics of traumatic spinal cord injury (TSCI) among children and adolescents in a geographically defined cohort in western Norway during 1952-2001. Methods: The patients included in this study were identified from the hospital records. Results: Of 336 patients, 13 (3.9%) patients were 0-14 years at time of injury, and 44 (13.1%) patients were 15-19 years at time of injury. The average age-adjusted incidence was 2.4 per million children and 25.1 per million adolescences. Children were injured in car and pedestrian accidents, whereas adolescences were injured in car and motorcycle accidents. Conclusions: The age-adjusted incidence of TSCI among the adolescents increased, whereas the ageadjusted incidence among children remained low during the 50 years. TSCI was highly associated with car and pedestrian accidents among children. Among adolescence, TSCI was associated with car and motorcycle accidents. Awareness of these factors is important in prevention planning strategies.

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Section: Discussioncontrasting

confidence: 55%

Traumatic spinal cord injury among children and adolescents; a cohort study in western Norway

2011

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“…6,14,19,21 The incidence estimates imply large variations. Countries with a similar socio-economic profile would be expected to have fairly similar incidences, but differences nevertheless are seen.…”

Section: Discussionmentioning

confidence: 99%

“…3 PedSCI is reported to be rare. [4][5][6][7][8][9][10][11][12][13][14] A low incidence and prevalence may result in scattered experiences in treatment and a low priority given to development of research and care programs. 15 Thus, there is a need for increased exchange of information, experiences and best practice between countries.…”

Section: Introductionmentioning

confidence: 99%

Pediatric spinal cord injury in a subset of European countries

2005

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Study design: Postal survey. Setting: A total of 19 countries in Europe. Objectives: Firstly, to collect information about incidence and systems of care for pediatric spinal cord injury (pedSCI); including prevention, initial care and follow-up in a subset of European countries. Secondly, to initiate a network of involved professionals for exchange of information and development of research and care programs. Methods: A short semi-structured questionnaire was sent to respondents working with spinal cord injury (SCI) in 19 countries in Europe. Results: Only in Portugal and Sweden, is the incidence of pedSCI (fatal injuries included) established, that is 27 children/million children/year and 4.6 children/million children/year, respectively. For the other countries, the estimated incidence of pedSCI (nonfatal injuries) varied from 0.9 to 21.2 children/million children/year in the age group of 0-14 years. Although the incidence varies considerably, pedSCI is rare throughout Europe. The management differs between the countries depending on the age of the child and the local organization of health care. Conclusions: The survey confirms that pedSCI is rare. In order to establish high-quality standardized care, further integration of knowledge in this area is needed throughout Europe. The contacts initiated by this survey may be used to create an international network serving as a reference for health professionals, researchers and families, thereby possibly alleviating some of the unwanted variations of care identified in this study.

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“…Later when the incidence was estimated, mortality directly related to the traumatic event was operationally defined as death occurring within 1 year postinjury. 11 The time limit was chosen in order to make comparisons with other studies. 12 This limit can be questioned when a person with SCI is exposed to a higher mortality risk during the entire lifetime.…”

Section: Discussionmentioning

confidence: 99%

Pediatric spinal cord injury in Sweden; how to identify a cohort of rare events

Augutis

Malker²,

Levi

2003

Spinal Cord

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Study design: Register study enhanced and verified by medical records and personal interviews and examinations. Settings: Sweden. Objectives: To define a method of identifying a study population of rare events. To point out the relative importance of every step, an example is given of identifying persons who sustained traumatic spinal cord injury (SCI) in childhood. Methods: Cases were identified in seven steps that all needed to be fulfilled, from definition of selection criteria through combination of several data sources, to the use of several verification methods. Results: Initial screening by registers identified 384 possible cases, which however were found by subsequent analysis to include a large number of incorrect cases. At completion of all analytic steps, 35 living cases could be fully verified and 14 deceased cases could be partially verified. Conclusions: Registers offer a practical initial source for study population identification. The screening of International Classification of Diseases codes defining SCI only included less than 30% of 'true' SCIs. Subsequently, further refinement and quality control is necessary in order to ensure validity. Such further verification is time-consuming, but nevertheless necessary in order to verify a true cohort.

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Pediatric spinal cord injury in Sweden: incidence, etiology and outcome

Cited by 59 publications

References 26 publications

Traumatic spinal cord injury among children and adolescents; a cohort study in western Norway

Traumatic spinal cord injury among children and adolescents; a cohort study in western Norway

Pediatric spinal cord injury in a subset of European countries

Pediatric spinal cord injury in Sweden; how to identify a cohort of rare events

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