Incidence, aetiology and injury characteristics of traumatic spinal cord injury in Stockholm, Sweden: A prospective, population-based update
DOI:
https://doi.org/10.2340/16501977-2224Keywords:
traumatic spinal cord injury, epidemiology, injury prevention, population-based cohort, core data set, incidence, aetiology, Stockholm.Abstract
Objectives: To update the incidence rate, aetiology and injury characteristics of acutely-injured adults with traumatic spinal cord injury in Stockholm, Sweden, using international standards of reporting. Study design: Prospective, (regional) population-based observation. Subjects: Forty-nine consecutively enrolled individuals. Methods: A surveillance system of newly-injured adults with traumatic spinal cord injury was implemented for an 18-month period. The International Spinal Cord Injury Core Data Set was used to collect data on those who survived the first 7 days post-injury. Results: After an 18-month period, 49 incident cases were registered, of whom 45 were included in this study. The crude incidence rate was 19. 0 per million, consisting mainly of men (60%), and the mean age of the cohort was 55 years (median 58). Causes of injury were almost exclusively limited to falls and transport-related events, accounting for 58% and 40% of cases, respectively. The incidence has remained stable when compared with the previous study; however, significant differences exist for injury aetiology (=. 004) and impairment level (=. 01) in that more fall- and transport-related spinal cord injury occurred, and a larger proportion of persons was left with resultant tetraplegia, in the current study, compared with more sport-related injuries and those left with paraplegia in the previous study. Conclusion: The incidence rate appeared to remain stable in Stockholm, Sweden. However, significant changes in injury aetiology and impairment-level post injury were found, compared with the previous study. There remains a need for developing fall-related prevention strategies in rehabilitation settings as well as in population-based programmes.Downloads
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Copyright (c) 2017 Conran Joseph, Nina Andersson, Sapko Bjelak, Kajsa Giesecke, Claes Hultling, Lena Nilsson Wikmar, Julie Phillips, Åke Seiger, Vasilios Stenimahitis, Katarzyna Trok, Elisabet Åkesson, Kerstin Wahman
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