An Overview of Traumatic Spinal Cord Injury


Country

Author(s) of published data

Observation period

Prevalence per million population

Australia

O’Connor [2]

1997

681

Finland (Helsinki)

Dahlberg [3]

1999

280

Norway (Hordaland and Sogn og Flordane)

Hagen [4]

2002

365

Iran (Tehran)

Rahimi-Movaghar [5]

2008

440

Canada

Rick Hansen SCI Register [6]

2010

1,184

USA

Cahill [7]

May 2008–August 2008

4,187





1.2 Incidence of Traumatic SCI


A global-incident rate is estimated at 23 TSCI cases per million (179,312 cases per annum) in 2007 [1]. Regional data are available from North America (40 per million), Western Europe (16 per million) and Australia (15 per million). Extrapolated regional data are available for Asia-Central (25 per million), Asia-South (21 per million), Caribbean (19 per million), Latin America, Andean (19 per million), Latin America, Central (24 per million), Latin America-Southern (25 per million), Sub-Saharan Africa-Central (29 per million), Sub-Saharan Africa-East (21 per million).

The most representative incidence statistic for each country within WHO global regions is presented in Table 1.2, along with available etiology data, level of injure and survival rate.


Table 1.2
Incidence, neurological level and aetiology of TSCI by Region and Author(s) of published data

























































































Country or region

Author(s)

Observation period

Incidence per million population per year

Neurological level of injury

Aetiology of SCI

Survival

Comments

Tetraplegia %

Paraplegia %

1-year mortality

10-year mortality

China (Tianjin)

Ning [8]

2004–2008

23.7 (n = 869; males, n = 738, females, n = 131)

72 %

28 %

Land transport (34 %, n = 296), falls (57 %, n = 495), sports/recreation (0.2 %, n = 2), violence (1.4 %, n = 12), work-related (0.8 %, n = 7) and other/unknown (6.5 %, n = 57)

1.4 % (n = 12)
 
All deaths occurred during hospitalization, patients had cervical TSCI. Among the 12 patients, 42 % (n = 5) were 60 years or older, 10 were males and 11 died of respiratory failure

China (Beijing)

Li [9]

2002

60.6 est. (n = 1,079; n = 264; males, n = 198, females, n = 66)

5 %

95 %

Land transport (22 %, n = 59), falls (41 %, n = 109), sports/recreation (1 %, n = 3), violence (0.4 %, n = 1) and other/unknown (35.6 %, n = 94)
     

China Taiwan

Chen [10]

1992–1996

18.8 (n = 1,232; males, n = 958, females, n = 274) (Age group 15–64 years)

43 %

57 %

Land transport (49 %, n = 609), falls (41 %, n = 500), sports/recreation (1 %, n = 16), violence (2 %, n = 25) and other/unknown (7 % n = 82)

6 % (n = 73)
 
Of those who died in hospital, 40 died of respiratory failure, 22 of associated injuries, 7 died of complications (renal failure, pressure sore, gastrointestinal bleeding) and 3 committed suicide

China Taiwan

Chen [10]

1992–1996

47.5 (Geriatric population, n = 297; males, n = 186, females, n = 111) (Age group 65-and above years)

54 %

45 %

Land transport (33 %, n = 97), falls (62 %, n = 185), sports/recreation (0.3 %%, n = 1), violence (2 % n = 5) and other/unknown (2.7 % n = 9)

11 % (n = 33)
 
Of the 33 elderly patients who died in hospital, 17 died of respiratory failure, 12 of complications and 3 committed suicide

Australia

Norton [11]

2007–2008

15.0 (Age-standardised); (n = 285; males, n = 249, females, n = 45)

53 %

47 %

Land transport (46 %, n = 130), falls (28 %, n = 81), sports/recreation (13 %, n = 37) and other/unknown (13 %, n = 37)
     

Norway (Hordaland and Sogn og Flordane)

Hagen [4]

1952–2001

26.3 (Annual incidence in 1997–2001; n = 71); (n = 336; males, n = 277, females, n = 59)

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Mar 29, 2017 | Posted by in ORTHOPEDIC | Comments Off on An Overview of Traumatic Spinal Cord Injury
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