Epidemiology of traumatic spinal cord injury in New Zealand (2007-2016)
| Autor: | John, Mitchell, Joanne, Nunnerley, Chris, Frampton, Tracey, Croot, Alpesh, Patel, Rowan, Schouten |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Native Hawaiian or Other Pacific Islander Adolescent Violence Neurosurgical Procedures Thoracic Vertebrae White People Young Adult Age Distribution Activities of Daily Living Humans Registries Sex Distribution Spinal Cord Injuries Aged Lumbar Vertebrae Incidence Accidents Traffic Length of Stay Middle Aged Athletic Injuries Cervical Vertebrae Accidental Falls Female New Zealand |
| Zdroj: | The New Zealand medical journal. 133(1509) |
| ISSN: | 1175-8716 |
| Popis: | To investigate the epidemiology of traumatic spinal cord injury (TSCI) in New Zealand over a 10-year period.Ambispective data of all new patients admitted to New Zealand's two spinal rehabilitation units between January 2007 and December 2016 (n=929) were collated. Variables assessed included age at injury, gender, ethnicity, date of injury, aetiology, length of hospital stay, injury level, neurological status on discharge and discharge destination.The incidence of TSCI averaged 22 (95% CI 21-24) per million, increasing 6% a year. The average incidence for Māori (29 per million people (95% CI 25-34)) was 1.8 times higher than New Zealand European (16 per million people (95% CI 15-18)), and show an increase of 14% a year. The median age of TSCI increased from 43 to 48 years. Overall, falls (32%), transport (32%) and sports (22%) were the most common causes of TSCI. Cervical TSCI (54%) were most common, particularly in older adults (70% over 75 years) and Māori (61%) and Pacific Island (72%) patients. Surgical rates remained stable (77%) but length of stay in hospital decreased over the study period.The demographic of TSCI is changing in New Zealand. The median age of patients is increasing, as is the incidence, particularly for women, older adults and Māori patients. |
| Databáze: | OpenAIRE |
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