Seven-Year Survival Following Spinal Cord Injury

DeVivo, Michael J.; Kartus, Paula L.; Stover, Samuel L.; Rutt, Richard D.; Fine, Philip R.

doi:10.1001/archneur.1987.00520200074023

Cited by 78 publications

(26 citation statements)

References 26 publications

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“…Multiple studies report a negative association of older age at injury, higher neurological level and completeness of SCI with survival of patients with SCI. [31][32][33][34][35][36] Inclusion of health status, community integration, and economic risk factors may result in higher life expectancy estimates. 37 All these variables might influence survival duration estimates and thus prevalence calculation by this method, probably making it less accurate.…”

Section: Discussionmentioning

confidence: 99%

Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey?

2006

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Study design: Literature survey. Objectives: To provide an overview of the literature data on incidence, prevalence and epidemiology of spinal cord injury (SCI) worldwide and to study their evolution since 1977. Setting: University Antwerp. Methods: The literature from 1995 onwards was searched on Pubmed. To include evolutionary data, we incorporated the results of three older studies. Results: Two studies gave prevalence of SCI, and 17 incidence of SCI. The published data on prevalence of SCI was insufficient to consider the range of 223-755 per million inhabitants to be representative for a worldwide estimate. Reported incidence of SCI lies between 10.4 and 83 per million inhabitants per year. One-third of patients with SCI are reported to be tetraplegic and 50% of patients with SCI to have a complete lesion. The mean age of patients sustaining their injury at is reported as 33 years old, and the sex distribution (men/women) as 3.8/1. Conclusion: There is a need for improved registration of SCI, and publication of the findings in many parts of the world. This survey pleads for uniformity in methodology. The data show that the reported incidence and prevalence have not changed substantially over the past 30 years. Data from Northern America and Europe show higher figures for incidence, but prevalence figures have remained the same. Epidemiology of SCI seems to have changed during the last decades with a higher percentage of tetraplegia and of complete lesions. If such evolution is present worldwide, how it could eventually be prevented needs to be studied. Sponsorship: Not applicable.

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Section: Discussionmentioning

confidence: 99%

Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey?

2006

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“…10 DeVivo et al 8 reported that the 7-year survival of patients is decreased from 86.7% in the general population to 22.7% in patients with SCIs who are > 50 years of age. In addition, patients with concomitant neuromuscular disorders, which tend to be seen more often in the elderly (that is, Parkinson disease), have also been shown to have worse outcomes.…”

Section: Discussionmentioning

confidence: 99%

Traumatic spine injuries in the geriatric population

Jabbour

Fehlings

Vaccaro³

et al. 2008

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“…4 Advances in medicine and rehabilitation have now provided persons with SCI a relatively normal life expectancy. 5 However, the longer someone lives the more likely it becomes that person will experience medical conditions which are secondary to the injury. 6 Pope 7 states that a`secondary condition is any additional physical or mental health condition that is causally related to a primary disabling condition.'…”

Section: Introductionmentioning

confidence: 99%

A comparison of women and men with spinal cord injury

1998

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While research on spinal cord injury (SCI) is abundant, few studies focus on women. This population-based study investigates dierences in the prevalence of secondary conditions between 128 women and 522 men. Case managers retrospectively interviewed 650 persons regarding medical and psychological conditions secondary to SCI, as well as other life issues. Overall, males and females show more similarities than dierences in the ways in which they manage life with SCI. Dierences were found, though, regarding etiology of initial injury, insurance coverage, caregiver use, transportation use, medication use, and in other medical and behavioral areas. Females are signi®cantly involved in more automobile crashes than males, while males are involved in more falls than females. Females are more reliant on Medicaid, while males report more Medicare and Worker's Compensation coverage. Females are more likely to have a paid attendant as a caregiver while males are more likely to have their spouse or parents assist. Males report more independence in their use of transportation than females. Males and females also report signi®cant dierences in the use of medication. Females are more likely to use medication any time it is a treatment option. Males are more active, use tobacco more and have more arm fractures postinjury than females.

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Seven-Year Survival Following Spinal Cord Injury

Cited by 78 publications

References 26 publications

Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey?

Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey?

Traumatic spine injuries in the geriatric population

A comparison of women and men with spinal cord injury

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