The Epidemiology of Traumatic Spinal Cord Injury in Alberta, Canada

Dryden, Donna M; Saunders, L. Duncan; Rowe, BH; May, Laura; Yiannakoulias, Nikolaos; Svenson, Lawrence W.; Schopflocher, Donald; Voaklander, Donald C.

doi:10.1017/s0317167100053373

Cited by 168 publications

(196 citation statements)

References 30 publications

Supporting

Mentioning

163

Contrasting

Unclassified

Order By: Relevance

“…Epidemiologic studies of spinal cord injuries are well documented in the literature [1,5,9,15,24,26]. Cord injured patients represent only a fraction of all spinal column injuries.…”

Section: Introductionmentioning

confidence: 99%

“…The annual incidence of SCI in European countries varies from 13.9 to 19.4 per million population compared to 43.3-51 in North America [1,5,9,15,24,26]. The early pre-hospital mortality ranges from 48.3 to 79%, while the inpatient mortality ranges from 4.4 to 16.7% [5,26].…”

Section: Introductionmentioning

confidence: 99%

“…The early pre-hospital mortality ranges from 48.3 to 79%, while the inpatient mortality ranges from 4.4 to 16.7% [5,26]. The prevalence of SCI in the US is reported to range from 721 to 906 per million population, being 681 and 280 per million population in Australia and Europe, respectively [4,12,13].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Demographics of acute admissions to a National Spinal Injuries Unit

Lenehan¹,

Boran²,

Street³

et al. 2009

Eur Spine J

View full text Add to dashboard Cite

Records of all patients admitted to our unit from 1999 to 2003 were compiled from a prospective computerized spinal database. In this 5-year period, 942 patients were acutely hospitalized at the National Spinal Injuries Unit. There were 686 (73%) males and 256 (27%) females, with an average age of 32 years (range 16-84 years). The leading cause of admission with a spinal injury was road traffic accidents (42%), followed by falls (35%), sport (11%), neoplasia (7.5%) and miscellaneous (4.5%). The cervical spine was most commonly affected (51%), followed by lumbar (28%) and thoracic (21%). On admission 38% of patients were ASIA D or worse, of which one-third were AISA A. Understanding of the demographics of spinal column injuries in unique populations can help us to develop preventative and treatment strategies at both national and international levels.

show abstract

“…Epidemiologic studies of spinal cord injuries are well documented in the literature [1,5,9,15,24,26]. Cord injured patients represent only a fraction of all spinal column injuries.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Demographics of acute admissions to a National Spinal Injuries Unit

Lenehan¹,

Boran²,

Street³

et al. 2009

Eur Spine J

View full text Add to dashboard Cite

show abstract

“…[See htt p:// www.urbanfutures.com/reports/Report%2074.pdf for details of the demographic data base used for this report.] As the tSCI incidence rates published in Dryden et al, 2003, include deaths before hospital admission and before hospitalizati on discharge aft er injury, the result is an esti mate of the 2010 initi al incidence of tSCI of 1,785 cases.…”

Section: P a G E 1 3 December 2010 The Incidence And Prevalence Of Spmentioning

confidence: 99%

Use of screening to recruitment ratios as a tool for planning and implementing spinal cord injury rehabilitation research

et al. 2014

View full text Add to dashboard Cite

Having acknowledged these valuable contributors, the authors remain fully and solely responsible for the report and its contents.Please address comments and correspondence concerning this report to info@rickhanseninsti tute.org, with "Incidence and Prevalence Report" in the subject line. D e c e m b e r 2 0 1 0This report may be reproduced in whole or in part with appropriate acknowledgement of the source. U R B A N F U T U R E SS S t t r r a a t t e e g g i i c c R R e e s s e e a a r r c c h h t t o o M M a a n n a a g g e e C C h h a a n n g g e e P a g e i December 2010 The Incidence and Prevalence of Spinal Cord Injury in Canada U R B A N F U T U R E SS S t t r r a a t t e e g g i i c c R R e e s s e e a a r r c c h h t t o o M M a a n n a a g g e e C C h h a a n n g g e e P a g e i i December 2010 The Incidence and Prevalence of Spinal Cord Injury in CanadaThis page intentionally left blank. U R B A N F U T U R E SS S t t r r a a t t e e g g i i c c R R e e s s e e a a r r c c h h t t o o M M a a n n a a g g e e C C h h a a n n g g e Executive SummaryThis report was prepared to provide a review of the current measures of the incidence and prevalence of spinal cord injury (SCI) in Canada. It is to be considered within the context of a strategic discussion concerning the need for, and directi on of, further formal research into the extent of spinal cord injury in the country. The report commences with considerati on of defi niti ons relati ng to spinal cord injury, followed by a review of methodology used in the measurement of its incidence (annual number of new cases) and prevalence (total number of people living with SCI, the cumulati ve net result of past SCI), and of the major Canadian publicati ons, and selected internati onal ones, that are concerned with this measurement. On this basis, esti mates of the current levels of incidence and prevalence of spinal cord injury in Canada are presented, before concluding with recommendati ons concerning these esti mates and possible directi ons for further research.The terms of reference for this research were to produce esti mates of the incidence and prevalence of spinal cord injury in Canada based on currently published evidence. It is important to note that no such measures currently exist: very litt le has been published about the extent of spinal cord injury in Canada, and what has is limited to the incidence of traumati c spinal cord injury, with the literature silent on its prevalence, and most strikingly, on both the incidence and prevalence of non-traumati c spinal cord injury. The absence of esti mates of incidence and prevalence is of signifi cant concern, as it limits a wide range of research and policy, ranging from the determinati on of the most eff ecti ve preventi on strategies through the delivery of health and medical care to the considerati on of the fi nancial impact of SCI and funding of preventi on and care programmes.Given the informati on provided in the reviewed publicati ons, and data on the current and historical demography of Canad...

show abstract

“…Most of the patients were admitted immediately after injury, but some were initially treated in local hospitals. Persons with minimal neurologic impairment on admission were included if their length of stay was greater than 1 week, 11,12 and 1 day for patients staying in the Department of Neurosurgery. There is only one Department of Neurosurgery in the region.…”

Section: Inclusion Criteriamentioning

confidence: 99%

Diagnostic coding accuracy for traumatic spinal cord injuries

et al. 2008

View full text Add to dashboard Cite

Study design: Retrospective register study enhanced and verified by medical records. Objectives: To study whether electronic searches of discharge diagnosis are valid for epidemiological research of traumatic spinal cord injury (SCI), using the International Classification of Diseases (ICD). Settings: Haukeland University Hospital, Bergen, Norway Methods: We identified all hospital admissions with discharge codes suggesting a traumatic SCI from ICD-8 to ICD-10 in the electronic database at Haukeland University Hospital, and ascertained the cases by reviewing all hospital records. Results: 1080 patients had an ICD diagnostic code suggesting a traumatic SCI. Only 260 were verified when reviewing the hospital records. The ICD-10 codes had superior positive predictive values (PPV) and likelihood ratios (LR þ ) compared with the codes from ICD-8 and ICD-9. Combining seven codes from ICD-10 (S14.0, S14.1, S24.0, S24.1, S34.1, S34.3, T91.3) gave the highest sensitivity (0.83), specificity (0.97), PPV (0.88) and LR þ (30.23). Conclusion: Obtaining hospital discharge diagnoses solely from electronic databases overestimates the incidence of traumatic SCI. Identification of patients using ICD-10 codes is more complicated because acute traumatic SCI and traumatic SCI sequelae are listed with several codes. The latest ICD version proved to be most reliable when identifying patients with traumatic SCI. However, ICD data cannot be trusted without extensive validity checks for either research or for health planning and administration.

show abstract

The Epidemiology of Traumatic Spinal Cord Injury in Alberta, Canada

Cited by 168 publications

References 30 publications

Demographics of acute admissions to a National Spinal Injuries Unit

Demographics of acute admissions to a National Spinal Injuries Unit

Use of screening to recruitment ratios as a tool for planning and implementing spinal cord injury rehabilitation research

Diagnostic coding accuracy for traumatic spinal cord injuries

Contact Info

Product

Resources

About