Traumatic vs non-traumatic spinal cord injury: A comparison of primary rehabilitation outcomes and complications during hospitalization

Gedde, Marie Hidle; Lilleberg, Hanne Sether; Aßmus, Jörg; Gilhus, Nils Erik; Rekand, Tiina

doi:10.1080/10790268.2019.1598698

Cited by 42 publications

(28 citation statements)

References 32 publications

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“…While there is good evidence showing that the proportion of NTSCI has increased over the past decades due to population ageing, the prevalence of TSCI varies widely between studies, ranging from approximately 38% ( 31 ) to 75% ( 23 , 32 ). Although prevalence comparisons are difficult, the distribution according to basic characteristics observed in the current sample is fully in line with current evidence indicating that TSCI is more prevalent in males and younger age groups ( 28 , 31 – 36 ) and results in more severe lesions than NTSCI ( 26 , 31 – 33 , 35 ). The age trend is mainly due to the fact that TSCI is often work-related, and thus more prevalent in the employable age group ( 32 ), and that younger people are typically more involved in potentially risky sports, leisure and transport-related activities ( 25 , 36 ).…”

Section: Discussionsupporting

confidence: 88%

“…For example, the higher prevalence of males in SCI populations is well established and, especially for TSCI, mainly explained by the higher risk exposure related to the work environment and preferences in leisure, sports and transportation use ( 23 – 36 ). Mean age at injury was 49 years for TSCI and 59 years for NTSCI in the current study cohort, which is comparable to the mean age of newly injured adults reported elsewhere in Europe (Sweden TSCI 55 years ( 25 ); Norway TSCI/NTSCI 49/52 years ( 26 ); Netherlands TSCI/NTSCI 43/57 years ( 28 )). While there is good evidence showing that the proportion of NTSCI has increased over the past decades due to population ageing, the prevalence of TSCI varies widely between studies, ranging from approximately 38% ( 31 ) to 75% ( 23 , 32 ).…”

Section: Discussionsupporting

confidence: 83%

“…The longer duration of first rehabilitation in TSCI compared with NTSCI patients detected in the current sample has been reported previously ( 26 , 28 , 31 , 32 ) and is mainly due to more severe injuries in TSCI, the fact that the trauma itself often causes additional injuries (e.g. fractures, abdominal injuries) and the higher prevalence of medical complications during first rehabilitation in TSCI ( 32 , 37 ).…”

Section: Discussionsupporting

confidence: 78%

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Inception cohort of the swiss spinal cohort injury study: Design, participant characteristics, response rates and non-response

Fekete

Gurtner²,

Kunz³

et al. 2021

J Rehabil Med

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Objectives To provide a methodological reference paper for the inception cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI), by detailing its methodological features and reporting on participant characteristics, response rates and non-response bias. Design Prospective cohort study starting in 2013 in all 4 specialized rehabilitation centres in Switzerland. Subjects Included are 655 newly diagnosed first rehabilitation patients aged ≥16 years with traumatic or non-traumatic spinal cord injury (TSCI, NTSCI). Methods Descriptive statistics were used to depict participant characteristics and to compare characteristics of responders and non-responders. Logistic regressions were conducted to estimate non-response bias. RESULTS The sample consisted of 69% males, with mean age 53.5 years, 57.9% TSCI, 60.7% paraplegia and 78.8% incomplete SCI. Males and younger persons more often sustained TSCI and more severe SCI, resulting in longer duration of rehabilitation. Complete lesions were more prevalent in TSCI compared to NTSCI. The response rate was 47.5% and study participation was less likely in females, older persons, persons with lower functional independence and those with NTSCI. Conclusion SwiSCI inception cohort data enable the estimation of epidemiological figures of SCI in Switzerland, and prognostic and trajectory modelling of outcomes after SCI to guide policy, service provision and clinical practice. LAY ABSTRACT The inception cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI) is a prospective study including newly diagnosed first rehabilitation patients aged over 16 years with traumatic or non-traumatic spinal cord injury (SCI) who received first rehabilitation in a specialized center in Switzerland. This paper describes the methods and the design of the SwiSCI inception cohort and reports on participant characteristics, response rates and differences between respondents and non-respondents. The response rate was 47.5% and 655 patients participated in the study. Of participants, 69.0% were male, mean age was 53.5 years, 57.9% had traumatic SCI, 60.7% paraplegia and 78.8% incomplete SCI. Male subjects and younger persons more often sustained traumatic SCI and more severe SCI, resulting in longer duration of rehabilitation. Complete lesions were more prevalent in traumatic SCI compared with non-traumatic SCI. Females, older persons, persons with lower functional independence and those with non-traumatic SCI were less likely to participate in the study.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 78%

See 1 more Smart Citation

Inception cohort of the swiss spinal cohort injury study: Design, participant characteristics, response rates and non-response

Fekete

Gurtner²,

Kunz³

et al. 2021

J Rehabil Med

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“…However, the overall NP prevalence in patients with traumatic SCI has been found to be higher than that in patients with nontraumatic SCI [ 20 ]. A retrospective comparative cohort study involving 174 patients with SCI in Norway reported NP was more prevalent in those with traumatic SCI (57% vs. 43%); however, this finding was not statistically significant [ 25 ]. Similarly, in a meta-analysis recording the pooled prevalence of NP post-SCI, patients with traumatic SCI had a higher prevalence rate for NP (43% vs. 38%) [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, in a meta-analysis recording the pooled prevalence of NP post-SCI, patients with traumatic SCI had a higher prevalence rate for NP (43% vs. 38%) [ 4 ]. However, it has also been shown that patients with traumatic SCIs tend to have complete lesions more frequently that are associated with a worse prognosis for neurologic improvement than those with non-traumatic SCIs [ 10 , 25 , 26 ]. In addition, people with non-traumatic SCI are significantly more likely to have paraplegia than tetraplegia [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Characteristics of Neuropathic Pain in Patients With Spinal Cord Injury Referred to a Rehabilitation Center

et al. 2020

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Objective To identify the prevalence and characteristics of neuropathic pain (NP) in patients with spinal cord injury (SCI) and to investigate associations between NP and demographic or disease-related variables.Methods We retrospectively reviewed medical records of patients with SCI whose pain was classified according to the International Spinal Cord Injury Pain classifications at a single hospital. Multiple statistical analyses were employed. Patients aged <19 years, and patients with other neurological disorders and congenital conditions were excluded.Results Of 366 patients, 253 patients (69.1%) with SCI had NP. Patients who were married or had traumatic injury or depressive mood had a higher prevalence rate. When other variables were controlled, marital status and depressive mood were found to be predictors of NP. There was no association between the prevalence of NP and other demographic or clinical variables. The mean Numeric Rating Scale (NRS) of NP was 4.52, and patients mainly described pain as tingling, squeezing, and painful cold. Females and those with below-level NP reported more intense pain. An NRS cut-off value of 4.5 was determined as the most appropriate value to discriminate between patients taking pain medication and those who did not.Conclusion In total, 69.1% of patients with SCI complained of NP, indicating that NP was a major complication. Treatment planning for patients with SCI and NP should consider that marital status, mood, sex, and pain subtype may affect NP, which should be actively managed in patients with an NRS ≥4.5.

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Quality of in-hospital care in traumatic spinal column and cord injuries (TSC/SCI) in I.R Iran

Sadeghi-Naini,

Jazayeri,

Kankam

et al. 2023

Eur Spine J

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Traumatic vs non-traumatic spinal cord injury: A comparison of primary rehabilitation outcomes and complications during hospitalization

Cited by 42 publications

References 32 publications

Inception cohort of the swiss spinal cohort injury study: Design, participant characteristics, response rates and non-response

Inception cohort of the swiss spinal cohort injury study: Design, participant characteristics, response rates and non-response

Prevalence and Characteristics of Neuropathic Pain in Patients With Spinal Cord Injury Referred to a Rehabilitation Center

Quality of in-hospital care in traumatic spinal column and cord injuries (TSC/SCI) in I.R Iran

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