@article{ref1,
title="Incidence, aetiology and injury characteristics of traumatic spinal cord injury in Stockholm, Sweden: a prospective, population-based update",
journal="Journal of rehabilitation medicine",
year="2017",
author="Joseph, Conran and Andersson, Nina and Bjelak, Sapko and Giesecke, Kajsa and Hultling, Claes and Nilsson Wikmar, Lena and Phillips, Julie and Seiger, Åke and Stenimahitis, Vasilios and Trok, Katarzyna and Åkesson, Elisabet and Wahman, Kerstin",
volume="49",
number="5",
pages="431-436",
abstract="OBJECTIVES: To update the incidence rate, aetiology and injury characteristics of acutely-injured adults with traumatic spinal cord injury in Stockholm, Sweden, using international standards of reporting. STUDY DESIGN: Prospective, (regional) population-based observation. SUBJECTS: Forty-nine consecutively enrolled individuals. <br><br>METHODS: A surveillance system of newly-injured adults with traumatic spinal cord injury was implemented for an 18-month period. The International Spinal Cord Injury Core Data Set was used to collect data on those who survived the first 7 days post-injury. <br><br>RESULTS: After an 18-month period, 49 incident cases were registered, of whom 45 were included in this study. The crude incidence rate was 19.0 per million, consisting mainly of men (60%), and the mean age of the cohort was 55 years (median 58). Causes of injury were almost exclusively limited to falls and transport-related events, accounting for 58% and 40% of cases, respectively. The incidence has remained stable when compared with the previous study; however, significant differences exist for injury aetiology (p = 0.004) and impairment level (p = 0.01) in that more fall- and transport-related spinal cord injury occurred, and a larger proportion of persons was left with resultant tetraplegia, in the current study, compared with more sport-related injuries and those left with paraplegia in the previous study. <br><br>CONCLUSION: The incidence rate appeared to remain stable in Stockholm, Sweden. However, significant changes in injury aetiology and impairment-level post injury were found, compared with the previous study. There remains a need for developing fall-related prevention strategies in rehabilitation settings as well as in population-based programmes.<p /> <p>Language: en</p>",
language="en",
issn="1650-1977",
doi="10.2340/16501977-2224",
url="http://dx.doi.org/10.2340/16501977-2224"
}