@article{ref1,
title="Epidemiological study of spinal cord injury individuals from halfway houses in Shanghai, China",
journal="Journal of spinal cord medicine",
year="2018",
author="Chang, Feng-Shui and Zhang, Qi and Sun, Mei and Yu, Hui-Jiong and Hu, Long-Jun and Wu, Jing-Hua and Chen, Gang and Xue, Lian-Ding and Lu, Jun",
volume="41",
number="4",
pages="450-458",
abstract="OBJECTIVE: To describe the characteristics of spinal cord injury (SCI) individuals in Shanghai and examine their treatment and rehabilitation for traumatic and complete SCI individuals. <br><br>DESIGN: Community-based secondary data analyses. SETTING: Shanghai, China. <br><br>METHODS: We analyzed gender, age at injury, complications, disturbances of function, treatment, etiology, and severity of injury of SCI individuals that enrolled in &quot;halfway houses&quot;, government-supported community co-op centers. Bivariate statistical analyses were conducted to examine the factors associated with complete and traumatic SCI. <br><br>RESULTS: We analyzed 808 SCI individuals who participated in halfway houses in Shanghai during 2009-2015. The male-to-female ratio was 2.1:1. The proportion of middle or elder age groups at injury (age 46 to 60 and age 61 or over) showed a rising trend from 1970 to 2015. The leading causes of SCIs in Shanghai were traumatic injuries (58%), followed by disease (29.5%). The proportion of traumatic injuries decreased over time, while the proportion of non-traumatic injuries rose significantly. A majority of traumatic injury individuals were aged between 16-45. <br><br>CONCLUSION: The middle or elder age groups at injury among SCI individuals increased continuously from 1970 to 2015. The principal causes of injury in Shanghai were traumatic injuries and disease-related injuries. Men had a higher prevalence of traumatic SCI in Shanghai. Preventive measures should focus on male and middle-aged adults. As a fast-aging society in Shanghai, more effective prevention, medical care, and rehabilitation schemes should be implemented for aging SCI individuals.<p /> <p>Language: en</p>",
language="en",
issn="1079-0268",
doi="10.1080/10790268.2017.1367357",
url="http://dx.doi.org/10.1080/10790268.2017.1367357"
}