
@article{ref1,
title="Epidemiology of traumatic spinal cord injury in New Zealand (2007-2016)",
journal="New Zealand medical journal",
year="2020",
author="Mitchell, John and Nunnerley, Joanne and Frampton, Chris and Croot, Tracey and Patel, Alpesh and Schouten, Rowan",
volume="133",
number="1509",
pages="47-57",
abstract="AIM: To investigate the epidemiology of traumatic spinal cord injury (TSCI) in New Zealand over a 10-year period. <br><br>METHODS: Ambispective data of all new patients admitted to New Zealand's two spinal rehabilitation units between January 2007 and December 2016 (n=929) were collated. Variables assessed included age at injury, gender, ethnicity, date of injury, aetiology, length of hospital stay, injury level, neurological status on discharge and discharge destination. <br><br>RESULTS: The incidence of TSCI averaged 22 (95% CI 21-24) per million, increasing 6% a year. The average incidence for Māori (29 per million people (95% CI 25-34)) was 1.8 times higher than New Zealand European (16 per million people (95% CI 15-18)), and show an increase of 14% a year. The median age of TSCI increased from 43 to 48 years. Overall, falls (32%), transport (32%) and sports (22%) were the most common causes of TSCI. Cervical TSCI (54%) were most common, particularly in older adults (70% over 75 years) and Māori (61%) and Pacific Island (72%) patients. Surgical rates remained stable (77%) but length of stay in hospital decreased over the study period. <br><br>CONCLUSIONS: The demographic of TSCI is changing in New Zealand. The median age of patients is increasing, as is the incidence, particularly for women, older adults and Māori patients.<p /> <p>Language: en</p>",
language="en",
issn="0028-8446",
doi="",
url="http://dx.doi.org/"
}