TY  - JOUR
PY  - 2017//
TI  - Incidence, aetiology and injury characteristics of traumatic spinal cord injury in Stockholm, Sweden: a prospective, population-based update
JO  - Journal of rehabilitation medicine
A1  - Joseph, Conran
A1  - Andersson, Nina
A1  - Bjelak, Sapko
A1  - Giesecke, Kajsa
A1  - Hultling, Claes
A1  - Nilsson Wikmar, Lena
A1  - Phillips, Julie
A1  - Seiger, Åke
A1  - Stenimahitis, Vasilios
A1  - Trok, Katarzyna
A1  - Åkesson, Elisabet
A1  - Wahman, Kerstin
SP  - 431
EP  - 436
VL  - 49
IS  - 5
N2  - 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>
LA  - en
SN  - 1650-1977
UR  - http://dx.doi.org/10.2340/16501977-2224
ID  - ref1
ER  -