TY - JOUR PY - 2018// TI - Epidemiological study of spinal cord injury individuals from halfway houses in Shanghai, China JO - Journal of spinal cord medicine A1 - Chang, Feng-Shui A1 - Zhang, Qi A1 - Sun, Mei A1 - Yu, Hui-Jiong A1 - Hu, Long-Jun A1 - Wu, Jing-Hua A1 - Chen, Gang A1 - Xue, Lian-Ding A1 - Lu, Jun SP - 450 EP - 458 VL - 41 IS - 4 N2 - 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.

DESIGN: Community-based secondary data analyses. SETTING: Shanghai, China.

METHODS: We analyzed gender, age at injury, complications, disturbances of function, treatment, etiology, and severity of injury of SCI individuals that enrolled in "halfway houses", government-supported community co-op centers. Bivariate statistical analyses were conducted to examine the factors associated with complete and traumatic SCI.

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.

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.

Language: en

LA - en SN - 1079-0268 UR - http://dx.doi.org/10.1080/10790268.2017.1367357 ID - ref1 ER -