TY - JOUR PY - 2024// TI - Epidemiology of traumatic spinal cord injury in Spain: a ten-year analysis of trend of clinical and demographic characteristics JO - Journal of spinal cord medicine A1 - Barriga-Martín, Andrés A1 - Pérez-Ruiz, Pablo A1 - Muñoz-Rodríguez, José Ramón A1 - Romero-Muñoz, Luis A1 - Peral-Alarma, Miguel A1 - Ríos-León, Marta A1 - Álvarez-Bautista, Elena SP - ePub EP - ePub VL - ePub IS - ePub N2 - CONTEXT: The study of epidemiological changes of traumatic spinal cord injury (TSCI) is needed due to its highly variable incidence.

OBJECTIVE: To determine the incidence of TSCI in Spain and to describe the trend of clinical and demographic characteristics according to age group during a 10-year period.

METHODS: A prospective cohort study was conducted. A multidisciplinary team evaluated all individuals with new TSCI. The data were recorded according to the International Spinal Cord Injury Core Data Sets.

RESULTS: In a 10-year period, 933 new patients with TSCI were admitted to the hospital. The annual incidence of TSCI was 6.2 per million. The leading causes of injury were traffic accidents (38.5%), low-level falls (20.6%), and high-level falls (19.1%). Males, age group of 31-45 years, and cervical level of injury were the most common profiles of TSCI. In patients over 60 years,71.5% were injured following a fall, particularly low-level falls (47.2%). In patients under 60 years old, the leading cause of SCI was traffic accidents (46%). The proportion of tetraplegia in patients above 60 years was 68.3%, compared to 43.7% in patients under 60 years of age. Patients in the age group above 60 years were hospitalized with a shorter duration of rehabilitation compared to younger age group.

CONCLUSIONS: Compared with globally estimated data reported in previous studies, this research demonstrated a low incidence of TSCI in Spain, suggesting a decrease in the last years. Falls and traffic accidents were the most common causes of TSCI in elderly and youth, respectively. Prevention programs should focus on these issues.

Language: en

LA - en SN - 1079-0268 UR - http://dx.doi.org/10.1080/10790268.2024.2375889 ID - ref1 ER -