Abstract
Study design:
Retrospective population-based epidemiological study.
Objectives:
To assess the nationwide, population-based incidence, causes, age, gender, extent and prevalence of spinal cord injuries (SCIs) in Iceland from 1975 to 2009.
Setting:
Landspitali University Hospital in Iceland, the single referral center for SCIs in Iceland.
Methods:
A retrospective review of hospital records on all admissions due to SCIs. Analysis of incidence, causes, age, gender, extent of injury and prevalence.
Results:
A total of 207 patients with traumatic spinal cord injury (TSCI) were admitted: males 72%, females 28%. The percentage of females with TSCI increased to 37% in 2000–2004. Mean age at injury was 38 years. Average incidence per million population per year was 30 in 1975–1979, 12.5 in 1995–1999 and 33.5 in 2005–2009. Thirty-day mortality was 6.3%. Causes of injury were road traffic accidents (RTA) in 42.5% of the cases; the majority did not use seatbelts. Falls amounted to 30.9%, with an increase of low falls among the elderly causing incomplete cervical lesions. Sport/leisure activities were the cause in 18.8%, of which 54% occurred after 2000. The main single cause of TSCI in sport/leisure were horse-riding accidents, followed by winter sport accidents, especially among women. Other causes constituted 7.7%. The injury was complete in 39%; cervical lesions were 57% and thoracic/lumbar lesions were 43%. In December 2009, the crude prevalence rate was 526 per million population.
Conclusions:
The findings showed a significant increase of TSCI in 2005–2009, especially in sport/leisure accidents and incomplete cervical lesions due to falls among elderly. Prevention strategies need to focus on these risk groups and on seatbelt use.
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References
Ackery A, Tator C, Krassioukov A . A global perspective on spinal cord injury epidemiology. J Neurotrauma 2004; 21: 1355–1370.
Wyndaele M, Wyndaele JJ . Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord 2006; 44: 523–529.
van Asbeck FWA, Post MWM, Pangalila RF . An epidemiological description of spinal cord injuries in the Netherlands in 1994. Spinal Cord 2000; 38: 420–424.
Martins F, Freitas F, Martins L, Dartigues JF, Barat M . Spinal cord injuries – epidemiology in Portugal's central region. Spinal Cord 1998; 36: 574–576.
Pickett GE, Campos-Benitez M, Keller JL, Duggal N . Epidemiology of traumatic spinal cord injury in Canada. Spine 2006; 31: 799–805.
Divangoglou A, Levi R . Incidence of traumatic spinal cord injury in Thessaloniki, Greece and Stockholm, Sweden: a prospective population-based study. Spinal Cord 2009; 47: 796–801.
Ahoniemi E, ALaranta H, Hokkinen EM, Valtonen K, Kautiainen H . Incidence of traumatic spinal cord injuries in Finland over a 30-year period. Spinal Cord 2008; 46: 781–784.
Hagen EM, Eide GE, Rekand T, Gilhus NE, Gronning M . A 50-year follow-up of the incidence of traumatic spinal cord injuries in West Norway. Spinal Cord 2010; 48: 313–318.
Statistics Iceland, Borgartun 21a,150 Reykjavík, Iceland. Population overview – key figures 1703-2011. Latest update: 8 February 2011. Reference time: 1703 2011. http://www.statice.is/Statistics/Population/ Overview.
The Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death (ICD 9), Ninth Revision. World Health Organization: Geneva 1977.
International Statistical Classification of Diseases and Related Health Problems (ICD 10), Tenth Revision. World Health Organization: Geneva 1992.
Biering-Sörensen F, Charlifue S, DeVivo M, Noonan V, Post M, Stripling R et al. International spinal cord injury data sets. Spinal Cord 2006; 44: 530–534.
Maynard Jr FM, Bracken MB, Creasy G, Ditunno Jr JF, Donowan WH, Ducker Tb et al. International standards for neurological and functional classification of spinal cord injury. Spinal Cord 1997; 35: 266–274.
Jackson AB, Dijkers M, Devivo MJ, Poczattek RB . A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004; 85: 1740–1748.
Krassioukov AV, Furlan JC, Fehlings MC . Medical co-morbidities, secondary complications, and mortality in elderly with acute spinal cord injury. J Neurotrauma 2003; 20: 391–399.
Jabbour P, Fehlings M, Vaccaro AR, Harrop JS . Traumatic spine injuries in the geriatric population. Neurosurg Focus 2008; 25: E16.
O’Connor PJ . Forecasting of spinal cord injury annual case numbers in Australia. Arch Phys Med Rehabil 2005; 86: 48–51.
Dahlberg A, Kotila M, Läppanen P, Kautianen H, Alaranta H . Prevalence of spinal cord injury in Helsinki. Spinal Cord 2005; 43: 47–50.
O’Connor PJ . Prevalence of spinal cord injury in Australia. Spinal Cord 2005; 43: 42–46.
Statistics Iceland, Borgartun 21a,150 Reykjavík, Iceland. Overview of Gross Domestic Products and Gross National Product 1945–2010, Latest update: 8 March 2011. Reference time: 1945–2010. (http://www.statice.is/Statistics/National-accounts-and-public-fin/National-overview).
Acknowledgements
We thank the Research Fund of Landspitali University Hospital for their financial support and also Ingibjörg Richter for data collection.
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Knútsdóttir, S., Thórisdóttir, H., Sigvaldason, K. et al. Epidemiology of traumatic spinal cord injuries in Iceland from 1975 to 2009. Spinal Cord 50, 123–126 (2012). https://doi.org/10.1038/sc.2011.105
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DOI: https://doi.org/10.1038/sc.2011.105
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