scholarly journals Long-Term Survival and Causes of Death in Patients below the Age of 60 with Traumatic Spinal Cord Injury in Germany

2021 ◽  
Vol 11 (1) ◽  
pp. 26
Author(s):  
Roland Thietje ◽  
Birgitt Kowald ◽  
Ralf Böthig ◽  
Arndt P. Schulz ◽  
Markus Northmann ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bladder Cancer ◽  
Life Expectancy ◽  
Causes Of Death ◽  
Traumatic Spinal Cord Injury ◽  
Term Survival ◽  
Age Related ◽  
Severity Of Injury ◽  
Cord Injury

To study the mortality, cause and risk indicators of death in German patients with traumatic spinal cord injury, patients with traumatic spinal cord injury admitted to Berufsgenossenschaftliches Trauma Hospital Hamburg between 1 January 1997 and 31 December 2018, aged between 16 and 60 with a minimal survival of one year after injury, were included. Further criteria were the absence of life-limiting comorbidities at the time of injury. 223 deceased patients with traumatic spinal cord injury were identified, investigated on and partly compared to the surviving subjects. We aimed to discover specific complications that were related to Spinal Cord Injury and responsible for a possibly limited life expectancy. Data collection was performed during in- and outpatient treatment. A statistical analysis was performed to compare groups. The post-injury life expectancy was 25.0 years with a significant correlation regarding the level of lesion and severity of injury. The leading causes of death were cardiovascular diseases and pneumonia. Bladder cancer was the most common fatal malignant tumor. The life expectancy of patients suffering from traumatic spinal cord injury is limited. The longer a patient survives after injury and the lower the level of lesion, the more likely an age-related cause of death becomes. Bladder cancer is significantly more frequent when compared to the overall distribution of tumor diseases in Germany.

scholarly journals Causes of death after traumatic spinal cord injury—a 70-year British study

Spinal Cord ◽  
2017 ◽  
Vol 55 (10) ◽  
pp. 891-897 ◽  
Author(s):  
G Savic ◽  
M J DeVivo ◽  
H L Frankel ◽  
M A Jamous ◽  
B M Soni ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Causes Of Death ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury ◽  
British Study

Understanding the factors that influence social and community participation as perceived by people with non-traumatic spinal cord injury

2017 ◽  
Vol 80 (10) ◽  
pp. 577-586 ◽  
Author(s):  
Linda Barclay ◽  
Primrose Lentin ◽  
Rachael McDonald ◽  
Helen Bourke-Taylor
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lived Experience ◽  
Community Participation ◽  
Institutional Environment ◽  
Developed Countries ◽  
Traumatic Spinal Cord Injury ◽  
Age Related ◽  
The Social ◽  
Cord Injury

Introduction The number of people with non-traumatic spinal cord injury is rising in developed countries such as Australia and Great Britain. People with non-traumatic spinal cord have different gender, injury and age-related profiles compared to those with traumatically acquired spinal cord injury; therefore, their lived experience is likely to be different. However, the specific issues and challenges that this group faces have not been well investigated. Method Semi-structured in-depth interviews were conducted with 17 adults with non-traumatic spinal cord injury. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Findings The factors that influenced the social and community participation of people with non-traumatic spinal cord injury were grouped into three broad areas: person factors, factors in the physical and institutional environment, and factors in the social or cultural environment. Conclusion The findings from this study inform the understanding of occupational therapists regarding the social and community participation of people with non-traumatic spinal cord injury and how this can be facilitated. Assisting people with non-traumatic spinal cord injury to participate in meaningful social and community-based activities is important to maximise their quality of life.

scholarly journals Epidemiological Characteristics of Traumatic Spinal Cord Injury in Shaanxi, China

2021 ◽  
Author(s):  
Liang Yan ◽  
Dong Wang ◽  
Jinpeng Du ◽  
Dingjun Hao ◽  
Baorong He ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Medical Records ◽  
Shaanxi Province ◽  
Traumatic Spinal Cord Injury ◽  
Diagnostic Code ◽  
Female Ratio ◽  
Severity Of Injury ◽  
Cord Injury ◽  
Epidemiological Characteristics

Abstract Study Design. A hospital-based retrospective epidemiological study.Summary of Background Data. TSCI is a highly disabling and deadly injury. Currently, there is little information regarding the epidemiological characteristics for TSCI in Shaanxi.Objective: To describe the demographic and epidemiological characteristics of patients with traumatic spinal cord injury (TSCI) in Shaanxi to help health-related institutions formulate corresponding measures.Methods. We retrospectively reviewed the medical records of the spine centers or orthopedic centers of the four cities in Shaanxi province according to the International Classification of Disease Version 10 (ICD-10) and diagnostic code of TSCI. Variables included gender, age, medical insurance, etiology, occupation, time of injury, level of injury, and severity of injury, multiple injury, treatment, and so on.Results: The study included the medical records of 694 patients with TSCI in 2018. The mean age of patients with TSCI was 48.4±14.9 years, and the male/female ratio was 3.45:1. The major causes of TSCI were high falls (40.2%) and low falls (26.7%). The most common injury site was the cervical spinal cord, accounting for 48.7%. The highest proportion of severity of injury was ASIA Grade D (37.8%). In addition, 74.6% of the patients had spinal fractures, the chest (38.0%) accounted for the highest proportion of all TSCI patients. Furthermore, 27.8% of the patients experienced clinical complications. 530 (76.4%) patients underwent surgery, 323 (46.5%) patients underwent inpatient rehabilitation.Conclusion: There are specific epidemiological characteristics of TSCI patients in Shaanxi, and preventive measures are suggested to be based on the characteristics of the different types of patients with TSCI and focused on high-risk groups.

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