A demographic profile of new traumatic spinal cord injuries: Change and stability over 30 years
Jackson AB, Dijkers M, DeVivo M, Poczatek RB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004; 85:1740-8. To evaluate epidemiologic trends in new spinal cord injuries (SCIs) in the United States over 3 decades. Consecutive c...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2004-11, Vol.85 (11), p.1740-1748 |
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| creator | Jackson, Amie B. Dijkers, Marcel DeVivo, Michael J. Poczatek, Robert B. |
| description | Jackson AB, Dijkers M, DeVivo M, Poczatek RB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004; 85:1740-8.
To evaluate epidemiologic trends in new spinal cord injuries (SCIs) in the United States over 3 decades.
Consecutive case series.
Model Spinal Cord Injury Systems (MSCIS) facilities.
Persons (N=30,532) admitted to MSCIS facilities within 365 days of injury between 1973 and 2003, and enrolled in the National Spinal Cord Injury Database.
Not applicable.
Data were collected at MSCIS admission and rehabilitation discharge. Variables included age, gender, race and ethnic group, year of injury, and level and extent of injury. Specific etiologies were grouped as motor vehicle collisions (MVCs), violence, falls, sports, and other. Demographic and injury severity trends were analyzed by year of injury groupings according to decades (1973–1979, 1980–1989, 1990–1999, 2000–2003.) Chi-square tests assessed statistical significance. One-way analysis of variance compared mean ages.
The male/female ratio remained fairly stable at 4:1, but the percentage of women increased slightly over time, especially from MVC etiologies (
P |
| doi_str_mv | 10.1016/j.apmr.2004.04.035 |
| format | Article |
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To evaluate epidemiologic trends in new spinal cord injuries (SCIs) in the United States over 3 decades.
Consecutive case series.
Model Spinal Cord Injury Systems (MSCIS) facilities.
Persons (N=30,532) admitted to MSCIS facilities within 365 days of injury between 1973 and 2003, and enrolled in the National Spinal Cord Injury Database.
Not applicable.
Data were collected at MSCIS admission and rehabilitation discharge. Variables included age, gender, race and ethnic group, year of injury, and level and extent of injury. Specific etiologies were grouped as motor vehicle collisions (MVCs), violence, falls, sports, and other. Demographic and injury severity trends were analyzed by year of injury groupings according to decades (1973–1979, 1980–1989, 1990–1999, 2000–2003.) Chi-square tests assessed statistical significance. One-way analysis of variance compared mean ages.
The male/female ratio remained fairly stable at 4:1, but the percentage of women increased slightly over time, especially from MVC etiologies (
P<.001). Over time, the mean age at injury increased significantly (
P<.001); it was 37.7±17.5 years in 2000–2003. The majority of cases were white (66.1%). Tetraplegia (54.1%) and complete injuries (55.6%) occurred more than paraplegia and incomplete injuries, respectively. MVCs (45.6%) remained the most common etiology; falls (19.6%) held the second position over violence (17.8%), except for the 1990–1999 period when the positions were reversed. Significantly increasing percentages of new injuries were seen for SCI due to automobile, motorcycle, bicycle, and all-terrain vehicle crashes, blunt object attacks, snow skiing, and medical and surgical mishaps.
Many previously seen SCI demographic trends continued into the 2000 decade.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2004.04.035</identifier><identifier>PMID: 15520968</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Academies and Institutes ; Accidents - statistics & numerical data ; Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Analysis of Variance ; Athletic Injuries - complications ; Athletic Injuries - epidemiology ; Chi-Square Distribution ; Child ; Child, Preschool ; Databases, Factual ; Demography ; Epidemiology ; Female ; Humans ; Infant ; Male ; Middle Aged ; Patient Admission - trends ; Population Surveillance ; Rehabilitation ; Risk Factors ; Sex Distribution ; Spinal cord injuries ; Spinal Cord Injuries - classification ; Spinal Cord Injuries - epidemiology ; Spinal Cord Injuries - etiology ; Trauma Severity Indices ; United States - epidemiology ; Violence - statistics & numerical data</subject><ispartof>Archives of physical medicine and rehabilitation, 2004-11, Vol.85 (11), p.1740-1748</ispartof><rights>2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-120cdf1b38d5bee99022c1a383a5502d63e1eaf9f80072f2368fff690083e7d23</citedby><cites>FETCH-LOGICAL-c352t-120cdf1b38d5bee99022c1a383a5502d63e1eaf9f80072f2368fff690083e7d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2004.04.035$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15520968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jackson, Amie B.</creatorcontrib><creatorcontrib>Dijkers, Marcel</creatorcontrib><creatorcontrib>DeVivo, Michael J.</creatorcontrib><creatorcontrib>Poczatek, Robert B.</creatorcontrib><title>A demographic profile of new traumatic spinal cord injuries: Change and stability over 30 years</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Jackson AB, Dijkers M, DeVivo M, Poczatek RB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004; 85:1740-8.
To evaluate epidemiologic trends in new spinal cord injuries (SCIs) in the United States over 3 decades.
Consecutive case series.
Model Spinal Cord Injury Systems (MSCIS) facilities.
Persons (N=30,532) admitted to MSCIS facilities within 365 days of injury between 1973 and 2003, and enrolled in the National Spinal Cord Injury Database.
Not applicable.
Data were collected at MSCIS admission and rehabilitation discharge. Variables included age, gender, race and ethnic group, year of injury, and level and extent of injury. Specific etiologies were grouped as motor vehicle collisions (MVCs), violence, falls, sports, and other. Demographic and injury severity trends were analyzed by year of injury groupings according to decades (1973–1979, 1980–1989, 1990–1999, 2000–2003.) Chi-square tests assessed statistical significance. One-way analysis of variance compared mean ages.
The male/female ratio remained fairly stable at 4:1, but the percentage of women increased slightly over time, especially from MVC etiologies (
P<.001). Over time, the mean age at injury increased significantly (
P<.001); it was 37.7±17.5 years in 2000–2003. The majority of cases were white (66.1%). Tetraplegia (54.1%) and complete injuries (55.6%) occurred more than paraplegia and incomplete injuries, respectively. MVCs (45.6%) remained the most common etiology; falls (19.6%) held the second position over violence (17.8%), except for the 1990–1999 period when the positions were reversed. Significantly increasing percentages of new injuries were seen for SCI due to automobile, motorcycle, bicycle, and all-terrain vehicle crashes, blunt object attacks, snow skiing, and medical and surgical mishaps.
Many previously seen SCI demographic trends continued into the 2000 decade.</description><subject>Academies and Institutes</subject><subject>Accidents - statistics & numerical data</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Athletic Injuries - complications</subject><subject>Athletic Injuries - epidemiology</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Databases, Factual</subject><subject>Demography</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Admission - trends</subject><subject>Population Surveillance</subject><subject>Rehabilitation</subject><subject>Risk Factors</subject><subject>Sex Distribution</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - classification</subject><subject>Spinal Cord Injuries - epidemiology</subject><subject>Spinal Cord Injuries - etiology</subject><subject>Trauma Severity Indices</subject><subject>United States - epidemiology</subject><subject>Violence - statistics & numerical data</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMoWh9_wIVk5W7qTWKmE3EjxRcU3Ci4C2ly06bMy2RG6b93hhbcCRcul_udA-cQcslgyoDlN5upaas45QC303GEPCATJgXPCs4-D8kEAESmlBIn5DSlzXDmUrBjcsKk5KDyYkL0A3VYNato2nWwtI2NDyXSxtMaf2gXTV-ZbnikNtSmpLaJjoZ608eA6Y7O16ZeITW1o6kzy1CGbkubb4xUAN2iiemcHHlTJrzY7zPy8fT4Pn_JFm_Pr_OHRWaF5F3GOFjn2VIUTi4RlQLOLTOiEEZK4C4XyNB45QuAGfdc5IX3PlcAhcCZ4-KMXO98hwRfPaZOVyFZLEtTY9Mnnc-AKyZGkO9AG5uUInrdxlCZuNUM9Fir3uixVj3WqscRchBd7d37ZYXuT7LvcQDudwAOGb8DRp1swNqiCxFtp10T_vP_BfHXiQs</recordid><startdate>20041101</startdate><enddate>20041101</enddate><creator>Jackson, Amie B.</creator><creator>Dijkers, Marcel</creator><creator>DeVivo, Michael J.</creator><creator>Poczatek, Robert B.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041101</creationdate><title>A demographic profile of new traumatic spinal cord injuries: Change and stability over 30 years</title><author>Jackson, Amie B. ; Dijkers, Marcel ; DeVivo, Michael J. ; Poczatek, Robert B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-120cdf1b38d5bee99022c1a383a5502d63e1eaf9f80072f2368fff690083e7d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Academies and Institutes</topic><topic>Accidents - statistics & numerical data</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Athletic Injuries - complications</topic><topic>Athletic Injuries - epidemiology</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Databases, Factual</topic><topic>Demography</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Admission - trends</topic><topic>Population Surveillance</topic><topic>Rehabilitation</topic><topic>Risk Factors</topic><topic>Sex Distribution</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - classification</topic><topic>Spinal Cord Injuries - epidemiology</topic><topic>Spinal Cord Injuries - etiology</topic><topic>Trauma Severity Indices</topic><topic>United States - epidemiology</topic><topic>Violence - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jackson, Amie B.</creatorcontrib><creatorcontrib>Dijkers, Marcel</creatorcontrib><creatorcontrib>DeVivo, Michael J.</creatorcontrib><creatorcontrib>Poczatek, Robert B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jackson, Amie B.</au><au>Dijkers, Marcel</au><au>DeVivo, Michael J.</au><au>Poczatek, Robert B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A demographic profile of new traumatic spinal cord injuries: Change and stability over 30 years</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2004-11-01</date><risdate>2004</risdate><volume>85</volume><issue>11</issue><spage>1740</spage><epage>1748</epage><pages>1740-1748</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Jackson AB, Dijkers M, DeVivo M, Poczatek RB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004; 85:1740-8.
To evaluate epidemiologic trends in new spinal cord injuries (SCIs) in the United States over 3 decades.
Consecutive case series.
Model Spinal Cord Injury Systems (MSCIS) facilities.
Persons (N=30,532) admitted to MSCIS facilities within 365 days of injury between 1973 and 2003, and enrolled in the National Spinal Cord Injury Database.
Not applicable.
Data were collected at MSCIS admission and rehabilitation discharge. Variables included age, gender, race and ethnic group, year of injury, and level and extent of injury. Specific etiologies were grouped as motor vehicle collisions (MVCs), violence, falls, sports, and other. Demographic and injury severity trends were analyzed by year of injury groupings according to decades (1973–1979, 1980–1989, 1990–1999, 2000–2003.) Chi-square tests assessed statistical significance. One-way analysis of variance compared mean ages.
The male/female ratio remained fairly stable at 4:1, but the percentage of women increased slightly over time, especially from MVC etiologies (
P<.001). Over time, the mean age at injury increased significantly (
P<.001); it was 37.7±17.5 years in 2000–2003. The majority of cases were white (66.1%). Tetraplegia (54.1%) and complete injuries (55.6%) occurred more than paraplegia and incomplete injuries, respectively. MVCs (45.6%) remained the most common etiology; falls (19.6%) held the second position over violence (17.8%), except for the 1990–1999 period when the positions were reversed. Significantly increasing percentages of new injuries were seen for SCI due to automobile, motorcycle, bicycle, and all-terrain vehicle crashes, blunt object attacks, snow skiing, and medical and surgical mishaps.
Many previously seen SCI demographic trends continued into the 2000 decade.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15520968</pmid><doi>10.1016/j.apmr.2004.04.035</doi><tpages>9</tpages></addata></record> |
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| ispartof | Archives of physical medicine and rehabilitation, 2004-11, Vol.85 (11), p.1740-1748 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Free E-Journal (出版社公開部分のみ） |
| subjects | Academies and Institutes Accidents - statistics & numerical data Adolescent Adult Age Distribution Aged Aged, 80 and over Analysis of Variance Athletic Injuries - complications Athletic Injuries - epidemiology Chi-Square Distribution Child Child, Preschool Databases, Factual Demography Epidemiology Female Humans Infant Male Middle Aged Patient Admission - trends Population Surveillance Rehabilitation Risk Factors Sex Distribution Spinal cord injuries Spinal Cord Injuries - classification Spinal Cord Injuries - epidemiology Spinal Cord Injuries - etiology Trauma Severity Indices United States - epidemiology Violence - statistics & numerical data |
| title | A demographic profile of new traumatic spinal cord injuries: Change and stability over 30 years |
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