Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology

Autor(es)

Suzuki Bellucci, Carlos Henrique ^[1] ; de Castro Filho, Jose Everton ^[1] ; Gomes, Cristiano Mendes ^[1] ; de Bessa, Jr., Jose ^[1] ; Battistella, Linamara Rizzo ^[2] ; de Souza, Daniel Rubio ^[2] ; Scazufca, Marcia ^[3] ; Bruschini, Homero ^[1] ; Srougi, Miguel ^[1] ; Barros Filho, Tarcisio E. P. ^[3]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Div Urol, BR-05422970 Sao Paulo, SP - Brazil

^[2] Univ Sao Paulo, Sch Med, Inst Phys Med & Rehabil, BR-05422970 Sao Paulo, SP - Brazil

^[3] Univ Sao Paulo, Sch Med, Dept Orthoped, BR-05422970 Sao Paulo, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: NEUROEPIDEMIOLOGY; v. 44, n. 2, p. 85-90, 2015.
• Citações Web of Science: 9

Resumo

Background: Epidemiological features of spinal cord injury (SCI) have been changing over the last decades. We evaluated the contemporary trends in the epidemiology of traumatic SCI patients from a rehabilitation center. Methods: In a cross-sectional study, a consecutive series of 348 patients with traumatic SCI were evaluated. Variables were collected through an epidemiological form, which included gender, age at injury, duration and cause of SCI. We investigated SCI epidemiological trends over time including the association between gender and age at injury with SCI features such as etiology, injury severity and level. Results: The mean age at SCI has increased from 26.0 +/- 11.8 in patients with SCI before 2003 to 37.9 +/- 15.7 in those with SCI after 2009 (p < 0.001). Gunshot wounds were the main cause of injury in patients with SCI before 2003, dropping from 40.6 to 16.9% after 2009 and being surpassed by road traffic injuries (38.6%) and falls (31.4%) after 2009 (p < 0.001). Gender, SCI severity and level have not changed significantly over the time. Conclusions: There was a major increase in the average age of patients as well as changes in the etiology of SCI over the past fifteen years, including a significant decrease in gunshot wounds and an increase in the frequency of road traffic injuries and falls. These changes and accompanying risk factors must be taken into consideration when planning measures to prevent SCI. (C) 2015 S. Karger AG, Basel (AU)

• Processo FAPESP: 10/10919-3 - Epidemiologia da disfunção sexual em pacientes com lesão medular.
• Beneficiário: Cristiano Mendes Gomes
• Modalidade de apoio: Auxílio à Pesquisa - Regular