Incidence and mortality of spinal cord injury from 2008 to 2020: a retrospective population-based cohort study in the Piedmont Region, Italy.
Journal
Spinal cord
ISSN: 1476-5624
Titre abrégé: Spinal Cord
Pays: England
ID NLM: 9609749
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
received:
17
12
2021
accepted:
26
07
2022
revised:
22
07
2022
pubmed:
7
8
2022
medline:
3
3
2023
entrez:
6
8
2022
Statut:
ppublish
Résumé
Retrospective population-based cohort study. To determine the incidence and mortality of spinal cord injuries (SCI) in the Piedmont Region of Northwestern Italy. Publicly-funded SCI rehabilitation centres in the Piedmont Region. Administrative databases were used to identify individuals at their first admission to a SCI rehabilitation centre from January 1st, 2008 to December 31st, 2020. Cases were stratified by age and aetiology (traumatic SCI, TSCI; non-traumatic SCI, NTSCI). Age- and aetiology-specific incidence rate and person-year mortality rates were calculated for each year. Case lethality was reported as deaths among prevalent cases for each year. A total of 892 cases were identified (56.4% TSCI). The average annual crude incidence rate was 17.9 per million population, decreasing from 26.0 in 2008 to 10.8 in 2020. Young adults and the elderly represented the majority of TSCI and NTSCI cases, respectively. Of the 235 individuals who died during the study period, 58.3% had NTSCI. The mortality rate per 1000 person-years decreased from 16.3 in 2009 to 8.5 in 2020, while case lethality more than tripled (from 17.2 in 2009 to 57.1 in 2020). We identified a decreasing trend in SCI incidence and mortality rates, with an increased case lethality over the study period, especially in NTSCI. Given these changes in the epidemiology of SCI, community services offered after rehabilitation should be strengthened to enhance their effectiveness and contribute to increased survival in this population.
Identifiants
pubmed: 35933474
doi: 10.1038/s41393-022-00842-6
pii: 10.1038/s41393-022-00842-6
pmc: PMC9362101
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
99-105Informations de copyright
© 2022. The Author(s), under exclusive licence to International Spinal Cord Society.
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