Incidence of spinal cord injuries in Germany.
Epidemiology
Germany
Incidence
Spinal cord injury
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
received:
02
07
2022
accepted:
04
11
2022
revised:
09
09
2022
pubmed:
14
11
2022
medline:
16
2
2023
entrez:
13
11
2022
Statut:
ppublish
Résumé
The goal of this study was to provide recent data on incidence of spinal cord injuries (SCI) in Germany. The source of information was data collected via the mandatory submission of ICD-10 GM Codes by German public hospitals after patient discharge. Data from 2013 to 2020 were retrieved from the databases of the Federal Bureau of Statistics. ICD-10 Codes for acute SCI were identified. Statistical analysis was performed using Jamovi and Excel. A total of 10,360 patients were reported, of whom 58.7% suffered from a cervical, 30.8% a thoracic and 10.4% a lumbar lesion. Two peaks in incidence were observed at approximately 30 and 70 years old. A population-size-adjusted overall incidence of 15.73 (SD 0.77) per million per year was calculated. We calculated the incidences in several subpopulations and discovered significantly higher incidences among males and among those over the age of 60. We discovered that differences in age groups mainly concerned injuries of the upper spine, with the incidence in the lumbar spine being similar among age groups. In addition, we found that while the probability of suffering from SCI increases with age, the relative risk of suffering from a complete injury decreases. This study closes a long-lasting gap in epidemiological data regarding SCI in Germany, specifically by updating the incidence rates. We found that incidence depends on age, gender and type of lesion. We also provide some new angles for future research, especially considering the relative reduction in complete injuries among the elderly.
Identifiants
pubmed: 36371751
doi: 10.1007/s00586-022-07451-0
pii: 10.1007/s00586-022-07451-0
pmc: PMC9660155
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
601-607Informations de copyright
© 2022. The Author(s).
Références
Hughes JT (1988) The Edwin Smith surgical papyrus: an analysis of the first case reports of spinal cord injuries. Spin Cord 26(2):71–82. https://doi.org/10.1038/sc.1988.15
doi: 10.1038/sc.1988.15
Thietje R (2016) Epidemiologie, Ätiologie und Mortalität bei Querschnittlähmung. Neuroreha 08(3):105–109. https://doi.org/10.1055/s-0042-112079
doi: 10.1055/s-0042-112079
Thietje R, Kowald B, Schulz AP, Northmann M, Hirschfeld S (2018) Entstehungsursachen, Lebenserwartung und Todesursachen bei Menschen mit traumatischer Querschnittlähmung: eine monozentrische Analyse von 190 Fällen. Trauma Berufskrankh 20(2):151–156. https://doi.org/10.1007/s10039-018-0383-x
doi: 10.1007/s10039-018-0383-x
Thietje R, Kowald B, Böthig R et al (2022) Long-term survival and causes of death in patients below the age of 60 with traumatic spinal cord injury in Germany. J Clin Med 11(1):26. https://doi.org/10.3390/jcm11010026
doi: 10.3390/jcm11010026
Jazayeri SB, Beygi S, Shokraneh F, Hagen EM, Rahimi-Movaghar V (2015) Incidence of traumatic spinal cord injury worldwide: a systematic review. Eur Spine J 24(5):905–918. https://doi.org/10.1007/s00586-014-3424-6
doi: 10.1007/s00586-014-3424-6
Kang Y, Ding H, Zhou H et al (2017) Epidemiology of worldwide spinal cord injury: a literature review. JN 6:1–9. https://doi.org/10.2147/JN.S143236
doi: 10.2147/JN.S143236
Rahimi-Movaghar V, Sayyah MK, Akbari H et al (2013) Epidemiology of traumatic spinal cord injury in developing countries: a systematic review. NED 41(2):65–85. https://doi.org/10.1159/000350710
doi: 10.1159/000350710
Stephan K, Huber S, Häberle S et al (2015) Spinal cord injury–incidence, prognosis, and outcome: an analysis of the TraumaRegister DGU. Spine J 15(9):1994–2001
doi: 10.1016/j.spinee.2015.04.041
Exner G (2004) Der Arbeitskreis „Querschnittlähmungen“ des Hauptverbandes der gewerblichen Berufsgenossenschaften in Deutschland. Trauma Berufskrankh 6(2):147–151. https://doi.org/10.1007/s10039-004-0877-6
doi: 10.1007/s10039-004-0877-6
BfArM: ICD-10-GM Version 2022. Accessed May 30, 2022. https://www.dimdi.de/static/de/klassifikationen/icd/icd-10-gm/kode-suche/htmlgm2022/ . Accessed 20 May 2022
ICD-10 Version 2010. https://icd.who.int/browse10/2010/en#/XIX . Accessed 2 June 2022
Lakens D (2013) Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol 4:863. https://doi.org/10.3389/fpsyg.2013.00863
doi: 10.3389/fpsyg.2013.00863
Roberts TT, Leonard GR, Cepela DJ (2017) Classifications in brief: American spinal injury association (ASIA) Impairment Scale. Clin Orthop Relat Res 475(5):1499–1504. https://doi.org/10.1007/s11999-016-5133-4
doi: 10.1007/s11999-016-5133-4
Mulcahey MJ, Gaughan J, Betz RR, Johansen KJ (2007) The international standards for neurological classification of spinal cord Injury: reliability of data when applied to children and youths. Spinal Cord 45(6):452–459. https://doi.org/10.1038/sj.sc.3101987
doi: 10.1038/sj.sc.3101987
Mulcahey MJ, Gaughan JP, Chafetz RS, Vogel LC, Samdani AF, Betz RR (2011) Interrater reliability of the international standards for neurological classification of spinal cord injury in youths with chronic spinal cord injury. Arch Phys Med Rehabil 92(8):1264–1269. https://doi.org/10.1016/j.apmr.2011.03.003
doi: 10.1016/j.apmr.2011.03.003
Yang R, Guo L, Wang P et al (2014) Epidemiology of spinal cord injuries and risk factors for complete injuries in Guangdong, China: a retrospective study. PLoS ONE 9(1):e84733. https://doi.org/10.1371/journal.pone.0084733
doi: 10.1371/journal.pone.0084733
Nijendijk JH, Post MW, van Asbeck FW (2014) Epidemiology of traumatic spinal cord injuries in the Netherlands in 2010. Spin Cord 52(4):258–263. https://doi.org/10.1038/sc.2013.180
doi: 10.1038/sc.2013.180
Smith É, Fitzpatrick P, Lyons F, Morris S, Synnott K (2019) Prospective epidemiological update on traumatic spinal cord injury in Ireland. Spin Cord Ser Cases 5(1):1–4. https://doi.org/10.1038/s41394-019-0152-5
doi: 10.1038/s41394-019-0152-5
Chamberlain JD, Deriaz O, Hund-Georgiadis M, Meier S, Scheel-Sailer A, Schubert M, Stucki G, Brinkhof MW (2015) Epidemiology and contemporary risk profile of traumatic spinal cord injury in Switzerland. Inj Epidemiol 2(1):28. https://doi.org/10.1186/s40621-015-0061-4
doi: 10.1186/s40621-015-0061-4
Maleitzke T, Pumberger M, Gerlach UA, Herrmann C, Slagman A, Henriksen LS, von Mauchenheim F, Hüttermann N, Santos AN, Fleckenstein FN, Rauch G, Märdian S, Perka C, Stöckle U, Möckel M, Lindner T, Winkler T (2021) Impact of the COVID-19 shutdown on orthopedic trauma numbers and patterns in an academic Level I Trauma Center in Berlin. Germany PLoS One 16(2):e0246956. https://doi.org/10.1371/journal.pone.0246956
doi: 10.1371/journal.pone.0246956