Article

OBJECTIVES: To determine estimates of the incidence and prevalence of traumatic
spinal cord injury (TSCI) in Australia as of June 30, 2011.
DESIGN: Population
modeling using cohort survival. SETTING: Australia.
PARTICIPANTS: Hospital data
regarding people with TSCI in Australia. INTERVENTIONS: Modeling using the
following data: 2 population-based databases of hospital separations of patients
with TSCI, giving upper and lower estimates of incidence; national population
profiles and life tables; levels of TSCI based on Australian Spinal Cord Injury
Registry; and life expectancy for persons with spinal cord injury under 3
scenarios--1 constant and 2 with a trend standardized mortality ratio (SMR). MAIN
OUTCOME MEASURES: Age- and sex-specific incidence and prevalence estimates.
RESULTS: The lower estimate of incidence was 21.0 per million population per
year, and the upper estimate was 32.3 per million population per year. The
derived prevalence rates ranged from 490 per million population (10,944
persons--lower incidence, trend SMR with survival from 1948) up to 886 per
million population (19,784 persons--higher incidence, constant SMR). The
prevalence was highest in males, persons aged 46 to 60 years, and those with
tetraplegia. CONCLUSIONS: We have reported a method for calculating an estimate
of the prevalence of TSCI which provides information that will be vital to
optimize health care planning for this group of highly disabled members of
society.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS