TY - JOUR
T1 - Incidence trends of traumatic spinal cord injury and traumatic brain injury in Spain, 2000-2009
AU - Pérez, Katherine
AU - Novoa, Ana M.
AU - Santamariña-Rubio, Elena
AU - Narvaez, Yislenz
AU - Arrufat, Vita
AU - Borrell, Carme
AU - Cabeza, Elena
AU - Cirera, Eva
AU - Ferrando, Josep
AU - García-Altés, Anna
AU - Gonzalez-Luque, Juan Carlos
AU - Lizarbe, Vicenta
AU - Martin-Cantera, Carlos
AU - Seguí-Gómez, María
AU - Suelves, Josep M.
N1 - Funding Information:
This study has been conducted by the Working Group for the Study of Injuries of the Spanish Society of Epidemiology. Thanks to Mª Antonia Astorga and Mariví Librada (Dirección General de Salud Pública, Ministerio de Sanidad, Política Social e Igualdad), Mar Cogollos (Asociación para el Estudio de la Lesión Medular Espinal, AESLEME), and Pilar Zori (Observatorio Nacional de Seguridad Vial, Dirección General de Tráfico). Thanks also to Rogelio Cózar and Mª Angeles Gogorcena (Instituto de Información Sanitaria, Ministerio de Sanidad, Política Social e Igualdad), Araceli Díaz (Servicio Andaluz de Salud) for providing access to the databases, to Mercè Blasco (Hospital Vall Hebron, Barcelona), Salvi Prat (Hospital Clinic, Barcelona), Monserrat Bernabeu and Joan Vidal (Institut Guttman). This work was partially supported by the Dirección General de Salud Pública del Ministerio de Sanidad, Política Social e Igualdad.
PY - 2012/5
Y1 - 2012/5
N2 - Aims: The aim of the present study was to estimate the incidence of hospital discharges for traumatic spinal cord injury (TSCI) and traumatic brain injury (TBI) in Spain by injury circumstances (traffic crashes and others), injury severity, gender and age group and to describe its trends over the period 2000-2009. Methods: It is a study of trends that includes hospital discharges with a primary diagnosis of TSCI or TBI. Crude and age-standardised rates were calculated per million inhabitants. Changes in rates between 2000 and 2009 were assessed through calculation of the relative risk adjusted for age, using Poisson regression. Results: Between 2000 and 2009 in Spain, 10,274 patients were admitted for traumatic TSCI, and 206,503 for TBI. The annual incidence rate for TSCI was 23.5 per million, that for TBI was 472.6 per million. The overall incidence rate for TSCI fell significantly between 2000 and 2009 by 24.2% (traffic-related 40.9%, other 12.9%), as did that for TBI (23.8% overall, 60.2% traffic-related, with no change for other circumstances). Among people aged 65 years and over, no change was observed for TSCI, incidence of TBI fell significantly when due to traffic crashes, but there was a dramatic increase of 87% in men and 89.3% in women when due to other circumstances. Conclusions: Over the last decade the incidence of these types of injury has fallen significantly when the injury resulted from traffic crashes, and to a lesser extent when from other circumstances. However TBI incidence among people aged 65 and over injured in non-traffic-related circumstances has risen dramatically.
AB - Aims: The aim of the present study was to estimate the incidence of hospital discharges for traumatic spinal cord injury (TSCI) and traumatic brain injury (TBI) in Spain by injury circumstances (traffic crashes and others), injury severity, gender and age group and to describe its trends over the period 2000-2009. Methods: It is a study of trends that includes hospital discharges with a primary diagnosis of TSCI or TBI. Crude and age-standardised rates were calculated per million inhabitants. Changes in rates between 2000 and 2009 were assessed through calculation of the relative risk adjusted for age, using Poisson regression. Results: Between 2000 and 2009 in Spain, 10,274 patients were admitted for traumatic TSCI, and 206,503 for TBI. The annual incidence rate for TSCI was 23.5 per million, that for TBI was 472.6 per million. The overall incidence rate for TSCI fell significantly between 2000 and 2009 by 24.2% (traffic-related 40.9%, other 12.9%), as did that for TBI (23.8% overall, 60.2% traffic-related, with no change for other circumstances). Among people aged 65 years and over, no change was observed for TSCI, incidence of TBI fell significantly when due to traffic crashes, but there was a dramatic increase of 87% in men and 89.3% in women when due to other circumstances. Conclusions: Over the last decade the incidence of these types of injury has fallen significantly when the injury resulted from traffic crashes, and to a lesser extent when from other circumstances. However TBI incidence among people aged 65 and over injured in non-traffic-related circumstances has risen dramatically.
KW - Epidemiology
KW - Spinal cord injury
KW - Traffic accidents
KW - Trauma
KW - Traumatic brain injury
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U2 - 10.1016/j.aap.2011.12.004
DO - 10.1016/j.aap.2011.12.004
M3 - Article
C2 - 22310041
AN - SCOPUS:84855904483
SN - 0001-4575
VL - 46
SP - 37
EP - 44
JO - Accident Analysis and Prevention
JF - Accident Analysis and Prevention
ER -