Show simple item record

dc.contributor.authorKnútsdóttir, S
dc.contributor.authorThórisdóttir, H
dc.contributor.authorSigvaldason, K
dc.contributor.authorJónsson, H
dc.contributor.authorBjörnsson, A
dc.contributor.authorIngvarsson, P
dc.date.accessioned2012-08-09T15:33:06Z
dc.date.available2012-08-09T15:33:06Z
dc.date.issued2012-02
dc.date.submitted2012-08-12
dc.identifier.citationSpinal Cord 2012, 50(2):123-6en_GB
dc.identifier.issn1476-5624
dc.identifier.pmid21946442
dc.identifier.doi10.1038/sc.2011.105
dc.identifier.urihttp://hdl.handle.net/2336/238011
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links field.en_GB
dc.description.abstractSTUDY DESIGN: Retrospective population-based epidemiological study. OBJECTIVES: To assess the nationwide, population-based incidence, causes, age, gender, extent and prevalence of spinal cord injuries (SCIs) in Iceland from 1975 to 2009. SETTING: Landspitali University Hospital in Iceland, the single referral center for SCIs in Iceland. METHODS: A retrospective review of hospital records on all admissions due to SCIs. Analysis of incidence, causes, age, gender, extent of injury and prevalence. RESULTS: A total of 207 patients with traumatic spinal cord injury (TSCI) were admitted: males 72%, females 28%. The percentage of females with TSCI increased to 37% in 2000-2004. Mean age at injury was 38 years. Average incidence per million population per year was 30 in 1975-1979, 12.5 in 1995-1999 and 33.5 in 2005-2009. Thirty-day mortality was 6.3%. Causes of injury were road traffic accidents (RTA) in 42.5% of the cases; the majority did not use seatbelts. Falls amounted to 30.9%, with an increase of low falls among the elderly causing incomplete cervical lesions. Sport/leisure activities were the cause in 18.8%, of which 54% occurred after 2000. The main single cause of TSCI in sport/leisure were horse-riding accidents, followed by winter sport accidents, especially among women. Other causes constituted 7.7%. The injury was complete in 39%; cervical lesions were 57% and thoracic/lumbar lesions were 43%. In December 2009, the crude prevalence rate was 526 per million population. CONCLUSIONS: The findings showed a significant increase of TSCI in 2005-2009, especially in sport/leisure accidents and incomplete cervical lesions due to falls among elderly. Prevention strategies need to focus on these risk groups and on seatbelt use.
dc.description.sponsorshipLandspitali University Hospitalen_GB
dc.language.isoenen
dc.relation.urlhttp://dx.doi.org/10.1038/sc.2011.105en_GB
dc.rightsArchived with thanks to Spinal corden_GB
dc.subject.meshAccident Preventionen_GB
dc.subject.meshAccidental Fallsen_GB
dc.subject.meshAccidentsen_GB
dc.subject.meshAccidents, Trafficen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIcelanden_GB
dc.subject.meshIncidenceen_GB
dc.subject.meshLeisure Activitiesen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSeat Beltsen_GB
dc.subject.meshSpinal Cord Injuriesen_GB
dc.subject.meshYoung Adulten_GB
dc.titleEpidemiology of traumatic spinal cord injuries in Iceland from 1975 to 2009.en
dc.typeArticleen
dc.contributor.departmentLandspitali University Hospital, Reykjavík, Icelanden_GB
dc.identifier.journalSpinal corden_GB
dc.rights.accessLandspitali Access - LSH-aðganguren
dc.type.categorySjúkraþj, Heila-og taugaskurð, Bæklunarl, Endurhæfingarlæknen_GB
html.description.abstractSTUDY DESIGN: Retrospective population-based epidemiological study. OBJECTIVES: To assess the nationwide, population-based incidence, causes, age, gender, extent and prevalence of spinal cord injuries (SCIs) in Iceland from 1975 to 2009. SETTING: Landspitali University Hospital in Iceland, the single referral center for SCIs in Iceland. METHODS: A retrospective review of hospital records on all admissions due to SCIs. Analysis of incidence, causes, age, gender, extent of injury and prevalence. RESULTS: A total of 207 patients with traumatic spinal cord injury (TSCI) were admitted: males 72%, females 28%. The percentage of females with TSCI increased to 37% in 2000-2004. Mean age at injury was 38 years. Average incidence per million population per year was 30 in 1975-1979, 12.5 in 1995-1999 and 33.5 in 2005-2009. Thirty-day mortality was 6.3%. Causes of injury were road traffic accidents (RTA) in 42.5% of the cases; the majority did not use seatbelts. Falls amounted to 30.9%, with an increase of low falls among the elderly causing incomplete cervical lesions. Sport/leisure activities were the cause in 18.8%, of which 54% occurred after 2000. The main single cause of TSCI in sport/leisure were horse-riding accidents, followed by winter sport accidents, especially among women. Other causes constituted 7.7%. The injury was complete in 39%; cervical lesions were 57% and thoracic/lumbar lesions were 43%. In December 2009, the crude prevalence rate was 526 per million population. CONCLUSIONS: The findings showed a significant increase of TSCI in 2005-2009, especially in sport/leisure accidents and incomplete cervical lesions due to falls among elderly. Prevention strategies need to focus on these risk groups and on seatbelt use.


This item appears in the following Collection(s)

Show simple item record