Survival after non-traumatic spinal cord injury: evidence from a population-based rehabilitation cohort in Switzerland View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-11-09

AUTHORS

A. Buzzell, J. D. Chamberlain, H. P. Gmünder, K. Hug, X. Jordan, M. Schubert, M. W. G. Brinkhof,

ABSTRACT

Study designObservational cohort study.ObjectiveTo investigate survival and life expectancy after NTSCI in Switzerland according to etiology.SettingSpecialized rehabilitation centers in Switzerland.MethodsLongitudinal data from the Swiss Spinal Cord Injury (SwiSCI) medical records study were used. Adjusted hazard ratios (HRs) and life expectancies were estimated using flexible parametric survival modeling.ResultsOne thousand four hundred and fifty individuals were admitted to first rehabilitation for NTSCI between 1990 and 2011, contributing 6137 cumulative person-years at risk and 528 deaths. With reference to persons with a degenerative disc disorder, the HR for mortality in individuals with NTSCIs from infections was 1.42 (95% CI 0.99–2.04), while risk in those with NTSCIs from vascular disorders was 1.28 (95% CI 0.97–1.68). Mortality risk was most pronounced in individuals with NTSCIs from malignant neoplasms (HR 6.32, 95% CI 4.79–8.34). Exemplified for males with an attained age of 60 years, a malignant etiology was associated with 1.7 life years remaining (LYR), as compared to 10.1 LYR for non-malignant etiologies. Males with an attained age of 60 years and a degenerative disc etiology were estimated to have 12.9 LYR.ConclusionsThis study contributes an evidence base for risk factors of mortality after NTSCI, reducing a considerable knowledge gap in survival after NTSCI. Survival and life expectancy estimates were highly differential between etiological groups, indicating a need for a heterogeneous clinical approach and dynamic health-care provisions for this growing population. More... »

PAGES

267-275

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41393-018-0212-x

DOI

http://dx.doi.org/10.1038/s41393-018-0212-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1109799966

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30413804


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