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Title: | A population-based study comparing traumatic spinal cord injury and non-traumatic spinal cord injury using a national rehabilitation database. |
Epworth Authors: | New, Peter |
Other Authors: | Simmonds, F. Stevermuer, T. |
Keywords: | Spinal Cord Injuries NT-SCI Non-Traumatic Spinal Cord Injury T-SCI Traumatic Spinal Cord injury Australasian Rehabilitation Outcomes Centre Functional Independence Measure FIM Epworth-Monash Rehabilitation Medicine Unit, Australia. |
Issue Date: | Mar-2011 |
Citation: | Spinal Cord. 2011 Mar;49(3):397-403 |
Abstract: | STUDY DESIGN: A limitation of many studies of non-traumatic spinal cord injury (NT-SCI) and traumatic spinal cord injury (T-SCI) is potential lack of generalizability because of selection bias. An open cohort study using a national rehabilitation database was planned to address this. OBJECTIVE: To compare the demographic characteristics and outcomes between NT-SCI and T-SCI patients. SETTING: Rehabilitation hospitals in Australia. METHODS: The Australasian Rehabilitation Outcomes Centre maintains a national database of information on in-patients admitted to almost all (130/145 as at 2006) public and private rehabilitation hospitals in Australia. It collects a range of demographic and clinical outcomes. Patients were included if they were discharged between 1 January 2002 and 31 December 2006. Patients were excluded if they were admitted for <7 days, only for assessment or were a readmission. RESULTS: There were 3610 patients included (NT-SCI, n=2241, 62.1%; T-SCI, n=1361, 37.7%). There were numerous significant differences between NT-SCI and T-SCI patients. NT-SCI patients were generally older (median age NT-SCI 67 years vs T-SCI 46 years, P=0.000), less likely to be male (male NT-SCI 52.5% vs T-SCI 71.6%, P=0.000) and had a shorter length of stay (median NT-SCI 21 days vs T-SCI 44 days, P=0.000). NT-SCI patients were also less disabled than T-SCI patients, having higher Functional Independence Measure motor subscale score on admission (median NT-SCI 53 vs T-SCI 38, P=0.000) and discharge (median NT-SCI 76 vs T-SCI 74, P=0.000). CONCLUSION: Previous demographic studies of NT-SCI and T-SCI patients are similar to our population-based results. More population-based research in SCI is required. |
URI: | http://hdl.handle.net/11434/640 |
DOI: | 10.1038/sc.2010.77 |
PubMed URL: | http://www.ncbi.nlm.nih.gov/pubmed/20603631 |
ISSN: | 1362-4393 1476-5624 |
Journal Title: | Spinal Cord |
Type: | Journal Article |
Affiliated Organisations: | Spinal Rehabilitation Unit, Caulfield Hospital, Caulfield, Victoria, Australia |
Type of Clinical Study or Trial: | Comparative Study |
Appears in Collections: | Neurosciences Rehabilitation |
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