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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
Non-Traumatic Spinal Cord Injury
Traumatic Spinal Cord injury
Australasian Rehabilitation Outcomes Centre
Functional Independence Measure
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.
DOI: 10.1038/sc.2010.77
PubMed URL:
ISSN: 1362-4393
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

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