The aims of this study were to examine long-term survival in a population-based sample of spinal cord injury (SCI) survivors in Great Britain, identify risk factors contributing to deaths and explore trends in cause of death over the decades following SCI.
Current survival status was successfully identified in 92.3% of the study sample.
Standardised mortality ratios (SMRs) were calculated and compared with a similar USA study.
Relative risk ratio analysis showed that higher mortality risk was associated with higher neurologic level and completeness of spinal cord injury, older age at injury and earlier year of injury.
For the entire fifty year time period, the leading cause of death was related to the respiratory system ; urinary deaths ranked second followed by heart disease related deaths, but patterns in causes of death changed over time.
In the early decades of injury, urinary deaths ranked first, heart disease deaths second and respiratory deaths third.
In the last two decades of injury, respiratory deaths ranked first, heart related deaths were second, injury related deaths ranked third and urinary deaths fourth.
This study also raises the question of examining alternative neurological groupings for future mortality risk analysis.
Mots-clés Pascal : Traumatisme, Moelle épinière, Symptomatologie, Tétraplégie, Paraplégie, Evaluation, Epidémiologie, Facteur risque, Mortalité, Long terme, Analyse quantitative, Pronostic, Homme, Système nerveux pathologie, Système nerveux central pathologie, Moelle épinière pathologie, Trouble neurologique, Trouble moteur
Mots-clés Pascal anglais : Trauma, Spinal cord, Symptomatology, Tetraplegia, Paraplegia, Evaluation, Epidemiology, Risk factor, Mortality, Long term, Quantitative analysis, Prognosis, Human, Nervous system diseases, Central nervous system disease, Spinal cord disease, Neurological disorder, Motor system disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0216550
Code Inist : 002B16B. Création : 11/09/1998.