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Q: Spinal cord injury - Incidence and Prevelence - US and Europe ( Answered 5 out of 5 stars,   1 Comment )
Question  
Subject: Spinal cord injury - Incidence and Prevelence - US and Europe
Category: Health > Conditions and Diseases
Asked by: crystal4290-ga
List Price: $25.00
Posted: 21 Jun 2004 22:23 PDT
Expires: 21 Jul 2004 22:23 PDT
Question ID: 364371
I need to know the annual incidence and prevelence of - Spinal cord injury
US and Europe.  I prefer the most recent year possible, but need the
incidence for any one year from 1998 or later, if that is possible. 
If that is not possible, let me know what year you can get it for.

It will be helpful to know the different age group with the disease,
if that is possible.

As for the European nations, France, Germany, Italy, UK,
Netherlands...and any others that you might be able to add in.

Thank you for your help!
Answer  
Subject: Re: Spinal cord injury - Incidence and Prevelence - US and Europe
Answered By: bobbie7-ga on 22 Jun 2004 17:23 PDT
Rated:5 out of 5 stars
 
Hi Crystal4290!

Below you will find the results of my research for the incidence and
prevalence of Spinal Cord Injuries.


Spinal Cord Injury in the U.S.
December, 2003

Incidence: 

?It is estimated that the annual incidence of spinal cord injury
(SCI), not including those who die at the scene of the accident, is
approximately 40 cases per million population in the U. S. or
approximately 11,000 new cases each year. Since there have not been
any overall incidence studies of SCI in the U.S. since the 1970's it
is not known if incidence has changed in recent years.?

Prevalence: 

?The number of people in the United States who are alive in December
2003 who have SCI has been estimated to be approximately 243,000
persons, with a range of 219,000 to 279,000 persons.?

(..)

Age at injury: 

?SCI primarily affects young adults. Fifty-three percent of SCIs occur
among persons in the 16 to 30 year age group, and the average age at
injury is 32.6 years. Since 1973 there has been an increase in the
mean age at time of injury. Those who were injured before 1979 had a
mean age of 28.6 while those injured after 2000 had a mean age of 35.9
years. Another trend is an increase in the proportion of those who
were at least 61 years of age at injury. In the 1970's persons older
than 60 years of age at injury comprised 4.7% of the database. Since
2000 this has increased to 11.4% of new injuries. This trend is not
surprising since the median age of the general population has
increased from 27.9 years to 35.3 years during the same time period.?

There are interesting pie charts and tables regarding Spinal Cord
Injury in this publication.
http://www.spinalcord.uab.edu/show.asp?durki=21446
University of Alabama at Birmingham: December 2003


-------------------------------------------------------------------------------

USA - 2001

?The incidence of spinal cord injury (SCI) in the United States is
approximately 10,000 new cases each year or 32 to 35 persons per
million population. Because persons with SCI are surviving longer, the
prevalence has been increasing and is now above 200,000 persons in the
US. Despite being relatively uncommon, SCI is very expensive to treat
incurring enormous costs for acute medical care, rehabilitation,
medications and supplies, modification to home and vehicles, and
personal assistance. SCI is the most expensive condition among all
causes for hospitalization.?
AHRQ Publication
http://www.ahrq.gov/clinic/epcsums/spinalsum.htm


-------------------------------------------------------------------------------


At what age do spinal cord injuries typically occur?

?Because spinal cord injuries often occur in adolescence and early
adulthood, survivors frequently face decades of living with the
physical, emotional, and financial consequences of severe disability.
The highest incidence of spinal cord injury (SCI) occurs in young
while males 15 to 25 years of age, with a male-to-female ratio of
4:1.?

Voice of the Injured 
http://www.voiceoftheinjured.com/spinal.html


-------------------------------------------------------------------------------


International Campaign for Cures of Spinal Cord
Injury Paralysis (ICCP)
Global Summary Of Spinal Cord Injury, Incidence And Economic Impact.
Written and compiled for the ICCP March 2001

?Spinal cord injury (SCI) is a global epidemic. Based on conservative
average annual incidence of 14 people / million population in the
western and developing world it is estimated that over 92,000 people
each year survive a traumatic spinal cord injury and begin a ?new and
different life? bound to a wheelchair for 40 years or more.?

?With an average age at injury of 33.4 years and most injuries
occurring at the age of 19 and life expectancy diminished only by an
average less than 10 %, and advances in health maintenance and
emergency healthcare, it is clear that the population of people living
with SCI is steadily increasing around the world.?

?By 2005 close to 500,000 NEW injuries will swell the total world
population of people living with spinal cord injury induced paralysis
to over 2.5 million .?

?The table below summarizes the epidemiological information presently
available from published studies regarding the incidence of Spinal
Cord Injury.?

?With approximately 200 independent nations around the globe, and
published epidemiology studies for SCI limited to a handful of nations
it is difficult to establish a completely accurate picture.
Nonetheless, it is possible to extrapolate figures from published
studies in order to develop some basis for a global SCI incidence.?

------------------------------------------------------------------
Country   Population   Injuries   Ratio      Population estimated
          (millions)    annum     million    living with SCI
------------------------------------------------------------------
USA        (260)        10000     (40)           250,000
CANADA      (30)          843     (27)            30,000
UK          (59)          700     (12)            35,000
GERMANY     (81)         1500    (18.5)
NETHERLANDS (16)          439      -              11,864
ITALY       (58)          700     (12)
RHONE ALPS
FRANCE       
Regional     -            -       (12.7)
DENMARK
Regional     -            -        (9.2)
------------------------------------------------------------------

Source:
The ?International Campaign for Cures of Spinal Cord Injury Paralysis? (ICCP)
http://www.campaignforcure.org/ICCP%20Info%20pack%20612.pdf


-------------------------------------------------------------------------------


From the Parliamentary Assembly Council of Europe ? April 2002:

? The Parliamentary Assembly notes with concern that there are
estimated to be at least 330 000 people living with spinal cord injury
(paraplegia and tetraplegia) in the member states of the Council of
Europe, with about 11 000 new cases every year. Some 40% to 50% of
these injuries are the result of road accidents and most occur at a
young age.?

Parliamentary Assembly Council of Europe
http://assembly.coe.int/Documents/AdoptedText/ta02/EREC1560.htm
Parliamentary Assembly Council of Europe
http://assembly.coe.int/Documents/WorkingDocs/doc02/EDOC9401.htm

-------------------------------------------------------------------------------


Sweden 2002

?The annual incidence of spinal cord injury in the United States is
3-5 per 100,000 and in Sweden is 1.5-2 per 100,000. This translates to
11,000 new cases of traumatic spinal cord injury in the US and 150 in
Sweden each year. ?
http://diss.kib.ki.se/2002/91-7349-235-3/

-------------------------------------------------------------------------------


1998

?In many European, American or Australasian population, the incidence of spinal
cord injury occurs at about 30 to 50 cases per million per year.?
http://www.wjh.harvard.edu/~rajendra/Winkler'00%20.pdf


-------------------------------------------------------------------------------


Europe
?Approximately 11,000 new cases are seen each year in Europe.? 


Australia
?In Australia, 13.6 new cases per million people were reported for the
year 2000-01, a total of 259 new spinal cord injuries.?

School of Biomedical Sciences, Monash University: Nov 2003
http://moncommercial.com/Business_Opportunities/pdf's/SpinalCordInjury.pdf


-------------------------------------------------------------------------------

UK ? 2000

?In the UK during the year 2000 there were 666 new patient admissions
to a Spinal Injury Centre, as a result from a traumatic spinal cord
injury in the UK and Ireland.?

You may view pie charts of  facts & figures traumatic spinal cord injury here:
http://www.apparelyzed.com/statistics.html


-------------------------------------------------------------------------------


The UK 1997-1998

?Information on the incidence of spinal cord injury is not held
centrally. However, estimates based upon the number of hospital
admissions suggest that there are about 400 new cases of spinal cord
injury in England each year. We know this figure is an overestimate,
since spinal injury patients who are transferred to Spinal Injuries
Units in other trusts will count as two admissions.?
The Parliament
http://www.parliament.the-stationery-office.co.uk/pa/cm199798/cmhansrd/vo980720/text/80720w17.htm


-------------------------------------------------------------------------------


France: January 2000

?The most frequent cause of paraplegias is represented by the
medullary traumatisms, whose annual incidence is estimated at 32 for a
million.?

« La cause la plus fréquente des paraplégies est représentée par les
traumatisms médullaires, dont l?incidence annuelle est estimée à 32
pour un million. »
http://www.irme.org/report/attal13.pdf


--------------------------------------------------------------------------


Canada

? Incidence of Spinal Cord Injury in Canada: 35 per year per million 
population (not including non-deficit or fatal injuries).  There are
an estimated 900 Canadians who sustain a spinal cord injury each year.
 On average, of the newly injured clients reffered to the CPA each
year  80% are male, 50% are paraplegic and 50% are quadriplegic.?
http://www.island.net/~bcpa/sci.html
http://www.canparaplegic.org/national/level2.tpl?var1=story&var2=8.00


-------------------------------------------------------------------------------


South Africa 
 
?While there are no statistics for South Africa, it is estimated that
every year between 400-500 South Africans sustain a spinal cord
injury. A spinal cord injury can happen to anyone: young children,
mothers and fathers of young children, teenagers, older people ...
most with active lives still before them. However, most of the people
who sustain a spinal cord injury are aged between 15 and 29. For every
injured female, there are five injured males.?
http://quad.stormnet.co.za/info.htm


--------------------------------------------------------------------------


Additional information that may interest you:


The British Association of SCI Specialists survey that took place
between June and September 2003 provides the following information
gathered from patients:
-Level and type of injury
-Time since injury
-Admissions to local hospitals.
-Preference for local vs SCI Centre management of conditions related
and unrelated to SCI
-Problems encountered at local hospital.
-Advantages of being treated in a SCI center.

You may review the results of this survey at the following link:
http://www.bascis.pwp.blueyonder.co.uk/NSF-Webpage.htm



Search criteria:
Spinal cord injury incidence
Spinal cord injury incidence Europe
Spinal cord injury prevalence OR incidence site:UK
"Incidence of spinal cord injury" site:UK
International Spinal cord injury
"of Spinal cord injury"
"of Spinal cord injury" incidence
"* of spinal cord injury" France OR Germany OR Netherlands OR Italy


I hope you find this information useful!
 

Best regards,
Bobbie7
crystal4290-ga rated this answer:5 out of 5 stars and gave an additional tip of: $5.00
Excellent information - and speedy reply!  Great job!

Comments  
Subject: Re: Spinal cord injury - Incidence and Prevelence - US and Europe
From: bobbie7-ga on 22 Jun 2004 19:13 PDT
 
Thank you for the nice rating and tip!
--Bobbie7

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