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30.05.2019 | Original article

Excess burden of a chronic disabling condition: life lost due to traumatic spinal cord injury in a Swiss population-based cohort study

verfasst von: Jonviea D. Chamberlain, Anne Buzzell, Hans Peter Gmünder, Kerstin Hug, Xavier Jordan, André Moser, Martin Schubert, Marcel Zwahlen, Martin W. G. Brinkhof, for the SwiSCI cohort study and the Swiss National Cohort

Erschienen in: International Journal of Public Health | Ausgabe 7/2019

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Abstract

Objectives

To estimate excess mortality and life years lost in a Swiss cohort of individuals with traumatic spinal cord injury (TSCI).

Methods

This study uses population-based data collected in the Swiss Spinal Cord Injury Cohort (SwiSCI) study, which covers all specialized rehabilitation centres. Flexible parametric survival models were used to model life years remaining (LYR), potential years life lost (PYLL), relative survival and excess hazard ratios.

Results

Men and women with TSCI and an attained age of 30 were estimated to have 42 LYR (95% CI = 37.9–45.5) and 43 LYR (95% CI = 40.1–45.5), respectively; this equates to a life expectancy (LE) of 80.6 and 76.9% of that of the Swiss general population. With respect to lesion level and completeness, persons with incomplete paraplegia had 45.1 LYR at an attained age of 30, whereas individuals with complete tetraplegia only had 28.7 LYR. This pattern was similar for PYLL.

Conclusions

The extended LE following TSCI, even for the most severe lesions, underscores the need for sustained follow-up to support functioning and health for individuals ageing with SCI.

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Titel: Excess burden of a chronic disabling condition: life lost due to traumatic spinal cord injury in a Swiss population-based cohort study
verfasst von: Jonviea D. Chamberlain
Anne Buzzell
Hans Peter Gmünder
Kerstin Hug
Xavier Jordan
André Moser
Martin Schubert
Marcel Zwahlen
Martin W. G. Brinkhof
for the SwiSCI cohort study and the Swiss National Cohort
Publikationsdatum: 30.05.2019
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 7/2019
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01265-6

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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