Original researchChanging Demographics and Injury Profile of New Traumatic Spinal Cord Injuries in the United States, 1972–2014
Section snippets
Participants
The NSCID contains baseline and follow-up information on persons with traumatic SCI who received initial hospital care from 1 of the 28 SCIMS centers since the early 1970s; it historically captures data from approximately 13% of new SCIs in the United States.11 To be qualified for the NSCID, individuals must (1) have sustained an SCI due to a traumatic event; (2) reside in the geographic catchment area of the SCIMS center at injury; (3) be admitted to the SCIMS center within 1 year of injury;
Demographic profile
The average age at injury increased from 28.7 years in the 1970s to 42.2 years during 2010 to 2014 (table 1). The trend toward increasing age at injury was noted for both sexes and all races, with the greatest increase in white females, followed by white males, Hispanic females, black females, Hispanic males, and black males (table 2). The gradual increase in age at injury was observed within all etiology groups except acts of violence.
The percentage of new SCI cases who were members of a
Discussion
Analysis of the demographic and injury profile of traumatic SCI enrolled in the NSCID over the last 5 decades reveals new findings, including progressive increases in motor incomplete injuries, age-specific single/never married status, and education level. Previously reported trends, including increasing age at injury and proportions of racial minorities, fall etiology, and higher cervical injuries across decades, were continued to 2014 among various age, sex, race, and etiology groups. Below
Conclusions
Demographic and injury trends in new SCIs call for greater involvement of experts in gerontology and geriatrics and intercultural competency of clinical teams during acute and rehabilitation care for SCI. Educational materials that portray SCI cases as men in their teens and early 20s need to be updated. Prevention efforts should incorporate multidimensional risk assessments, especially to reduce falls and associated SCI in older adults.
Supplier
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SAS v9.3; SAS Institute Inc.
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Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) (grant no. 90DP0011). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
Disclosures: none.