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Tytuł pozycji:

Relationship Between Level of Economic Development, Age, and Etiology of Spinal Cord Injury: A Cross-Sectional Survey From 22 Countries.

Tytuł:
Relationship Between Level of Economic Development, Age, and Etiology of Spinal Cord Injury: A Cross-Sectional Survey From 22 Countries.
Autorzy:
Tederko P; Department of Rehabilitation, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland. Electronic address: .
Middleton J; John Walsh Centre for Rehabilitation Research, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Mycielski J; Department of Econometrics and Statistics, Faculty of Economics, University of Warsaw, Warsaw, Poland.
Joseph C; Division of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Pagliacci MC; Spinal Cord Injury Unit, Perugia Regional Hospital, Perugia, Italy.
Rapidi CA; PRM Department, General Hospital 'G. Gennimatas', Athens, Greece.
Tarnacka B; Department of Rehabilitation, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Kujawa J; Department of Medical Rehabilitation, Faculty of Health Sciences, Medical University of Lodz, Lodz, Poland.
Źródło:
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2021 Oct; Vol. 102 (10), pp. 1947-1958.e37. Date of Electronic Publication: 2021 Jun 11.
Typ publikacji:
Journal Article; Multicenter Study
Język:
English
Imprint Name(s):
Original Publication: Philadelphia, PA : W.B. Saunders
MeSH Terms:
Economic Development*
Spinal Cord Injuries/*etiology
Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Surveys and Questionnaires ; Young Adult
Contributed Indexing:
Keywords: Causality; Gross domestic product; Odds ratio; Rehabilitation; Spinal cord injuries
Entry Date(s):
Date Created: 20210613 Date Completed: 20211011 Latest Revision: 20211011
Update Code:
20240105
DOI:
10.1016/j.apmr.2021.04.024
PMID:
34119460
Czasopismo naukowe
Objective: To examine relationships between age and spinal cord injury (SCI) and cause of SCI and how this depends on economic development.
Design: Cross-sectional survey.
Setting: Community, 22 countries representing all stages of economic development.
Participants: A total of 12,591 adults with SCI (N=12,591).
Interventions: Not applicable.
Main Outcome Measures: Interactions between age at injury and gross domestic product per capita based on purchasing power parity (GDP PPP) quartiles calculated with the application of logistic regression with the Maximum Likelihood estimator. Independence between SCI cause and age was assessed with the Wald test.
Results: In persons with traumatic SCI, younger age was associated with a higher likelihood of injury in motor vehicle collisions, whereas older individuals had a greater chance of SCI due to falls. Associations between increased likelihood of high-energy traumatic SCI and younger age, low-energy traumatic SCI with older age, nontraumatic SCI with older age in persons injured in adulthood, and a higher prevalence of incomplete SCI lesions in individuals injured at an older age were revealed. Higher GDP PPP influenced positively the likelihood of low-energy SCI in older individuals and was negatively associated with the chance of sustaining SCI in motor vehicle collisions and the likelihood of having nontraumatic SCI at an older age.
Conclusions: SCI in older age is predominantly because of falls and nontraumatic injuries. Higher country income is associated with an increased proportion of SCI sustained later in life because of low-energy trauma involving cervical injury and a lower chance of being because of motor vehicle collisions. An increased prevalence of nontraumatic SCI in older individuals associated with lower country income may reflect a higher exposure to socially preventable conditions and lower access to or efficacy of health care. Future studies on etiology of SCI should make the distinction between low and high falls and overcome underrepresentation of older persons.
(Copyright © 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)

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