Life expectancy after spinal cord injury: a 50-year study

Spinal Cord
J W MiddletonS Duong

Abstract

Cohort of incident cases from 1955 to 2006. To analyse acute and long-term mortality, estimate life expectancy and identify survival patterns of individuals experiencing traumatic spinal cord injury (SCI). Specialised SCI unit in Australia. Data for patients with traumatic SCI admitted to a spinal unit in Sydney, Australia between January 1955 and June 2006 were collated and deaths confirmed. Cumulative survival probability was estimated using life-table techniques and mortality rates were calculated from the number of deaths and aggregate years of exposure. Standardised mortality ratios (SMRs) were estimated from the ratio of observed to expected number of deaths. Life expectancy was then estimated using adjusted attained age-specific mortality rates. From 2014 persons, 88 persons with tetraplegia (8.2%) and 38 persons with paraplegia (4.1%) died within 12 months of injury, most often with complete C1-4 tetraplegia. Among first-year survivors, overall 40-year survival rates were 47 and 62% for persons with tetraplegia and paraplegia, respectively. The most significant increases in mortality were seen in those with tetraplegia and American Spinal Injury Association Impairment Scale (AIS) grades A-C lesions, with SMRs between 5....Continue Reading

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Citations

Oct 9, 2013·Spinal Cord·R ShavelleJ Brooks
Sep 4, 2013·Spinal Cord·J Walsh, J Middleton
Oct 29, 2013·Archives of Physical Medicine and Rehabilitation·Yue CaoMichael J Devivo
Nov 28, 2013·Archives of Physical Medicine and Rehabilitation·Apurba BarmanRaji Thomas
Aug 22, 2013·Journal of Neurotrauma·Terje SundstrømKnut Wester
Feb 18, 2014·Archives of Physical Medicine and Rehabilitation·Juleen RodakowskiMichael L Boninger
May 20, 2014·The Journal of Thoracic and Cardiovascular Surgery·Yukihiro HayatsuYoshikatsu Saiki
Feb 2, 2016·Current Opinion in Critical Care·Gentle S ShresthaDiptesh Aryal
Jun 5, 2015·Archives of Physical Medicine and Rehabilitation·Jordan C BrooksCynthia L Harrison-Felix
Sep 15, 2014·Archives of Physical Medicine and Rehabilitation·Peter Wayne NewVanessa K Noonan
Oct 5, 2013·The Journal of Spinal Cord Medicine·Liis SabreJanika Kõrv
Jun 27, 2014·The Journal of Spinal Cord Medicine·Anthony F DiMarco, Neal V Dawson
Nov 29, 2014·Health & Social Care in the Community·Michele FosterJennifer Fleming
Dec 6, 2014·Topics in Spinal Cord Injury Rehabilitation·Jesse LiebermanLyn Steffen
Jan 27, 2015·Archives of Physical Medicine and Rehabilitation·Robert M ShavelleDavid R Paculdo
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Sep 25, 2017·The Journal of Pharmacology and Experimental Therapeutics·Natalie E Scholpa, Rick G Schnellmann
Aug 31, 2019·Digestive Diseases and Sciences·Ana Blanco BelverThorsten Brechmann
Jan 24, 2020·The Journal of Spinal Cord Medicine·David R DolbowAndrew S Courtner
Aug 31, 2018·Neurology·Rahul SachdevaAndrei V Krassioukov
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Dec 15, 2018·Journal of Sports Sciences·Michael John HutchinsonVictoria Louise Goosey-Tolfrey
Apr 11, 2019·Frontiers in Neurology·Arsalan AlizadehSoheila Karimi-Abdolrezaee

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