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Published on: March 27, 2016
Traumatic spinal cord injury among children and adolescents; a cohort study in western Norway
1Department of Neurology, Haukeland University Hospital, Jonas Lies vei 65, Bergen, Norway. ellen.merete.hagen@helse-bergen.no
Insights
Traumatic spinal cord injury (TSCI) incidence remained low in children but increased in adolescents over 50 years. Prevention strategies should target car, pedestrian, and motorcycle accidents.
Area of Science:
- Epidemiology
- Traumatology
- Pediatrics
Background:
- Traumatic spinal cord injury (TSCI) is a significant cause of morbidity in young populations.
- Understanding temporal trends and demographic characteristics is crucial for effective prevention.
Purpose of the Study:
- To assess temporal trends in TSCI incidence and demographics among children and adolescents.
- To analyze injury mechanisms associated with TSCI in different age groups.
Main Methods:
- Retrospective cohort study utilizing hospital records.
- Analysis of TSCI cases in a geographically defined cohort in western Norway (1952-2001).
Main Results:
- Of 336 TSCI patients, 3.9% were children (0-14 years) and 13.1% were adolescents (15-19 years).
- Average age-adjusted incidence was 2.4/million for children and 25.1/million for adolescents.
- Children's TSCI linked to car/pedestrian accidents; adolescents' to car/motorcycle accidents.
Conclusions:
- Adolescent TSCI incidence increased, while childhood TSCI incidence remained low over 50 years.
- Specific accident types are associated with TSCI in children versus adolescents.
- Identifying these factors is vital for developing targeted prevention strategies.
Objective:
The objective of this study is to assess the temporal trends in the incidence and demographic characteristics of traumatic spinal cord injury (TSCI) among children and adolescents in a geographically defined cohort in western Norway during 1952-2001.
Methods:
The patients included in this study were identified from the hospital records.
Results:
Of 336 patients, 13 (3.9%) patients were 0-14 years at time of injury, and 44 (13.1%) patients were 15-19 years at time of injury. The average age-adjusted incidence was 2.4 per million children and 25.1 per million adolescents. Children were injured in car and pedestrian accidents, whereas adolescents were injured in car and motorcycle accidents.
Conclusions:
The age-adjusted incidence of TSCI among the adolescents increased, whereas the age-adjusted incidence among children remained low during the 50 years. TSCI was highly associated with car and pedestrian accidents among children. Among adolescents, TSCI was associated with car and motorcycle accidents. Awareness of these factors is important in prevention planning strategies.
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