Excess burden of a chronic disabling condition: life lost due to traumatic spinal cord injury in a Swiss population-based cohort study.
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BORIS DOI
Official URL
Publisher DOI
PubMed ID
31147730
Description
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.
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.
Date of Publication
2019-09
Publication Type
Article
Keyword(s)
Burden Excess mortality Life expectancy Mortality Potential years life lost Spinal cord injury
Language(s)
en
Contributor(s)
Chamberlain, Jonviea D | |
Buzzell, Anne | |
Gmünder, Hans Peter | |
Hug, Kerstin | |
Jordan, Xavier | |
Moser, André | |
Schubert, Martin | |
Brinkhof, Martin W G |
Additional Credits
Series
International journal of public health
Publisher
Springer
ISSN
1661-8556
Access(Rights)
open.access