Header

UZH-Logo

Maintenance Infos

Excess burden of a chronic disabling condition: life lost due to traumatic spinal cord injury in a Swiss population-based cohort study


Chamberlain, Jonviea D; Buzzell, Anne; Gmünder, Hans Peter; Hug, Kerstin; Jordan, Xavier; Moser, André; Schubert, Martin; Zwahlen, Marcel; Brinkhof, Martin W G; SwiSCI cohort study; Swiss National Cohort Study Group (2019). Excess burden of a chronic disabling condition: life lost due to traumatic spinal cord injury in a Swiss population-based cohort study. International Journal of Public Health, 64(7):1097-1105.

Abstract

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.

Abstract

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.

Statistics

Citations

Altmetrics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:1 September 2019
Deposited On:20 Jun 2019 09:07
Last Modified:31 Oct 2019 08:09
Publisher:Springer
ISSN:1661-8556
OA Status:Closed
Publisher DOI:https://doi.org/10.1007/s00038-019-01265-6
PubMed ID:31147730

Download

Full text not available from this repository.
View at publisher

Get full-text in a library