International comparison: Spinal cord injury in the USA and UK

BACKGROUND: Long-term survival after spinal cord injury (SCI) has been extensively studied in the US and UK. OBJECTIVE: To compare SCI epidemiology and survival results between the US and UK for the same time period and patient groups. METHODS: We restricted attention to persons injured at ages 18 a...

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Bibliographic Details
Published in:NeuroRehabilitation (Reading, Mass.) Mass.), 2023-12, Vol.53 (4), p.595-598
Main Authors: Shavelle, Robert, DeVivo, Michael, Savic, Gordana, Brooks, Jordan, Strauss, David
Format: Article
Language:English
Subjects:
Epidemiology
Humans
Life Expectancy
Life span
Life tables
Logistic Models
Male
Mortality
Rehabilitation
Risk Factors
Spinal cord injuries
Spinal Cord Injuries - epidemiology
Statistical analysis
Survival
Survival analysis
Telemedicine
United Kingdom - epidemiology
United States - epidemiology
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Summary:BACKGROUND: Long-term survival after spinal cord injury (SCI) has been extensively studied in the US and UK. OBJECTIVE: To compare SCI epidemiology and survival results between the US and UK for the same time period and patient groups. METHODS: We restricted attention to persons injured at ages 18 and older who had survived at least 2 years post injury and were not ventilator dependent. We performed survival analysis using logistic regression on person-year data with time-dependent covariates. The resulting mortality rates were used to construct life tables in order to obtain life expectancies. RESULTS: The average age at injury, percentage male, and level/grade of injury were rather similar between the two countries. After adjustment for risk factors, UK mortality was 85% of that in the US (95% c.i. 80% to 91%, p 
ISSN:1053-8135
1878-6448
DOI:10.3233/NRE-230153