Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study.
BACKGROUND: Few studies focus on pediatric spinal cord injury (SCI) and there is little information regarding the cause, anatomic level, and high risk population of SCI in children. This study aims to investigate the incidence and risk factors of pediatric SCI. METHODS: A nationwide cohort of 8.7 mi...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2012-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3382245?pdf=render |
| _version_ | 1818016736785465344 |
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| author | Li-Chien Chien Jau-Ching Wu Yu-Chun Chen Laura Liu Wen-Cheng Huang Tzeng-Ji Chen Peck-Foong Thien Su-Shun Lo Henrich Cheng |
| author_facet | Li-Chien Chien Jau-Ching Wu Yu-Chun Chen Laura Liu Wen-Cheng Huang Tzeng-Ji Chen Peck-Foong Thien Su-Shun Lo Henrich Cheng |
| author_sort | Li-Chien Chien |
| collection | DOAJ |
| description | BACKGROUND: Few studies focus on pediatric spinal cord injury (SCI) and there is little information regarding the cause, anatomic level, and high risk population of SCI in children. This study aims to investigate the incidence and risk factors of pediatric SCI. METHODS: A nationwide cohort of 8.7 million children aged<18 years in an 11-year period was analyzed for causes, age at injury, anatomic sites, disability, and familial socio-economic factors. Incidence rates and Cox regression analysis were conducted. RESULTS: A total of 4949 SCI patients were analyzed. The incidence rates of cervical, thoracic, lumbar, and other SCI were 4.06, 0.34, 0.75, and 0.85 per 100,000 person-years, respectively. The proportional composition of gender, age, and socio-economic status of SCI patients were significantly different than those of non-SCI patients (all p<0.001). Male children were significantly more likely to have SCI than females in both the cervical and the other SCI groups [Incidence rate ratio (IRR) = 2.03 and 1.52; both p<0.001]. Young adults and teenagers were also significantly more likely to have SCI than pre-school age children in the cervical SCI (IRR = 28.55 and 10.50, both p<0.001) and other SCI groups (IRR = 18.8 and 7.47, both p<0.001). Children in families of lower socio-economic status were also significantly more likely to have SCI (p<0.05). CONCLUSIONS: In the pediatric population, the overall SCI incidence rate is 5.99 per 100,000 person-years, with traumatic cervical SCI accounting for the majority. The incidence rate increases abruptly in male teenagers. Gender, age, and socio-economic status are independent risk factors that should be considered. |
| first_indexed | 2024-04-14T07:17:52Z |
| format | Article |
| id | doaj.art-5917c78ea894421ca6928741bbd20ee2 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-14T07:17:52Z |
| publishDate | 2012-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-5917c78ea894421ca6928741bbd20ee22022-12-22T02:06:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0176e3926410.1371/journal.pone.0039264Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study.Li-Chien ChienJau-Ching WuYu-Chun ChenLaura LiuWen-Cheng HuangTzeng-Ji ChenPeck-Foong ThienSu-Shun LoHenrich ChengBACKGROUND: Few studies focus on pediatric spinal cord injury (SCI) and there is little information regarding the cause, anatomic level, and high risk population of SCI in children. This study aims to investigate the incidence and risk factors of pediatric SCI. METHODS: A nationwide cohort of 8.7 million children aged<18 years in an 11-year period was analyzed for causes, age at injury, anatomic sites, disability, and familial socio-economic factors. Incidence rates and Cox regression analysis were conducted. RESULTS: A total of 4949 SCI patients were analyzed. The incidence rates of cervical, thoracic, lumbar, and other SCI were 4.06, 0.34, 0.75, and 0.85 per 100,000 person-years, respectively. The proportional composition of gender, age, and socio-economic status of SCI patients were significantly different than those of non-SCI patients (all p<0.001). Male children were significantly more likely to have SCI than females in both the cervical and the other SCI groups [Incidence rate ratio (IRR) = 2.03 and 1.52; both p<0.001]. Young adults and teenagers were also significantly more likely to have SCI than pre-school age children in the cervical SCI (IRR = 28.55 and 10.50, both p<0.001) and other SCI groups (IRR = 18.8 and 7.47, both p<0.001). Children in families of lower socio-economic status were also significantly more likely to have SCI (p<0.05). CONCLUSIONS: In the pediatric population, the overall SCI incidence rate is 5.99 per 100,000 person-years, with traumatic cervical SCI accounting for the majority. The incidence rate increases abruptly in male teenagers. Gender, age, and socio-economic status are independent risk factors that should be considered.http://europepmc.org/articles/PMC3382245?pdf=render |
| spellingShingle | Li-Chien Chien Jau-Ching Wu Yu-Chun Chen Laura Liu Wen-Cheng Huang Tzeng-Ji Chen Peck-Foong Thien Su-Shun Lo Henrich Cheng Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study. PLoS ONE |
| title | Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study. |
| title_full | Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study. |
| title_fullStr | Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study. |
| title_full_unstemmed | Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study. |
| title_short | Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study. |
| title_sort | age sex and socio economic status affect the incidence of pediatric spinal cord injury an eleven year national cohort study |
| url | http://europepmc.org/articles/PMC3382245?pdf=render |
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