TY  - JOUR
PY  - 2012//
TI  - Effects of Age, Gender, and Socio-economic Status on the Incidence of Spinal Cord Injury: An Assessment Using the Eleven-Year Comprehensive Nationwide Database of Taiwan
JO  - Journal of neurotrauma
A1  - Wu, Jau-Ching
A1  - Chen, Yu-Chun
A1  - Liu, Laura
A1  - Chen, Tzeng-Ji
A1  - Huang, Wen-Cheng
A1  - Cheng, Henrich
A1  - Su, Tung-Ping
SP  - 889
EP  - 897
VL  - 29
IS  - 5
N2  - This study used an 11-year nationwide database to analyze the incidences of spinal cord injury (SCI) in subgroups by age, gender, injury level, etiology, and socio-economic status. The National Health Insurance Research Database of Taiwan covering over 99% of the population accumulated from 1998 to 2008 was analyzed. All SCI patients older than 20 years of age and admitted to medical services were identified. Of the 168,832,051.4 person-years, 41,586 newly established diagnoses of SCI were identified, for a SCI incidence of 2.46 per 10,000-person-year, and 61.2% were traumatic. Cervical SCI was the highest at 1.28, followed by lumbar 0.56, and thoracic 0.30 per 10,000-person-year. Males were more likely to have SCI (HR=1.52). Compared to the age group of 20-39 years, the 40-59 year old group and the group aged >60 years were more likely to have SCI (HR=1.66 and 2.12, respectively). Those with the lowest insurance premium (which represents income level) were more likely to suffer from SCI compared to the highest insurance premium group (HR=1.86). Those living in the eastern area were more likely to have SCI than in the northern area (where political and economic centers are located) (HR=1.52). Those in the most rural area were more likely (HR=1.69) to have SCI than those in the most urbanized areas. The overall national incidence of adult SCI in Taiwan was 246 per million-person-year. Several groups, such as elderly males with lower socio-economic status, were more likely to experience SCI.<p />  <p>Language: en</p>
LA  - en
SN  - 0897-7151
UR  - http://dx.doi.org/10.1089/neu.2011.1777
ID  - ref1
ER  -