The epidemiology of childhood and adolescent traumatic spinal cord injury in the United States: 2007-2010

Shalini Selvarajah, Eric B. Schneider, Daniel Becker, Cristina Lavinia Sadowsky, Adil H. Haider, Edward R. Hammond

Research output: Contribution to journalArticle

Abstract

The burden of acute traumatic spinal cord injury (TSCI) among U. S. children and adolescents was last described over a decade ago using inpatient data. We describe cumulative incidence, mortality, discharge disposition, and inflation-adjusted charges of childhood and adolescent TSCI in the U.S. using emergency department (ED) data from the Nationwide Emergency Department Sample (2007-2010). Patients ages 17 years and younger with a diagnosis of acute TSCI were identified using the International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes 806.∗ and 952.∗ (N=6132). The cumulative incidence of childhood and adolescent TSCI averaged 17.5 per million population per year. The median age at presentation was 15 years (interquartile range [IQR]=12-16) and the majority of patients were male (72.5%). The overall median new injury severity score (NISS) was 16 (IQR=9-27), remaining unchanged during the study duration (p=0.703). Children 5 years and younger were more likely to be injured from a road traffic accident (RTA; 50.9%), sustain C1-C4 injuries (47.4%), have more severe injury (median NISS=22; IQR=13-29), and concurrent brain injury (24%) compared to older children and adolescents, p

Original languageEnglish (US)
Pages (from-to)1548-1560
Number of pages13
JournalJournal of Neurotrauma
Volume31
Issue number18
DOIs
StatePublished - Sep 15 2014

Fingerprint

Spinal Cord Injuries
Epidemiology
Injury Severity Score
International Classification of Diseases
Hospital Emergency Service
Traffic Accidents
Incidence
Economic Inflation
Wounds and Injuries
Brain Injuries
Inpatients
Mortality
Population

Keywords

  • adolescents
  • burden
  • children
  • epidemiology
  • Nationwide Emergency Department Sample
  • traumatic spinal cord injury

ASJC Scopus subject areas

  • Clinical Neurology
  • Medicine(all)

Cite this

The epidemiology of childhood and adolescent traumatic spinal cord injury in the United States : 2007-2010. / Selvarajah, Shalini; Schneider, Eric B.; Becker, Daniel; Sadowsky, Cristina Lavinia; Haider, Adil H.; Hammond, Edward R.

In: Journal of Neurotrauma, Vol. 31, No. 18, 15.09.2014, p. 1548-1560.

Research output: Contribution to journalArticle

Selvarajah, Shalini ; Schneider, Eric B. ; Becker, Daniel ; Sadowsky, Cristina Lavinia ; Haider, Adil H. ; Hammond, Edward R. / The epidemiology of childhood and adolescent traumatic spinal cord injury in the United States : 2007-2010. In: Journal of Neurotrauma. 2014 ; Vol. 31, No. 18. pp. 1548-1560.
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