Traumatic spinal injury: global epidemiology and worldwide volume

dc.contributor.authorKumar, Ramesh
dc.contributor.authorLim, Jaims
dc.contributor.authorMekary, Rania A.
dc.contributor.authorRattani, Abbas
dc.contributor.authorDewan, Michael C.
dc.contributor.authorSharif, Salman Y.
dc.contributor.authorOsorio-Fonseca, Enrique
dc.contributor.authorPark, Kee B.
dc.date.accessioned2020-05-18T11:22:46Z
dc.date.available2020-05-18T11:22:46Z
dc.date.issued2018
dc.description.abstractenglishBackground Traumatic spinal injury (TSI) results from injury to bony, ligamentous, and/or neurologic structures of the spinal column and can cause significant morbidity and mortality. The global burden of TSI is poorly understood, so we performed a systematic review and meta-analysis to estimate the global volume of TSI. Methods We performed a systematic review through PubMed, Embase, and Cochrane Databases on TSI studies reported from 2000 to 2016. Collected data were used to perform a meta-analysis to estimate the annual incidence of TSI across World Health Organization regions and World Bank income groups using random-effect models. Incorporating global population figures, the annual worldwide volume of TSI was estimated. Results A total of 102 studies were included in the systematic review and 19 studies in the meta-analysis. The overall global incidence of TSI was 10.5 cases per 100,000 persons, resulting in an estimated 768,473 [95% confidence interval, 597,213–939,732] new cases of TSI annually worldwide. The incidence of TSI was higher in low- and middle-income countries (8.72 per 100,000 persons) compared with high-income countries (13.69 per 100,000 persons). Road traffic accidents, followed by falls, were the most common mechanism of TSI worldwide. Overall, 48.8% of patients with TSI required surgery. Conclusions TSI is a major source of morbidity and mortality throughout the world. Largely preventable mechanisms, including road traffic accidents and falls, are the main causes of TSI globally. Further investigation is needed to delineate local and regional TSI incidences and causes, especially in low- and middle-income countries.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.wneu.2018.02.033
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1878-8750
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2945
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalWorld Neurosurgeryspa
dc.relation.ispartofseriesWorld Neurosurgery, 1878-8750, Vol 113, 2018, pag e345-e363spa
dc.relation.urihttps://www.sciencedirect.com/science/article/abs/pii/S1878875018303036?via%3Dihub
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2018
dc.rights.localAcceso cerradospa
dc.subject.decsHematoma subdural espinalspa
dc.subject.decsRevisiones sistemáticas como asuntospa
dc.subject.decsEpidemiologíaspa
dc.subject.keywordsEpidemiologyspa
dc.subject.keywordsGlobalspa
dc.subject.keywordsIncidencespa
dc.subject.keywordsTraumatic spinal cord injuryspa
dc.subject.keywordsTraumatic spinal injuryspa
dc.subject.keywordsVolumespa
dc.titleTraumatic spinal injury: global epidemiology and worldwide volumespa
dc.title.translatedTraumatic spinal injury: global epidemiology and worldwide volumespa
dc.typearticlespa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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