A nationwide epidemiological study of spinal cord injuries in Taiwan from July 1992 to June 1996

Hsin Ying Chen, Wen Ta Chiu, Shun Sheng Chen, Liang Shong Lee, Chun I. Hung, Chun Long Hung, Yeou Chih Wang, Ching Chang Hung, Lieh Sheng Lin, Yang Hsin Shih

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

This prospective epidemiological survey of spinal cord injury (SCI) in Taiwan was carried out by recruiting patients attended by physicians from various medical centers and general hospitals all over Taiwan from July 1992 to June 1996. A total of 6,410 cases of traumatic spinal fracture were registered among which were 1,586 new cases of SCI. The results represented 70% of the scope of SCI in Taiwan. The observed average annual incidence of SCI in Taiwan was 18.8 per million population. The mean age was 46.1 years- old with a plateau distribution for over 20 years and older. Geriatric victims are a major group of SCI in Taiwan. The male to female ratio was 3 to 1. The leading causes of SCI were traffic accidents and accidental falls. Motorcycle collisions accounted for 62% of the traffic accidents, and as most of the motorcycle riders were not helmet users, head injury became the major associated injury of SCI in Taiwan. The effectiveness of the comprehensive care system for SCI patients in Taiwan is relatively good, as reflected by the low rates of complications of SCI, the low mortality rate (6.6%), and the high percentage (67.4%) of SCI patients achieving self-care ultimately at home after rehabilitation. The analysis of person days healthy life loss and quality adjusted survival time revealed that SCI patients in Taiwan required 4 years to cope with the morbidity, and on average, could return to the main stream of life for another 30 years.

Original languageEnglish
Pages (from-to)617-622
Number of pages6
JournalNeurological Research
Volume19
Issue number6
Publication statusPublished - 1997

Keywords

  • Epidemiology
  • Spinal cord injury
  • Taiwan

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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    Chen, H. Y., Chiu, W. T., Chen, S. S., Lee, L. S., Hung, C. I., Hung, C. L., Wang, Y. C., Hung, C. C., Lin, L. S., & Shih, Y. H. (1997). A nationwide epidemiological study of spinal cord injuries in Taiwan from July 1992 to June 1996. Neurological Research, 19(6), 617-622.