Josefson Charlotta, Rekand Tiina, Lundgren-Nilsson Åsa, Sunnerhagen Katharina S
Department of Clinical Neuroscience, Sahlgrenska Academy, Institute of Neuroscience and Physiology, Gothenburg University, Gothenburg, Sweden.
Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Neuroepidemiology. 2025;59(4):334-342. doi: 10.1159/000540818. Epub 2024 Aug 13.
We conducted a retrospective, descriptive register study.
The aim of the study was to present the epidemiological and demographic characteristics of the Swedish spinal cord injury (SCI) population.
Rehabilitation units in Sweden were connected to the National Quality Register for Rehabilitation Medicine (Svenskt Register för Rehabiliteringsmedicin: SveReh). The registry includes data from 26 units around the country.
Information was extracted from SveReh for patients who underwent rehabilitation for a new onset SCI between January 1, 2016, and December 31, 2020. Data regarding gender, age, aetiology, level of injury, neurogenic bowel and/or bladder dysfunction, complications during the primary rehabilitation, and the need for bi-level positive airway pressure, continuous positive airway pressure, or ventilator were analysed.
Mean age at onset was 56 years, and men were overrepresented (66%). Tetraplegia was more common among traumatic SCI (TSCI) than non-traumatic SCI (NTSCI). The incidence was 11.9-14.8 per million for TSCI and 8.9-11.8 per million for NTSCI. At discharge, 8% of patients needed a breathing aid. Of those who were ventilator-dependent at discharge, 75% had a TSCI. Disturbed bowel and bladder functioning was noted in 58% of patients at discharge. The median time spent at the unit was 40 days, but it was approximately 2 weeks longer for those with a TSCI.
Systematic and updated data on the Swedish SCI population show a pattern similar to Scandinavian countries with high age at onset and falls being the main cause of TSCI. The TSCI incidence was lower than in previous studies, and the results for NTSCI were novel.
我们开展了一项回顾性描述性登记研究。
本研究旨在呈现瑞典脊髓损伤（SCI）人群的流行病学和人口统计学特征。
瑞典的康复单位与国家康复医学质量登记处（瑞典康复医学登记处：SveReh）相连。该登记处包含来自全国26个单位的数据。
从SveReh中提取2016年1月1日至2020年12月31日期间因新发SCI接受康复治疗患者的信息。分析有关性别、年龄、病因、损伤水平、神经源性肠道和/或膀胱功能障碍、初次康复期间的并发症以及对双水平气道正压通气、持续气道正压通气或呼吸机需求的数据。
发病时的平均年龄为56岁，男性占比过高（66%）。创伤性脊髓损伤（TSCI）导致的四肢瘫比非创伤性脊髓损伤（NTSCI）更常见。TSCI的发病率为每百万11.9 - 14.8例，NTSCI为每百万8.9 - 11.8例。出院时，8%的患者需要呼吸辅助设备。出院时依赖呼吸机的患者中，75%患有TSCI。出院时58%的患者存在肠道和膀胱功能紊乱。在康复单位的中位停留时间为40天，但TSCI患者大约长2周。
关于瑞典SCI人群的系统且最新的数据显示出与斯堪的纳维亚国家相似的模式，发病年龄高且跌倒为TSCI的主要原因。TSCI发病率低于先前研究，NTSCI的结果为新发现。
