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Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 2000 September;35(3) > Europa Medicophysica 2000 September;35(3):109-14



A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095


Europa Medicophysica 2000 September;35(3):109-14



The history of the National Spinal Cord Injury Statistical Center Database, 1973-2000, with epidemiological findings from the United States and other countries

DeVivo M. J.

National Spinal Cord Injury Statistical Center, University of Alabama at Birmingham, Alabama, USA

Since 1983, the National Institute on Disability and Rehabilitation Research has ­been the agen­cy of the fed­er­al gov­ern­ment respon­sible for the des­ig­na­tion as mod­el spi­nal ­cord inju­ry ­care ­systems, ­based on ­open com­pe­ti­tions ­held eve­ry ­five ­years. Currently ­there are 18 mod­el ­systems. The ­goal of the data­base has ­changed ­over ­time, but now ­includes doc­u­ment­ing the ­long-­term ­course of spi­nal ­cord inju­ry and fac­tors ­that ­affect ­that ­course, doc­u­ment­ing ­patient dem­o­graph­ics, caus­es of inju­ry, treat­ment out­comes ­over ­time, reha­bil­i­ta­tion treat­ment out­comes, and iden­ti­fy­ing poten­tial per­sons for enroll­ment in appro­pri­ate ­study pro­to­cols. At ­present, the Spinal Cord Injury Statistical Center (NSCISC) data­base con­tains not ­only infor­ma­tion on hos­pi­tal­ized ­patients but ­also fol­low-up ­data. Following a ­series of chang­es, ­there are now 126 var­i­ables in the data­base. The ­NSCISC ­makes use of eve­ry pos­sible ­means of dis­sem­i­nat­ing infor­ma­tion to inter­est­ed par­ties, includ­ing an inter­net web ­site (www.spi­nal­ ­that con­tains all the nec­es­sary infor­ma­tion ­about the ­NSCISC. The inci­dence of trau­mat­ic spi­nal ­cord inju­ry in the United States is ­about 40 cas­es per mil­lion. According to the ­NSCISC, 53.3% of inju­ries ­occur ­among per­sons ­between the ­ages of 16-30, and 81.7% ­occur ­among ­males. The lead­ing caus­es of spi­nal ­cord inju­ry are ­motor vehi­cle crash­es (38.6%), fol­lowed by ­falls (23.2%), and ­acts of vio­lence (22.5%). In the United States, slight­ly great­er ­than one ­half of spi­nal ­cord inju­ries ­occur in the cer­vi­cal ­region of the ­spine and ­about ­half are neu­ro­log­i­cal­ly com­plete. Current ­lengths of ­stay for ­acute ­care and reha­bil­i­ta­tion are 25 ­days and 68 ­days, respec­tive­ly, for per­sons ­with com­plete tet­ra­ple­gia, and 10-12 ­days and 35-37 ­days, respec­tive­ly, for ­less ­severe spi­nal ­cord inju­ries. Although ­life expec­tan­cies con­tin­ue to ­improve, ­postinju­ry employ­ment ­rates ­remain dis­ap­point­ing.

language: English


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