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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Socioeconomic consequences of traumatic and non-traumatic spinal cord injuries: a Danish nationwide register-based study

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DOI

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STUDY DESIGN: A nationwide population-based register study.

OBJECTIVES: To investigate the socioeconomic consequences of traumatic (tSCI) and non-traumatic (ntSCI) spinal cord injuries (SCI) in relation to health care costs, risk of job loss, and divorce.

SETTING: Denmark.

METHODS: All survivors admitted for specialized SCI rehabilitation from 2008 to 2018 were included (n = 1751), together with their relatives (n = 3084). Control groups for the SCI group (n = 8139) and their relatives (n = 15,921) were identified. Data on socioeconomics up to 2 years before and up to 4 years after the injury year were included.

RESULTS: Survivors of tSCI and ntSCI had significantly increased health care costs 2 years before injury compared to their controls, and increased health care cost was maintained 4 years after the injury (all p values < 0.0001). The SCI group had significantly increased risk of job loss (OR = 9.26; 95% CI: 7.70-11.15) and higher risk of divorce (OR = 1.44; 95% CI: 1.08-1.87) the 3 following years after injury compared to controls, but risk of divorce was only significant for the ntSCI group (OR = 1.58; 95% CI: 1.09-2.29). No significant differences on health care cost and job loss between the group of relatives of SCI survivors and their controls were found, except for the relatives (n = 1604) of SCI survivors <18 years old, where a higher risk of job loss was found (OR = 1.43, 95% CI 0.97-2.1).

CONCLUSION: These results emphasize that socioeconomic consequences for survivors of both tSCI and ntSCI are pervasive and long-lasting.

OriginalsprogEngelsk
TidsskriftSpinal Cord
Vol/bind60
Udgave nummer7
Sider (fra-til)647-654
Antal sider8
ISSN1362-4393
DOI
StatusUdgivet - jul. 2022

Bibliografisk note

© 2021. The Author(s), under exclusive licence to International Spinal Cord Society.

ID: 72506007