Bulletin 22 - Table 3: key characteristics of the most often quoted studies of survival from SCI
Incorporating the AIHW National Injury Surveillance Unit
Bulletin 22 - Table 3: key characteristics of the most often quoted studies of survival from SCI [Previous] [Next] [Top]

Table 3: key characteristics of the most often quoted studies of survival from SCI

Table 3: Chart showing key characteristics of the most often quoted studies of survival from SCI

Author (publication years)

Injury period (End of follow-up)

Geographic location

Selection criteria

Cases (Deaths)

Survival parameter

Results (Group)

Relative survival1 (Group)

Mesard et al. (1978)

01.10.1955 to 30.09.1965 (30.06.1967)

Washington, DC, USA

Veterans with SCI treated in a Veterans Administration hospital that survived the first three months

2323 (1276)

10 year cumulative survival probability (CSP)

86% (paraplegic)

88%

80% (tetraplegic) 82%

Whiteneck et al. (1992)

01.01.1943 to 31.12.1970 (21.12.1990)

Aylesbury and Southport, England

SCI cases treated in two rehabilitation hospitals that resided in a thirteen county catchment area surrounding the hospitals. Admitted within one year of injury and survived the first year. Losses to follow-up

834 (362)

10 year CSP


85%

7 extra deaths/1000 pop. (age 20-30 yrs.)

20 year CSP 71%
30 year CSP53%
40 year CSP35%
10 year CSP:
Incomplete paraplegia
96% (<30 years)
84% (30-49 years)
67% (50+ years)
Complete paraplegia
91% (<30 years)
81% (30-49 years)
50% (50+ years)
Incomplete tetraplegia
96% (<30 years)
70% (30-49 years)
56% (50+ years)
Complete tetraplegia
86% (<30 years)
71% (30-49 years)
53% (50+ years)
25 extra deaths/1000 pop. (age 60-70 yrs.)

Kraus et al. (1979)

01.1.1971 to 31.12.1971 (31.12.1976)

California, USA

SCI cases residing in Northern California that survived more than one day

619 (320)

5 to 6 year CSP

84%

94.8%2

DeVivo et al. (1987)

01.01.1973 to 21.12.1980 (21.12.1981)

Multi-state and multi-centre, USA

SCI cases treated in seven rehabilitation hospitals. Admitted within one year of injury and survived more than one day. Losses to follow-up

5131 (459)

7 year CSP

86.7% overall

Incomplete paraplegia3
94.8%+ 3.5%(1-24 years)95.9%
89.9%+ 5.1%(25-49 years)91.5%
65.9%+13.7%(50+ years)75.7%
Complete paraplegia
94.7%+ 2.4%(1-24 years)95.9%
90.0%+ 3.5%(25-49 years)91.6%
72.9%+ 10.2%(50+ years)82.8%
Incomplete tetraplegia
96.4%+ 1.8%(1-24 years)97.6%
88.4%+ 5.3%(25-49 years)90.1%
55.5%+ 10.6%(50+ years)66.1%
Complete tetraplegia
89.2%+ 2.9%(1-24 years)90.3%
79.6%+ 5.3%(25-49 years)80.8%
22.7%+ 11.6%(50+ years)27.2%

DeVivo et al. (1992a)

01.01.1973 to 31.12.1984 (31.12.1985)

Multi-state and multi-centre, USA

SCI cases treated in thirteen rehabilitation hospitals. Admitted within one year of injury and survived more than one day. Losses to follow-up

9135 (854)

7 year CSP

89.2% overall

12 year CSP85.1% overall
Incomplete paraplegia3
94.5%+ 2.5%(1-24 years)96.5%
91.6%+ 2.9%(25-49 years)94.8%
72.5%+ 9.8%(50+ years)96.9%
Complete paraplegia
93.5%+ 2.7%(1-24 years)95.5%
89.1%+ 2.7%(25-49 years)91.9%
60.8%+ 14.7%(50+ years)81.8%
Incomplete tetraplegia
94.8%+ 2.2%(1-24 years)96.8%
89.0%+ 3.3%(25-49 years)92.5%
52.6%+ 12.9%(50+ years)77.6%
Complete tetraplegia
87.1%+ 2.9%(1-24 years)90.0%
71.8%+ 5.7%(25-49 years)74.0%
18.1%+ 8.0%(50+ years)26.9%

Geisler et al. (1983)

01.12.1973 to 31.12.1980 (n.a.)

Ontario, Canada

SCI cases treated in rehabilitation hospital that survived more than one year. Losses to follow-up

1478 (194)

Extra deaths per 1000 person years


15.2 extra deaths

Griffin et al. (1985)

01.01.1935 to 31.12.1981 (n.a.)

Minnesota, USA

All SCI cases residing in Olmsted County admitted to Mayo Clinic

154 (117 at 10 years, 138 at 20 years)

10 year and 20 year CSP for those surviving at least a year

87% (10 year)
78% (20 year)

20 year RS based on CSP estimated at 85% (age <35 years) and 71% (age 35+ years)4

DeVivo et al. (1992b and 1992c)

01.01.1971 to 21.12.1986 (n.a.)

Multi-state and multi-centre, USA

SCI cases treated in six rehabilitation hospitals. Admitted within one year of injury and survived more than one day. Losses to follow-up

6563 (330)

2 year CSP5

90.0% (1973-77)
90.4% (1978-80)
92.1% (1981-83)
94.1% (1984-86)

n.a.

Samsa et al. (1993)

01.01.1940 to 01.06.1987 (n.a.)

USA

Veterans with SCI that survived more than three months

5545 (n.a.)

40 year CSP

48% approx.

72%6

Kiwerski et al. (1993)

01.01.1965 to 31.12.1989 (n.a.)

Konstancin, Poland

SCI cases treated in rehabilitation hospital who were admitted within two weeks of injury

3486 (311)

8 and 9 year CSP

87.4% (1965-73)
88.1% (1974-81)
91.2% (1982-89)

n.a.

McColl et al. (1997)

01.01.1945 to 31.12.1990 (31.12.1991)

Ontario, Canada

SCI cases treated at two rehabilitation hospitals covering central and southeastern Ontario. Aged 25-34 years and survived at least one year

606 (142)

10 year CSP

92%

n.a.

20 year CSP81%
30 year CSP63%
40 year CSP43%

Hartkopp et al. (1997a, 1997b)

01.01.1953 to 31.12.1990 (31.12.1992)

Denmark

SCI cases treated in rehabilitation hospital covering east and southeast Denmark, Greenland and Faroe Island. Excludes patients requiring permanent respiratory support

888 (236)

10 year CSP

78.7% (males, 1953-71)

84.0%

86.8% (males, 1972-90)93.8%
72.1% (females, 1953-71)74.6%
86.9% (females, 1972-90)92.0%
20 year CSP60.6% (males)90.6%
66.7% (females)87.2%

Yeo et al. (1998)

01.01.1955 to 31.12.1994 (01.07.1996)

New South Wales, Australia

SCI cases treated in rehabilitation hospital covering part of Sydney. Excludes deaths within 18 months

1453 (329)

25 year CSP

80% (paraplegic) 91%
72% (tetraplegic) 81%

n.a. not available

  1. Relative survival is survival of SCI cases relative to the general population from which the cases originated. Where indicated, these are based on CSP
  2. Applies to those surviving at least one week
  3. 95% confidence interval shown
  4. Estimate by the author based on data in Figure 3 of the article by Griffin et al. (1985)
  5. Based on 1898 cases admitted within 24 hours
  6. Estimate by the author based on data in Figure 1 of the article by Samsa et al. (1993)


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