Socioeconomic consequences of traumatic and non-traumatic spinal cord injuries: a Danish nationwide register-based study
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Socioeconomic consequences of traumatic and non-traumatic spinal cord injuries : a Danish nationwide register-based study. / Soendergaard, Pernille Langer; Norup, Anne; Kruse, Marie; Biering-Sorensen, Fin.
In: Spinal Cord, Vol. 60, 2022, p. 647–654.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Socioeconomic consequences of traumatic and non-traumatic spinal cord injuries
T2 - a Danish nationwide register-based study
AU - Soendergaard, Pernille Langer
AU - Norup, Anne
AU - Kruse, Marie
AU - Biering-Sorensen, Fin
PY - 2022
Y1 - 2022
N2 - 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
AB - 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
KW - EMPLOYMENT STATUS
KW - MARITAL ADJUSTMENT
KW - WORK
KW - RETURN
KW - HEALTH
KW - PARTICIPATION
KW - INDIVIDUALS
KW - MULTICENTER
KW - PREDICTORS
KW - MORTALITY
U2 - 10.1038/s41393-021-00724-3
DO - 10.1038/s41393-021-00724-3
M3 - Journal article
C2 - 34999725
VL - 60
SP - 647
EP - 654
JO - Spinal Cord
JF - Spinal Cord
SN - 1362-4393
ER -
ID: 290041996