Spinal cord
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Literature review. ⋯ The online global maps now inform an extrapolative statistical model, which estimates incidence for areas with insufficient TSCI data. The accuracy of this methodology will be improved through the use of prospective, standardised-data registries.
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The objective of this study was to determine the national hospitalization burden of spinal cord injuries (SCIs) among adults in the United States. Factors predicting hospitalization outcomes including length of stay (LOS), total charges and discharge disposition of death were identified. ⋯ There is considerable inpatient burden associated with SCI in the United States. Inpatient LOS, charges and percentage of hospitalizations with discharge disposition of death were higher among individuals with SCI as compared with those without SCI.
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Review
Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository.
Literature review. ⋯ Insufficient survival, prevalence and incidence data are a predominant finding of this review. The piecemeal approach to epidemiological reporting of NTSCI, particularly failing to include sound regional population denominators, has exhausted its utility. Minimum data collection standards are required.
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Population modelling--forecasting. ⋯ Understanding the incidence of TSCI is important for health service planning and for the determination of injury prevention priorities. In the absence of high-quality epidemiological studies of TSCI in each country, the estimation of TSCI obtained through population modelling can be used to overcome known deficits in global spinal cord injury (SCI) data. The incidence of TSCI is context specific, and an alternative regression model demonstrated how TSCI incidence estimates could be improved with additional data. The results highlight the need for data standardisation and comprehensive reporting of national level TSCI data. A step-wise approach from the collation of conventional epidemiological data through to population modelling is suggested.
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Systematic review and effectiveness analysis. ⋯ Gabapentin and pregabalin are the two anticonvulsants which have been shown to have some benefit in reducing neuropathic pain.