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Traumatic and non-traumatic spinal cord impairment in New Zealand: incidence and characteristics of people admitted to spinal units

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From Māori Health Review Issue 40
Authors:
  • Derrett S et al
Summary:

This longitudinal study estimated the incidence of traumatic and non-traumatic spinal cord neurological impairment in New Zealand. Incidence rates were based on people admitted to New Zealand’s two spinal units from mid-2007 to mid-2009. Māori had a higher incidence of spinal cord impairment (46 per million; 95% CI 30 to 64 million) than Europeans (29 per million; 95% CI 24 to 34 million). Most patients reported considerable symptomatic, general health and disability burden in interviews undertaken 6.5 months after spinal cord impairment.

Comment:
Spinal cord impairment is an important health issue for Māori given the high incidence rates, significant long-term effects on quality of life and wider impacts on whānau/caregivers and communities. Further research to identify types of injuries would inform injury prevention strategies; audits against best practice could help providers identify ways in which to reduce the burden of complications.
Reference: Inj Prev 2012; Apr 29 [Epub ahead of print]
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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