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  4. The association between economic indicators and the incidence of tetraplegia from traumatic spinal cord injury in Taiwan

The association between economic indicators and the incidence of tetraplegia from traumatic spinal cord injury in Taiwan

BMC Neurology, 2021 · DOI: https://doi.org/10.1186/s12883-021-02141-8 · Published: March 5, 2021

Spinal Cord InjuryPublic Health

Simple Explanation

This study investigates the relationship between a country's economic status, measured by GDP per capita, and the occurrence of traumatic spinal cord injuries (SCI) leading to tetraplegia (paralysis of all four limbs). The research focuses on data from Taiwan between 2002 and 2015. The researchers analyzed data on newly diagnosed SCI patients, considering factors like sex, urbanization, literacy, income inequality, and the impact of the global financial crisis. They looked at how the incidence of SCI and tetraplegia changed in relation to changes in GDP per capita. The study found an inverse relationship, suggesting that as Taiwan's economy improved (higher GDP per capita), the incidence of traumatic SCI resulting in tetraplegia decreased. This suggests that economic improvements may lead to better infrastructure, transportation, and public health services, reducing the risk of such injuries.

Study Duration
2002 to 2015
Participants
5048 newly diagnosed SCI patients
Evidence Level
Not specified

Key Findings

  • 1
    The incidence of various types of SCI, including traumatic SCI and tetraplegia, was inversely correlated with GDP per capita.
  • 2
    When GDP per capita increased by 1%, the total SCI decreased by 1.39‰, with similar decreases observed for traumatic SCI, MV-related SCI, fall-related SCI, and tetraplegia subtypes.
  • 3
    Urbanization was also an independent factor for reduction in the occurrence of SCI.

Research Summary

This study explored the association between economic indicators and the incidence of tetraplegia from traumatic SCI in Taiwan from 2002 to 2015. The study found a consistent inverse correlation between the incidence of various types of SCI (including tetraplegia) and GDP per capita, suggesting that improved economic performance is associated with a decrease in SCI incidence. Improvements in infrastructure, public transportation, and construction, along with better health literacy and safety regulations, are potential factors contributing to the observed decrease in SCI incidence with economic growth.

Practical Implications

Infrastructure Improvement

Continued investment in transportation and construction infrastructure could further reduce SCI incidence.

Public Health Initiatives

Promoting health literacy and adherence to safety regulations can contribute to preventing traumatic injuries.

Economic Policy

Policies aimed at reducing income inequality may also play a role in preventing SCI.

Study Limitations

  • 1
    Lack of clinical details of AIS (ASIA Impairment Scale) data to differentiate complete vs incomplete SCI.
  • 2
    Inability to generalize estimations to SCI patients with mild or temporary functional impairment.
  • 3
    The study has not explored the pathophysiology of individual SCI cases in details.

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