Epidemiology Table 3 Incidence Rates in Asia

Asia

Author
Year
N

Geo-graphic Area

Inclusion and exclusion criteria

Methodology used to determine incidence

Incidence
rates by year
(results)

Otom et al. 1997
N=151

Jordan

1988-1993
Patients admitted to spinal unit of hospital in Amman.
Exclusion Criteria:
Patients who died before hospitalization; nontraumatic SCI.

(total cases from 1998-1993)
/
(hospital catchment population)

18/million/year

Silberstein & Rabinovich 1995
N=196

Novosibirsk,
Russia

1989-1993
All in patients with SCI admitted to the Department of SCI.

(SCI patients over 5 years)
/
(1994 Novosibirsk population)

29.7/million/year

Shingu et al. 1994
N=3465

Japan

1990
Survey of nationwide institutions assumed to accept SCI patients.
Exclusion criteria:
Patients only receiving outpatient services in this year.

(Sum of estimated cases in each prefecture)
/
(population of Japan in 1990)

39.4/million/year
(Frankel levels A-D)

50.5/million/year
(Frankel levels A-E)

Shingu et al. 1995
N=9752

Japan

1990-1992
Survey of nationwide institutions assumed to accept. SCI patients.
Exclusion criteria:
Patients only receiving outpatient services in this period.

(sum of estimated cases in each prefecture)
/
(population of Japan from 1990-1992)

40.2/million/year
(Frankel levels A-D)

Yang et al. 2008
N=54,484

Taiwan

2000-2003
Spinal trauma cases in
National Health Insurance database. Spinal injury with neurological deficit:
(spinal injury incidence)* (% of total spinal injuries with neurological deficit)
Exclusion Criteria:
Subsequent admission for chronic care or other medical disorders

Spinal injuries:
(defined cases from 2000-2003)
/
(Average # of insurance beneficiaries from 2000-2003 using National Health
Insurance statistics)

614.2/million/year (spinal trauma)

174/million/year (spinal injury with neurological deficits)

Ide et al. 1993
N=92

Okayama Prefecture, Japan

1988-1989
Handicapped registration system “Law for the Welfare of the Physically Disabled”

(defined cases)
/
(1985 National Census data)

49/million/year
(all SCI)
28.6/million/year (only traumatic)

Chen et al. 1997
SCI=1,586

Taiwan

1992-1996
113 hospitals (11 medical centers, 50 regional general hospitals, 52 local general hospitals)

(Hospital admissions)
/
(midyear population of Taiwan area)

18.8/million/year (1992-1996)
24.5/million/year (1993)
19.6/million/year (1994)
18.2/million/year (1995)
17.2/million/year (1996)

Chen et al. 1985
N=560

Taipei,
Taiwan

1978-1981
All record from general hospitals in Taipei. Included all spinal cord lesions.

(Taipei inhabitants
with SCI)
/
(Taipei residences)

14.6/million/year

Lan et al. 1993
N=99

Hualien county, Taiwan

1986-1990
Treatment of traumatic SCI in 4 hospitals in Hualien county.
Exclusion Criteria:
People who died before hospitalization; nontraumatic SCI; patients with transient paralysis; non residents of Hualien.

(total cases from 1986-1990)
/
(average population of Hualien from 1986-1990)

56.1/million/year