[en] Introduction Existing literature demonstrates large variations in traumatic Spinal Cord Injury (tSCI) incidence globally. Recents studies indicate that we are attending an epidemiological change in tSCI. This change can originate a series of consequences in the attention model. Knowing the epidemiological and demographic characteristics of the tSCI is essential to plan priorities allocate adequate health resources and also, to identify the guidelines for prevention. Objective To determine the epidemiological characteristics of patients with tSCI during the period 1995-2014 and to analyze the neurological involvement and the predictive factors of the clinical and functional outcomes in that period. Material and method An observational study was conducted with retrospective and prospective monitoring of patients with spinal cord injuries of traumatic etiology who were admitted to the Spinal Cord Injury Unit (SCIU) of the Complejo Hospitalario Universitario de A Coruña in the period January 1995 and December 2014. W estudied socio-demographic variables, comorbidity according to the Charlson index, etiology, neurological assessment variables according to the ASIA/ISCOS classification of spinal cord innjury, type of bone injury, associated injuries, therapeutic management, admission to the Intensive Unit Care (IUC), functional outcome according to the Spinal Cord Independence Measure III (SCIM III), ambulation and walking scale of spinal cord injury Walking Index Spinal Cord Injury II (WISCI II), destiantion and rehabilitation treatment at hospital discharge, and mortality. The statistical analysis was conducted using SPSS program versio 19.0. A descriptive study of variables was carried out expressing the quantitative variables as mean±standard deviation and the qualitative ones as absolute value and percentage with an estimate of their 95% confidence interval. X The comparison of means was made by the t-Student or the Mann-Witney test. The multiple comparison of means was made through the ANOVA or the Kruskal-Wallis test. Tha association of qualitative variables was estimated by means of Chi-Square statistic and the correlation between quantitative variables by means of the Pearson or Spearman correlation coefficient The crude incidence rates for each type of injury was calculated and the standardized rates adjusted for age by the direct method being expressed as rates/100.000 inhabitants/year. Fort he trend analysis of the rate "joinpoint" regression models were used. To determine which variables are associated to the events of interest, we perform multivariate analysis of multiple linear regression and logistics. Patient survival was analyzed using the Kaplan-Meier methodology and Cox proportional hazard model...

[gl] Introducción A incidencia mundial da lesión medular traumática (LMT) é moi variable. Recentes estudos sinalan que estamos a asistir a un cambio epidemiolóxico da LMT. Este cambio pode orixinar unha serie de consecuencias no modelo de atención. Coñecer as características epidemiolóxicas e demográficas da LMT é vital para planificar as prioridades, asignar os recursos sanitarios adecuados e tamén, para identificar as directrices da prevención. Obxectivo Determinar as características epidemiolóxicas dos pacientes con LMT en Galicia durante o período 1995-2014 e analizar a afectación neurolóxica e os factores determinantes da evolución clínica e funcional no devandito período. Material e método Realizouse un estudo observacional con seguimento retrospectivo e prospectivo dos pacientes con lesión medular de etioloxía traumática que ingresaron na Unidade de Lesionados Medulares (ULM) do Complexo Hospitalario Universitario da Coruña no período comprendido entre xaneiro de 1995 e decembro do 2014. Estudáronse variables socio-demográficas, comorbilidade segundo o índice de Charlson, etioloxía, variables da exploración neurolóxica segundo a clasificación ASIA/ISCOS da lesión medular, tipo de lesión ósea, lesións asociadas, manexo terapéutico, ingreso en UCI, funcionalidade segundo a escala Spinal Cord Independence Measure III (SCIM III), capacidade de marcha e escala de marcha da lesión medular Walking Index Spinal Cord Injury II (WISCI II), destino e tratamento rehabilitador ao alta hospitalaria, e mortalidade. A análise estatística realizouse mediante o programa SPSS 19.0. Efectuouse un estudo descritivo das variables, expresando as variables cuantitativas como media ± desviación típica e as cualitativas como valor absoluto e porcentaxe, cunha estimación do seu 95% de intervalo de confianza. A comparación de medias realizouse por medio da t-Student ou o test de Mann-Whitney. A comparación múltiple de media efectuouse mediante o ANOVA ou o test de Kruskal-Wallis. A asociación das variables cualitativas estimouse por medio do estatístico Chi cadrado e a correlación entre variables cuantitativas por medio do coeficiente de correlación de Pearson ou Spearman. Calculáronse as taxas de incidencia crúa para cada tipo de lesión, e as taxas estandarizadas axustadas por idade polo método directo, sendo expresadas como taxas/100.000 habitantes/ano. Para a análise de tendencias das taxas utilizáronse modelos de regresión 'joinpoint'. Para determinar que variables se asociaron aos eventos de interese realizamos análise multivariado de regresión lineal múltiple e loxística. Determinouse a supervivencia dos pacientes utilizando a metodoloxía de Kaplan- Meier e un modelo de riscos proporcionais de Cox...