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Table 2 Relative number of inhabitants with SCI, by characteristics of region

From: Residential location of people with chronic spinal cord injury: the importance of local health care infrastructure

 

SwiSCI data

Hospital discharge data

All SCI cases

Tetraplegics

> 65 years of age

All SCI cases

Tetraplegics

> 65 years of age

IRR (95% CI)

IRR (95% CI)

IRR (95% CI)

IRR (95% CI)

IRR (95% CI)

IRR (95% CI)

Degree of urbanization, ref.: Rural

 Suburban

1.06 (1.02 — 1.10)*

1.14 (1.07 — 1.21)*

1.17 (1.08 — 1.26)*

1.16 (1.13 — 1.20)*

1.11 (1.06 — 1.15)*

1.17 (1.12 — 1.22)*

 Urban

1.39 (1.31 — 1.47)*

1.47 (1.36 — 1.59)*

1.22 (1.11 — 1.35)*

1.88 (1.80 — 1.96)*

1.84 (1.75 — 1.95)*

1.82 (1.73 — 1.93)*

Language, ref.: German

 French

1.10 (1.04 — 1.16)*

0.90 (0.84 — 0.97)*

1.19 (1.09 — 1.30)*

0.89 (0.86 — 0.93)*

0.81 (0.77 — 0.86)*

0.86 (0.82 — 0.91)*

 Italian

0.96 (0.86 — 1.06)

0.75 (0.64 — 0.88)*

0.74 (0.60 — 0.91)*

1.13 (1.05 — 1.22)*

1.06 (0.97 — 1.17)

1.25 (1.14 — 1.38)*

Number of physicians in outpatient sector per 10,000 inhabitants, ref.: < 5

 5- < 10

1.18 (1.11 — 1.25)*

1.14 (1.05 — 1.25)*

1.45 (1.29 — 1.62)*

1.21 (1.16 — 1.26)*

1.22 (1.16 — 1.30)*

1.32 (1.24 — 1.40)*

 10 - < 20

1.34 (1.26 — 1.42)*

1.42 (1.30 — 1.55)*

1.45 (1.29 — 1.63)*

1.33 (1.27 — 1.39)*

1.26 (1.19 — 1.33)*

1.53 (1.44 — 1.62)*

 20+

1.55 (1.44 — 1.67)*

1.49 (1.34 — 1.66)*

2.03 (1.78 — 2.33)*

1.69 (1.60 — 1.78)*

1.61 (1.50 — 1.72)*

1.91 (1.78 — 2.05)*

Number of physicians in inpatient sector per 10,000 inhabitants, ref.: < 3

 3- < 6

1.01 (0.96 — 1.06)

0.94 (0.87 — 1.01)

0.95 (0.87 — 1.05)

1.12 (1.08 — 1.16)*

1.03 (0.98 — 1.08)

1.16 (1.10 — 1.22)*

 6- < 15

0.96 (0.91 — 1.01)

0.94 (0.87 — 1.01)

0.99 (0.90 — 1.09)

1.12 (1.07 — 1.16)*

1.12 (1.07 — 1.17)*

1.20 (1.14 — 1.26)*

 15+

0.92 (0.86 — 0.98)*

0.94 (0.87 — 1.03)

0.99 (0.89 — 1.11)

1.09 (1.04 — 1.14)*

1.09 (1.03 — 1.15)*

1.19 (1.12 — 1.26)*

Average number of home care professionals per 10,000 inhabitants, ref.: < 15

 15 - < 20

0.79 (0.75 — 0.84)*

0.76 (0.71 — 0.82)*

0.81 (0.73 — 0.89)*

1.07 (1.03 — 1.11)*

1.00 (0.95 — 1.05)

1.18 (1.12 — 1.25)*

 20+

1.04 (0.99 — 1.10)

1.15 (1.06 — 1.24)*

1.31 (1.18 — 1.44)*

1.10 (1.05 — 1.14)*

1.10 (1.04 — 1.16)*

1.24 (1.17 — 1.31)*

Driving time to the closest specialized SCI center, ref. > 90 min

  < 30 min

1.82 (1.70 — 1.96)*

1.76 (1.59 — 1.95)*

2.69 (2.37 — 3.05)*

1.44 (1.37 — 1.52)*

1.55 (1.45 — 1.66)*

1.50 (1.40 — 1.61)*

 30–60 min

1.23 (1.15 — 1.32)*

1.13 (1.02 — 1.25)

1.56 (1.38 — 1.76)*

1.13 (1.07 — 1.19)*

1.15 (1.08 — 1.23)*

1.12 (1.05 — 1.20)*

  > 60–90 min

1.13 (1.06 — 1.21)*

1.12 (1.02 — 1.23)

1.26 (1.12 — 1.42)*

0.97 (0.92 — 1.02)

1.04 (0.98 — 1.11)

0.97 (0.91 — 1.03)

  1. Analysis based on a negative binomial model with the frequency of people with SCI per region as outcome, regional indicators as explanatory variables, and the age-specific normative population per region as offset
  2. Abbreviations: SCI spinal cord injury, IRR incidence rate ratio, CI confidence interval, SwiSCI Swiss Spinal Cord Injury Cohort Study
  3. *Incidence rate ratio with p < 0.05