Secondary health conditions and disability among people with spinal cord injury: A prospective cohort study

被引:1
作者
Richardson, Amy [1 ]
Samaranayaka, Ari [2 ]
Sullivan, Martin [3 ]
Derrett, Sarah [1 ]
机构
[1] Univ Otago, Dunedin Sch Med, Dept Prevent & Social Med, Injury Prevent Res Unit, POB 56, Dunedin 9054, New Zealand
[2] Univ Otago, Dunedin Sch Med, Deans Dept, Dunedin, New Zealand
[3] Massey Univ, Sch Social Work, Palmerston North Turitea Campus, Wellington, New Zealand
关键词
Disability; Secondary health conditions; Spinal cord injury; QUALITY-OF-LIFE; COMPLICATIONS; IMPACT; PAIN; REHABILITATION; CLASSIFICATION; SATISFACTION; INDIVIDUALS; IMPAIRMENT; PREVALENCE;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To examine how secondary health conditions (SHCs) that develop early after a spinal cord injury (SCI) are related to disability over time. Design: Prospective cohort study. Setting: Two spinal units in New Zealand (Burwood Spinal Unit and Auckland Spinal Rehabilitation Unit). Participants: Between 2007 and 2009, 91 people participated in three telephone interviews approximately 6, 18, and 30 months after the occurrence of a SCI. Outcome measures: SHCs were measured using 14 items derived from the Secondary Complications Survey. Disability was measured using the 12-item World Health Organization Disability Assessment Schedule 2.0. Linear regression analyses were performed to investigate associations between SHCs at 6 months and disability at each assessment point. Results: The most prevalent SHCs were leg spasms, constipation, back pain, pain below the level of SCI, and shoulder pain. Constipation, urinary tract infection, and headaches at 6 months post-SCI were associated with significantly higher levels of disability at each subsequent follow-up, independent of age, sex and SCI impairment. Back pain, and pain below the SCI, at 6 months were associated with significantly greater disability at 18 months, and difficulty coughing at 6 months was associated with significantly greater disability at 30 months. Conclusion: The experience of specific SHCs in the first 6 months after an SCI is related to greater long-term disability. In order to reduce the disability burden of people with SCI, efforts should be directed toward early prevention of these SHCs.
引用
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页码:19 / 28
页数:10
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