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Secondary health conditions and quality of life in persons living with spinal cord injury for at least ten years

To describe the prevalence of secondary health conditions among persons with long-term spinal cord injury, and the relationship between these secondary health conditions and quality of life. Multicentre, cross-sectional study. Individuals (n = 282) with traumatic or non-traumatic spinal cord injury...

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Published in:Journal of rehabilitation medicine 2016-11, Vol.48 (10), p.853-860
Main Authors: Adriaansen, Jacinthe J E, Ruijs, Laura E M, van Koppenhagen, Casper F, van Asbeck, Floris W A, Snoek, Govert J, van Kuppevelt, Dirk, Visser-Meily, Johanna M A, Post, Marcel W M
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container_issue 10
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container_title Journal of rehabilitation medicine
container_volume 48
creator Adriaansen, Jacinthe J E
Ruijs, Laura E M
van Koppenhagen, Casper F
van Asbeck, Floris W A
Snoek, Govert J
van Kuppevelt, Dirk
Visser-Meily, Johanna M A
Post, Marcel W M
description To describe the prevalence of secondary health conditions among persons with long-term spinal cord injury, and the relationship between these secondary health conditions and quality of life. Multicentre, cross-sectional study. Individuals (n = 282) with traumatic or non-traumatic spinal cord injury for ≥ 10 years, age at injury 18-35 years, current age 28-65 years, and using a wheelchair. Occurrence of 13 secondary health conditions was assessed during a consultation with a rehabilitation physician. Quality of life was measured with the International Spinal Cord Injury Quality of Life Basic Data Set. Median time since injury was 22.0 years. Median number of secondary health conditions was 4. The most prevalent secondary health conditions were: musculoskeletal pain (63.5%), oedema (38.7%), neuropathic pain (34.1%) and urinary tract infections (33.3%). Only oedema showed a significant association with increasing time since injury. Median Total Quality of Life Basic Data Set score was 7. Musculoskeletal pain, pressure ulcers, problematic spasticity and constipation showed an independent association with quality of life in multiple regression analysis, but in general, these associations were weak. Secondary health conditions are common among persons with long-term spinal cord injury and the following secondary health conditions were independently associated with lower quality of life: musculoskeletal pain, pressure ulcers, problematic spasticity, and constipation. Minimizing the impact of secondary health conditions should be a priority in the long-term care of persons with spinal cord injury.
doi_str_mv 10.2340/16501977-2166
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Multicentre, cross-sectional study. Individuals (n = 282) with traumatic or non-traumatic spinal cord injury for ≥ 10 years, age at injury 18-35 years, current age 28-65 years, and using a wheelchair. Occurrence of 13 secondary health conditions was assessed during a consultation with a rehabilitation physician. Quality of life was measured with the International Spinal Cord Injury Quality of Life Basic Data Set. Median time since injury was 22.0 years. Median number of secondary health conditions was 4. The most prevalent secondary health conditions were: musculoskeletal pain (63.5%), oedema (38.7%), neuropathic pain (34.1%) and urinary tract infections (33.3%). Only oedema showed a significant association with increasing time since injury. Median Total Quality of Life Basic Data Set score was 7. Musculoskeletal pain, pressure ulcers, problematic spasticity and constipation showed an independent association with quality of life in multiple regression analysis, but in general, these associations were weak. Secondary health conditions are common among persons with long-term spinal cord injury and the following secondary health conditions were independently associated with lower quality of life: musculoskeletal pain, pressure ulcers, problematic spasticity, and constipation. Minimizing the impact of secondary health conditions should be a priority in the long-term care of persons with spinal cord injury.</description><identifier>ISSN: 1650-1977</identifier><identifier>EISSN: 1651-2081</identifier><identifier>DOI: 10.2340/16501977-2166</identifier><identifier>PMID: 27834436</identifier><language>eng</language><publisher>Sweden: Journal of Rehabilitation Medicine</publisher><subject>Adult ; Aged ; Associations ; Constipation ; Constipation - epidemiology ; Constipation - etiology ; Cross-Sectional Studies ; Disabled Persons - psychology ; Edema - epidemiology ; Edema - etiology ; Female ; Health ; Humans ; Injuries ; Long term health care ; Male ; Middle Aged ; Muscle Spasticity - epidemiology ; Muscle Spasticity - etiology ; Musculoskeletal pain ; Musculoskeletal Pain - epidemiology ; Musculoskeletal Pain - etiology ; Nervous system ; Neuralgia ; Oedema ; Pressure Ulcer - epidemiology ; Pressure Ulcer - etiology ; Pressure ulcers ; Prevalence ; Quality of Life ; Regression Analysis ; Rehabilitation ; Spasticity ; Spinal cord ; Spinal cord injuries ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - psychology ; Spinal Cord Injuries - rehabilitation ; Survivors - psychology ; Time Factors ; Ulcers ; Urinary tract ; Urinary tract infections ; Urinary Tract Infections - epidemiology ; Urinary Tract Infections - etiology ; Wheelchairs - psychology ; Young Adult</subject><ispartof>Journal of rehabilitation medicine, 2016-11, Vol.48 (10), p.853-860</ispartof><rights>Copyright Taylor &amp; Francis Ltd. 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Multicentre, cross-sectional study. Individuals (n = 282) with traumatic or non-traumatic spinal cord injury for ≥ 10 years, age at injury 18-35 years, current age 28-65 years, and using a wheelchair. Occurrence of 13 secondary health conditions was assessed during a consultation with a rehabilitation physician. Quality of life was measured with the International Spinal Cord Injury Quality of Life Basic Data Set. Median time since injury was 22.0 years. Median number of secondary health conditions was 4. The most prevalent secondary health conditions were: musculoskeletal pain (63.5%), oedema (38.7%), neuropathic pain (34.1%) and urinary tract infections (33.3%). Only oedema showed a significant association with increasing time since injury. Median Total Quality of Life Basic Data Set score was 7. 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identifier ISSN: 1650-1977
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source Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection
subjects Adult
Aged
Associations
Constipation
Constipation - epidemiology
Constipation - etiology
Cross-Sectional Studies
Disabled Persons - psychology
Edema - epidemiology
Edema - etiology
Female
Health
Humans
Injuries
Long term health care
Male
Middle Aged
Muscle Spasticity - epidemiology
Muscle Spasticity - etiology
Musculoskeletal pain
Musculoskeletal Pain - epidemiology
Musculoskeletal Pain - etiology
Nervous system
Neuralgia
Oedema
Pressure Ulcer - epidemiology
Pressure Ulcer - etiology
Pressure ulcers
Prevalence
Quality of Life
Regression Analysis
Rehabilitation
Spasticity
Spinal cord
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - psychology
Spinal Cord Injuries - rehabilitation
Survivors - psychology
Time Factors
Ulcers
Urinary tract
Urinary tract infections
Urinary Tract Infections - epidemiology
Urinary Tract Infections - etiology
Wheelchairs - psychology
Young Adult
title Secondary health conditions and quality of life in persons living with spinal cord injury for at least ten years
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