Secondary health conditions in persons with spinal cord injury: A longitudinal study from one to five years post-discharge
Jacinthe J.E. Adriaansen, Marcel W.M. Post, Sonja de Groot, Floris W.A. van Asbeck, Janneke M. Stolwijk-Swüste, Marga Tepper, Eline Lindeman
Center of Excellence for Rehabilitation Medicine, De Hoogstraat Rehabilitation, 3583 TM Utrecht, The Netherlands
Objective: To assess the occurrence of secondary health conditions and their potential risk factors in persons with spinal cord injury from 1 to 5 years after discharge from initial inpatient rehabilitation.
Design: Multicentre longitudinal study.
Subjects: A total of 139 wheelchair-dependent persons with spinal cord injury.
Methods: The occurrence of secondary health conditions and their potential risk factors were assessed in a clinical interview with a rehabilitation physician at 1 and 5 years after discharge from inpatient rehabilitation and by a telephone interview 2 years after discharge. Self-report questionnaires were used for the assessment of musculoskeletal and neuropathic pain.
Results: Neuropathic pain (83.7–92.1%), musculoskeletal pain (62.3–87.1%) and urinary tract infection (56.5–58.9%) were the most frequently reported secondary health conditions. The occurrence of several secondary health conditions was higher among women and individuals with a complete lesion, tetraplegia, and with a higher body mass index.
Conclusion: Secondary health conditions are common in the first years post-discharge following spinal cord injury, and their course seems to be relatively stable. These results emphasize the number of health issues that must be considered during post-injury care of persons with spinal cord injury
living in the community, and the importance of a well-coordinated interdisciplinary approach from specialized rehabilitation centres.
Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors.
You need to login/create an account to comment on articles. Click here to login/create an account