Aging with a spinal cord injury: Factors associated with the need for more help with activities of daily living11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated
| Autor: | Mary Ann McColl, Karen M. Smith, Will King, Nathania Liem |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Constipation Activities of daily living business.industry medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Traumatology medicine.disease Orthopedic surgery medicine Physical therapy medicine.symptom Complication business human activities Spinal cord injury |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 85:1567-1577 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2003.12.038 |
| Popis: | Liem NR, McColl MA, King W, Smith KM. Aging with a spinal cord injury: factors associated with the need for more help with activities of daily living. Arch Phys Med Rehabil 2004;85:1567–77. Objectives To determine (1) the frequency of the need for more help with activities of daily living (ADLs), (2) the frequency of medical complications, and (3) the association between medical, injury-related, and sociodemographic factors and the need for more help with ADLs among those aging with spinal cord injury (SCI). Design Cross-sectional survey. Setting General community, international. Participants Volunteers (N=352) with SCI for more than 20 years. Interventions Not applicable. Main outcome measure The need for more help with ADLs. Results The need for more help with ADLs during the last 3 years was reported by 32.1% of participants. At least 1 medical complication was reported by 85%. Constipation (47.9%), diarrhea/bowel accidents (41.8%), and pressure ulcers (38.7%) were common. Constipation, pressure ulcers, female gender, and years postinjury were associated with needing more help with ADLs. Constipation and pressure ulcers were associated with a 97% and a 76% increase, respectively, in the likelihood of needing more help with ADLs during a 3-year time period. Female gender was associated with a 96% increased odds of needing more help with ADLs. There was a 42% increased odds of needing more help with ADLs per decade after SCI. Conclusions People aging with SCI are vulnerable to medical complications, and additional help is required to function. Knowledge of the effect of these factors, particularly the tetrad of constipation, pressure ulcers, female gender, and number of years postinjury, should increase awareness that more help with ADLs may be needed over time. |
| Databáze: | OpenAIRE |
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