Impaired respiratory function and associations with health-related quality of life in people with spinal cord injury

Autor: Johannes B. J. Bussmann, Janneke A. Haisma, Karin Postma, Henk J. Stam, Michael P. Bergen, Marcel W M Post
Přispěvatelé: Rehabilitation Medicine, Extremities Pain and Disability (EXPAND)
Rok vydání: 2016
Předmět:
Male
030506 rehabilitation
SYMPTOMS
medicine.medical_treatment
Vital Capacity
Pulmonary function testing
Cohort Studies
0302 clinical medicine
INPATIENT REHABILITATION
Sickness Impact Profile
Activities of Daily Living
Prevalence
Respiratory function
Spinal cord injury
Netherlands
Rehabilitation
DEATH
Respiratory infection
General Medicine
Middle Aged
Neurology
Female
0305 other medical science
Cohort study
Adult
medicine.medical_specialty
Adolescent
SF-36
DISORDERS
Rehabilitation Centers
Young Adult
03 medical and health sciences
FEV1/FVC ratio
medicine
Humans
Spinal Cord Injuries
Aged
business.industry
PULMONARY-FUNCTION
Respiration Disorders
medicine.disease
TRENDS
respiratory tract diseases
INDIVIDUALS
PROSPECTIVE COHORT
Cough
Quality of Life
Physical therapy
Self Report
Neurology (clinical)
business
030217 neurology & neurosurgery
Zdroj: Spinal Cord, 54(10), 866-871. Nature Publishing Group
ISSN: 1476-5624
1362-4393
Popis: Study design: Follow-up measurement in a multicenter prospective cohort study.Objectives: To examine the prevalence of impaired respiratory function (pulmonary function and perceived respiratory function), the incidence of respiratory infection and the associations among these parameters in people with spinal cord injury (SCI) 5 years after initial inpatient rehabilitation. Second, we assessed associations between respiratory function and health-related quality of life (HRQOL).Setting: Eight rehabilitation centers with specialized SCI units in the Netherlands.Methods: Measurements were performed 5 years after discharge of inpatient rehabilitation. Pulmonary function was determined by forced vital capacity (FVC) and perceived respiratory function by self-reported cough strength and dyspnea. HRQOL was measured using the Sickness Impact Profile 68 and the 36-item Short Form Health Survey.Results: One-hundred forty-seven people with SCI participated. Of this sample, 30.9% had impaired FVC, 35.9% poor or moderate cough strength, 18.4% dyspnea at rest and 29.0% dyspnea during activity. In the year before the measurements, 8.9% had had respiratory infection. FVC was associated with cough strength, but not with dyspnea. All respiratory function parameters were associated with social functioning, whereas other HRQOL domains were associated with dyspnea only.Conclusion: Five years after initial inpatient rehabilitation, impaired respiratory function and respiratory infection were common in people with SCI. More severely impaired respiratory function was associated with lower HRQOL.
Databáze: OpenAIRE
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