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 |
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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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