Influence of severity and level of injury on the occurrence of complications during the subacute and chronic stage of traumatic spinal cord injury
| Autor: | William P. Vandertop, Janneke M. Stolwijk-Swuste, Marcel W M Post, Jort A N van Gent, F. Cumhur Oner, Wilco C. Peul, Charlotte Y Adegeest, Paula Valerie ter Wengel |
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| Přispěvatelé: | Extremities Pain and Disability (EXPAND) |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
secondary health conditions medicine.medical_treatment Population Quadriplegia rehabilitation systematic review Quality of life Internal medicine medicine Humans risk factors Spasticity education Spinal cord injury Tetraplegia Spinal Cord Injuries Retrospective Studies Paraplegia education.field_of_study Rehabilitation business.industry secondary complications Spinal Injuries/complications General Medicine medicine.disease spinal cord injury Spinal Injuries Quality of Life Autonomic dysreflexia Paraplegia/etiology medicine.symptom business |
| Zdroj: | Journal of Neurosurgery: Spine, 36(4), 632-652. AMER ASSOC NEUROLOGICAL SURGEONS Adegeest, C Y, van Gent, J A N, Stolwijk-Swüste, J M, Post, M W M, Vandertop, W P, Öner, F C, Peul, W C & ter Wengel, P V 2022, ' Influence of severity and level of injury on the occurrence of complications during the subacute and chronic stage of traumatic spinal cord injury : a systematic review ', Journal of Neurosurgery. Spine, vol. 36, no. 4, pp. 632-652 . https://doi.org/10.3171/2021.7.SPINE21537 Journal of Neurosurgery: Spine, 36(4), 632-652 |
| ISSN: | 1547-5654 |
| DOI: | 10.3171/2021.7.SPINE21537 |
| Popis: | OBJECTIVE Secondary health conditions (SHCs) are long-term complications that frequently occur due to traumatic spinal cord injury (tSCI) and can negatively affect quality of life in this patient population. This study provides an overview of the associations between the severity and level of injury and the occurrence of SHCs in tSCI. METHODS A systematic search was conducted in PubMed and Embase that retrieved 44 studies on the influence of severity and/or level of injury on the occurrence of SHCs in the subacute and chronic phase of tSCI (from 3 months after trauma). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. RESULTS In the majority of studies, patients with motor-complete tSCI (American Spinal Injury Association [ASIA] Impairment Scale [AIS] grade A or B) had a significantly increased occurrence of SHCs in comparison to patients with motor-incomplete tSCI (AIS grade C or D), such as respiratory and urogenital complications, musculoskeletal disorders, pressure ulcers, and autonomic dysreflexia. In contrast, an increased prevalence of pain was seen in patients with motor-incomplete injuries. In addition, higher rates of pulmonary infections, spasticity, and autonomic dysreflexia were observed in patients with tetraplegia. Patients with paraplegia more commonly suffered from hypertension, venous thromboembolism, and pain. CONCLUSIONS This review suggests that patients with a motor-complete tSCI have an increased risk of developing SHCs during the subacute and chronic stage of tSCI in comparison with patients with motor-incomplete tSCI. Future studies should examine whether systematic monitoring during rehabilitation and the subacute and chronic phase in patients with motor-complete tSCI could lead to early detection and potential prevention of SHCs in this population. |
| Databáze: | OpenAIRE |
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