Changes in health-related quality of life among older adults aging with long-term spinal cord injury
Autor: | Sophie Jörgensen, Jan Lexell, Maria Valentina Costa Andersson |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Quality of life
Male medicine.medical_specialty Aging Spinal cord diseases Article medicine Global health Humans Spinal cord injury Tetraplegia Spinal Cord Injuries Aged Health related quality of life Paraplegia Multivariable linear regression business.industry Public health General Medicine medicine.disease humanities Cross-Sectional Studies Neurology Physical therapy Female Neurology (clinical) business |
Zdroj: | Spinal Cord |
ISSN: | 1476-5624 1362-4393 |
Popis: | Study design Cross-sectional and longitudinal. Objectives To (i) describe health-related quality of life (HRQoL) and changes over 6 years in older adults aging with long-term spinal cord injury (SCI) and (ii) investigate how changes in HRQoL are associated with age, gender, and injury characteristics. Setting Community in southern Sweden. Methods From the initial 123 participants (years 2011–2012) in the Swedish Aging with Spinal Cord Injury Study (SASCIS), 77 individuals (32% women, C1-L3, AIS A–D, median age 66 years, median time since injury 31 years, 30% complete injuries) were assessed 6 years later. HRQoL was rated with the Spinal Cord Injury Quality of Life Questionnaire (SCI QL-23). Associations were investigated using multivariable linear regression analyses. Results The median rating of global QoL (scale range 0–100) was relatively high at both assessments (67 and 83, respectively). There was a large variability in all HRQoL-domains and no significant changes over 6 years. As compared to an AIS D injury, a tetraplegia AIS A–C injury and tetraplegia and paraplegia AIS A–C injuries were associated with positive change in depressive symptoms and global QoL, respectively. Conclusions Older adults aging with long-term SCI show large variations in all HRQoL-domains and have the potential to maintain a high and stable level of HRQoL over time. Persons with AIS D injuries may need increased attention to mitigate negative changes in depressive symptoms and global QoL. Further studies are needed to identify modifiable factors associated with changes in HRQoL in older adults aging with long-term SCI. |
Databáze: | OpenAIRE |
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